Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
14 Cards in this Set
- Front
- Back
|
What are some indications of urinary catheterization?
|
-dx
-collect uncontaminated urine -study anatomy of urinary tract -urine output monitoring -therapeutic -acute urinary retention -chronic obstruction causing hydronephrosis -intermittent bladder decompression for neurogenic bladder -chronically bed-ridden pts for hygiene |
|
|
What are some contraindications to a urinary cath?
|
-urethral injury
-trauma pts w/blood at meatus or abnormal prostate location on rectal exam |
|
|
What equipment is needed for a urinary cath?
|
-catheter tray
-foley cath -drainage bag -tagaderm/tape |
|
|
What size catheter is used for adults? Children? If obstruction at prostate? Infants less than 6 months?
|
Adults --> 18 F
Obstruction --> 18 F Coude Children --> 5-12 F Infants --> 5 F feeding tube w/tape |
|
|
What position should the pt be in?
|
supine, frogleg or knees flexed
|
|
|
How much saline should be inserted into the balloon?
|
5-10 cc
|
|
|
What are some complications to a urinary catheterization?
|
-inability to locate the urethra
-vaginal cath -paraphimosis -urethral stricture -enlarged prostate -UTI -inability to inflate/deflate |
|
|
___% of inpatients are catheterized.
|
25
|
|
|
UTIs cause over ____% of hospital-acquired infections.
|
40
|
|
|
Urinary catheter-related infections lead to increased LOS, ______, & cost.
|
morbidity
|
|
|
What are some ways to prevent catheter-related infections?
|
1- use a closed drainage system, aseptic placement & care
2- make sure the catheter is indicated 3- removed the catheter ASAP 4- consider other methods for prevention |
|
|
What is the UTI prevention rule #2?
|
make sure the pt really needs the catheter
|
|
|
What are some appropriate indications for a urinary catheter?
|
-bladder outlet obstruction
-incontinence & sacral wound -urine output monitored -pt's request (end-of-life) -during or just after sx |
|
|
Remember to document ________!
|
each day the catheter is in
|
