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31 Cards in this Set

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To keep pt cath in place and avoid drainage & deflation problems, you got to ....
inflate the balloon correctly
DONT

inflate balloon unless you've tested ...
it for leaks b/f inserting the cath
DONT

use excessive force to insert the syringe into the ...
inflation lumen b/c you may push the valve stem too far into the valve
DONT

underinflate the balloon or the cath may ...
slip out of the bladder or urine may leak around the cath shaft
DO

assess for urine flow b/f inflating the balloon to make sure that the cath is in ...
the bladder and not the urethral channel
DO

always review pkg label & ck balloon port lumen for inflation vol. w/h depends on ...
manufactor's instructions, brand, and size of cath. Pk label may also list max. inflation capacity
if the syringe for balloon doesn't already contain sterile water, draw up the app. amt. balloon lumens are labeled to ...
indicate their approx. size & vol. AFTER inflation. so you'll need ex. water to fill lumen and valve arm. EX. you'll need 10mL of sterile water to fully inflate a 5 mL balloon.
If the cath has a prefilled syringe, ...
inject the entire vol. supplied
use only sterile water to inflate the balloon. bacteriostatic water and sodium chloride have what that do what??
contain substances that may cause deflations problems or balloon failure like leaks
How to do it:

Attach the water filled syringe to the catheter's balloon port. with non dominant hand, stablilize cath. do what next?
make sure the cath is in the bladder far enough to inflate the balloon
when sure the balloon is in far enough into the bladder, with dominant hand, slowly inject all the water. what will happen?
the inflated balloon will keep the cath in place.
addess for pt discomfort. if they feel pain while inflating the ballooon, immediately ....
aspirate the water b/c of the obviious
when your sure the balloon is well into the pt bladder and its inflated, what?
tug on it, the cath. when you feel resistance, you'll know balloon id correctly positioned.
remove the syringe from balloon port and what?
ck for leaks
tech the pt about fluid requirments, intake, and output, and what?
preventign tension on the cath
HOW TO REMOVE A CATHETER

don't:

try to remove the cath b/f completely what?
deflating the balloon
DONT

cut the balloon lumen or the balloon may not ...
deflate!
DO

palce the pt in the supine position and drape him. explain the procedure and tell him what?
feel some discomfort as you withdraw the cath
DO

ck the balloon's capacity. it is an indicataion of the what?
first the capacity of the balloon is on the lumen.

the balloon's capacity tells how much will be coming out. SO GET THE CORRECT SIZE SYRINGE Wash your hands and glove up
attach the syringe to cath lumen, deflate the balloon by ...
aspiring the fluid unti you feel resistence. do it twice. then gently pull on cath to ensure balloon is deflated.
grasp cath near the meatus. Hold an absorbant pad under cat w/ other hand. tell pt to breath slowly and deeply. then ....
smoothly w/draw cath and let it fall onto the pad
inspect the cath, make sure all the parts are there. if not what?
call the MD immediately
assisst pt to bathrooom or help him clean peri area if he's not amblulatory. get him comfortable. what else?
advise him to drink fluids to promote natural bladder irigation. tell him to expect burning upon urination first few times. but it will stop soon. just keep drinking fluids. also ck fluids for next 8 to 24 hours to make sure he resumes voiding and look for signs of UTI
MAINTAINING A CLOSED URINARY DRAINAGE SYSTEM

DONT

allow tension on the tubing that couled ...
dislodge cath or damage the urethra
don't allow tubing to loop below the drainage bag.

DONT

attach drainage bag ...
to a bed rail or allow it to rest on the floor, tubing could get caught in the bed rail and dislodge cath...resting bag on floor is nasty
DO

secure tape to cath tubing to medial thigh of a woman or abdomen of a man. to prevent tube from slipping, do what?
cover tubing circumfrance w/ tape.
DO

maintain gravity drainage by keeping drain bag below the level of pts bladder at all times. keep tubing from ...
kinks and obstructions
make sure the system is well sealed and bag is emptying port is closed. ck for leaks at connecitons. for a pt w/ a stretcher, what?
suspend drainage bag from the bed or stretcher frame, using the hook or strap
if pt is in a wheelchair near the bed, keep the bag on the bed frame w/ bed in a low position or attch it ...
to the chair
for a pt in a wheelchair, suspend bag from back of the chair below...
the bladder leve.
tape makes a great sling for this.
ambulatory pt, secure the bag where?
ON LOWER PART OF IV POLL. OR allow him to carry it low like a suitcase.