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20 Cards in this Set
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All this stuff is stricly Clinical facts about Foley Catheters.
You have to maintain adequate daily hydration for people with a Foley? How much? |
30cc/Kg body weight/day
EX guy weighs 185 lbs. right? so 185 / 2.2 = 84kg. 30mL X 84kg = 1620 mL daily that about a quart and a half |
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when do you clean the perineum and proximal catheter ?
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daily and after each bowel movement.
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You have to access bowel function and implement measures to eliminate impactionand to correct ...
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constipation. constipation and impaction cause pressure against bladder and bladder neck and impair bladder emptying
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Now measures to prevent/manage leakage around the catheter.
what can cause leakage around the catheture? |
obstruction or by bladder spasms; common causes of bladder spasoms are UTI, concentrated urine, fecal impaction, a large balloon, or traction on the bladder neck by a catheter that is not stabilized.
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assess catheter for patency, if its occluded, remove and replace. Do NOT WHAT?
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replace the catheture w/ a large size catheter or a larger size balloon! these will only further irritate the bladder and urethura.
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if the urine appears infected, what is this?
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the catheter should be assessed daily for signs/symtoms of UTI. consult MD, and get a specimen culture
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how do you obtain a urine culture w/ someone w/ a catheter?
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remove exisiting catheter and place new cath in b/f obtaining the urine sample!
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Implement measures to provide adequate hydration if the urine is ...
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concentrated
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always ck for fecal impaction and if there is, what?
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remove catheter is there is one. institute bowel program to maintain regular elimination of soft formed stool
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ck to see if balloon is appropiate size and correctly ...
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inflated (an unevenly inflated balloon can act as an irritant to the bladder/bladder neck
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how many times do you change a catheter?
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the goal is to change one frequently enough to prevent problems such as obstrution or encrustation but no more freq than needed
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CDC recommends cathetere change schedules to be on individual bases by what?
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each patient's history of catheter tolerence/development of problems
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who needs to be catheterized?
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acutely ill patients
used to manage terminally ill patients urinary retention not mangable by any other means manage incontenence w/stage III or stage IV pressure ulcers on trunk |
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there are contrandictions around this subject like:
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management of urinary incontinence not associated w/ full thickness pressure ulcers on trunk
urinary retention that can be otherwise managed (e.g. w/ clean intermittent catherizationz) |
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guidelines for catheter selections!
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high quality bonded latex
100% silicone or lubricious (hydrogel-coated) reason: these products reduce trauma to urehral walls and resist encrustation. Silicone catheters are indicated for patients w/ latex sensitivity |
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catheter size and configs.
Balloon size/ inflation. what about it? |
smallest size to provide drainage is 14-18 french
rationale is prevents urethral distortion adn obstruction of urethral glands |
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coupe tip may facilitate catheter what?
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insertion b/c its curved. good for those with partial obstrution
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5 cc balloon should be inflated according to manufactor's guidelines which is ...
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10mL for a 5 cc balloon
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Nursing Imlications and interventions to reduce risk of UTI's
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there are 3 site for infection.
along cath wall at junction b/t catheter and drainage bag if system opened. at drainage outlet |
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minimize urethral trauma during cath procedure how:?
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use lots of lub and cath's a male, insert cath to hub b/f inflating balloon
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