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CATHETERIZATION PowerPoint Presentation

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Description : Urinary Catheterization is the introduction of a catheter into the urinary bladder through the urethra.

Tags : Urinary catheters, bladder distention, sterile urine specimen urethra

Published on : Oct 23, 2020 | Views : 4169 | Downloads : 14

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CATHETERIZATION
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Urinary Catheterization is the introduction of a catheter into the urinary bladder through the urethra.
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Urinary catheters exist in varying forms and sizes. The unit of measurement is the French. One French equals 1/3 of 1 mm. The sizes can vary from Fr 6 (very small, pediatrics) to Fr 48 (extremely large) in size. The most common sizes are Fr 14-18 and Fr 20-24.
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There are a multitude of varieties each with their own unique attributes for special situations. Coude tip Indwelling catheter 3 way catheter Straight catheter
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PERFORMING URINARY CATHETERIZATION PURPOSES: To relieve discomfort due to bladder distention or to provide gradual decompression of a distended bladder To assess the amount of residual urine if the bladder empties incompletely To obtain a sterile urine specimen To empty the bladder completely prior to surgery
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To facilitate accurate measurement of urinary output for critically ill clients whose output needs to be monitored hourly To provide for intermittent or continuous bladder drainage and/or irrigation To prevent urine from contacting an incision after perineal surgery
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Pre-filled-syringe sterile gloves antiseptic solution water soluble lubrcant urine bag indwelling catheter waterproof drapes Specimen bottle Pick up forcep Ky jelly MATERIALS NEEDED FOR CATHETERIZATION
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PERFORMANCE 1. Introduce self and verify the client’s identity. Explain to the client what you are going to do, why it is necessary, and how he or she can participate. 2. Perform hand hygiene 3. Provide for client privacy.
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4. Place the client in the appropriate position and drape all areas except the perineum. Female: supine with knees flexed, feet about 2 feet apart, and hips slightly externally rotated Male: supine, thighs slightly abducted or apart 5. Establish adequate lighting.
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6.. Open the catheterization kit. Place a waterproof drape under the buttocks (female) or penis (male) without contaminating the center of the drape with your hands. 7. Organize the remaining supplies: Saturate the cleansing balls with the antiseptic solution. Open the lubricant package. Remove the specimen container and place it nearby with the lid loosely on top. 8. Apply sterile gloves. 9. Attach the prefilled syringe to the indwelling catheter inflation hub. 10. Lubricate the catheter 2.5 to 5 cm (1 to 2 in.) for females, 15 to 17.5 cm (6 to 7 in.) for males.
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11. Cleanse the meatus. Females: Use your non dominant hand to spread the labia so that the meatus is visible. Pick up a cleansing ball with the forceps in your dominant hand and wipe one side of the labia majora in an anteroposterior direction. Use great care that wiping the client does not contaminate this sterile hand. Use a new ball for the opposite side. Repeat for the labia minora. Use the last ball to cleanse directly over the meatus.
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Males: Use your nondominant hand to grasp the penis just below the glans. If necessary, retract the foreskin. Hold the penis firmly upright, with slight tension. Pick up a cleansing ball with the forceps in your dominant hand and wipe from the center of the meatus in a circular motion around the glans. Use great care that wiping the client does not contaminate the sterile hand. Use a new ball and repeat three more times.
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12. Insert the catheter. Grasp the catheter firmly 5 to 7.5 cm (2 to 3 in.) from the tip. Ask the client to take a slow deep breath and insert the catheter as the client exhales. Advance the catheter 5 cm (2 in.) farther after the urine begins to flow through it. For male clients, some experts recommend advancing the catheter to the “Y” bifurcation of the catheter. .
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13. Hold the catheter with the non dominant hand. 14. For an indwelling catheter, inflate the retention balloon with the designated volume. Without releasing the catheter (and, for females, without releasing the labia), hold the inflation valve between two fingers of your non dominant hand while you attach the syringe (if not left attached earlier) and inflate with your dominant hand.
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15. For an indwelling catheter, secure the catheter tubing to the thigh for female clients or the upper thigh or lower abdomen for male clients to prevent movement on the urethra or excessive tension or pulling on the retention balloon
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16. Next, hang the bag below the level of the bladder. No tubing should fall below the top of the bag. 17. Wipe any remaining antiseptic or lubricant from the perineal area. Return the client to a comfortable position. 18. Discard all used supplies in appropriate receptacles. 19. Remove and discard gloves. Perform hand hygiene. 20. Document the procedure.