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28 Cards in this Set
- Front
- Back
- 3rd side (hint)
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______ bladder is caused by a lower motor neuron lesion, commonly resulting from trauma.
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Flaccid
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This form of neurogenic bladder is also increasingly being recognized in patients with diabetes mellitus.
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Flaccid
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With ______ bladder, the bladder continues to fill and becomes greatly distended, and overflow incontinence occurs. The bladder muscle does not contract forcefully at any time.
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Flaccid
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Because sensory loss may accompany a ______ bladder, the patient feels no discomfort.
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Flaccid
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______ catheterization allows bladder drainage by inserting a catheter or tube into the bladder through a suprapubic (above the pubis) incision or puncture.
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Suprapubic
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______ catheterization may be a temporary measure to divert the flow of urine from the urethra when the urethral route is impassable (because of injuries, strictures, prostatic obstruction), after gynecologic or other abdominal surgery when bladder dysfunction is likely to occur, and occasionally after pelvic fractures.
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Suprapubic
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With ______ bladder drainage. A trocar cannula is used to puncture the abdominal and bladder walls. The catheter is threaded through the trocar cannula, which is then removed, leaving the catheter in place. The catheter is secured by tape or sutures to prevent unintentional removal.
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Suprapubic
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Suprapubic bladder drainage may be maintained continuously for several ______. When the patient's ability to void is to be tested, the catheter is clamped for ___ hours, during which time the patient attempts to void. After the patient voids, the catheter is unclamped, and the residual urine is measured. If the amount of residual urine is less than ___ mL on two separate occasions (morning and evening), the catheter is usually removed. However, if the patient complains of pain or discomfort, the suprapubic catheter is usually left in place until the patient can void successfully.
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weeks; 4; 100
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______ ______ provides periodic drainage of urine from the bladder. By promoting drainage and eliminating excessive residual urine.
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Intermittent self-catheterization
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______ ______ protects the kidneys, reduces the incidence of UTIs, and improves continence. It is the treatment of choice in patients with spinal cord injury and other neurologic disorders, such as multiple sclerosis, when the ability to empty the bladder is impaired. ______ promotes independence, results in few complications, and enhances self-esteem and quality of life.
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Intermittent self-catheterization; Self-catheterization
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Use scrupulous aseptic technique during insertion of the catheter. Use a preassembled, ______, closed urinary drainage system.
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sterile
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Preventing Infection in the Catheterized Patient
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To prevent contamination of the closed system catherization, never ______ the tubing.
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disconnect
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Preventing Infection in the Catheterized Patient
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The drainage bag must never ______ the floor. The bag and collecting tubing are changed if contamination occurs, if urine flow becomes obstructed, or if tubing junctions start to leak at the connections.
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touch
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Preventing Infection in the Catheterized Patient
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If the collection bag must be raised above the level of the patient's bladder, ______ the drainage tube. This prevents backflow of contaminated urine into the patient's bladder from the bag.
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clamp
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Preventing Infection in the Catheterized Patient
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Ensure a free flow of urine to prevent infection. Improper drainage occurs when the tubing is ______ or ______, allowing pools of urine to collect in the tubing loops.
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kinked; twisted
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Preventing Infection in the Catheterized Patient
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To reduce the risk of bacterial proliferation, empty the collection bag at least every ___ hours through the drainage spout—more frequently if there is a large volume of urine.
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8
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Preventing Infection in the Catheterized Patient
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Avoid contamination of the drainage ______. A receptacle in which to empty the bag is provided for each patient.
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spout
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Preventing Infection in the Catheterized Patient
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Never irrigate the catheter ______. If the patient is prone to obstruction from clots or large amounts of sediment, use a ______ system with continuous irrigation.
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routinely; three-way
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Preventing Infection in the Catheterized Patient
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Never ______ the tubing to obtain urine samples, to irrigate the catheter, or to ambulate or transport the patient.
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disconnect
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Preventing Infection in the Catheterized Patient
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Never leave the catheter in place longer than is ______.
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necessary
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Preventing Infection in the Catheterized Patient
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Avoid routine catheter ______. The catheter is changed only to correct problems such as leakage, blockage, or encrustations.
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changes
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Chart 45-9: Preventing Infection in the Catheterized Patient
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Avoid unnecessary ______ or ______ of the catheter by the patient or staff.
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handling; manipulation
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Chart 45-9: Preventing Infection in the Catheterized Patient
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Carry out ______ hygiene before and after handling the catheter, tubing, or drainage bag.
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hand
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Chart 45-9: Preventing Infection in the Catheterized Patient
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Wash the ______ area with soap and water at least twice a day
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perineal
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Chart 45-9: Preventing Infection in the Catheterized Patient
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Avoid a to-and-fro ______ of the catheter.
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motion
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Chart 45-9: Preventing Infection in the Catheterized Patient
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Dry the ______ well, but avoid applying powder because it may irritate the perineum.
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perineal
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Chart 45-9: Preventing Infection in the Catheterized Patient
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Monitor the patient's voiding when the catheter is removed. The patient must void within ___ hours; if unable to void, the patient may require catheterization with a straight catheter.
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8
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Chart 45-9: Preventing Infection in the Catheterized Patient
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Obtain a urine specimen for ______ at the first sign of infection.
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culture
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Chart 45-9: Preventing Infection in the Catheterized Patient
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