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17 Cards in this Set
- Front
- Back
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Newborn Catheter Insertion |
- easy to visualize genital landmark with girls - requires 2 individuals: one to restrain legs. one to perform
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Age group most Traumatized |
- early pre-school, just after potty-training. - unable to understand procedure. - their focus on toilet-training creates a mind-set that this catheterization must be related, usually as a punishment - they are large enough and strong enough to put up a significant fight - Recommended: play exposure to catheter
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Teenagers |
- invasion of privacy - Helpful: 2nd person to distract, sooth, etc - Teenage girls: nervous legs-- touch inner thighs/labia results in knees slamming shut |
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Elderly |
- embarrassment issue - discomfort of position: in females, creates stress on hip ligaments/ muscles. solution-- provide leg support - avoid "false intimacy" e.i calling PT "sweetheart" "honey" - Explaining the procedure should include what the patient is going to feel, for instance, include that when you clean the uretheral meatus it will feel cold and wet. |
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Most of the procedure is about_____. |
Preparation |
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Sterile gloves on, you prepare for: |
1. Are you ready to clean? 2. Are you ready to insert the catheter? (Lubricate & test the balloon) 3. Are you ready to catch urine? (drainage bag attached/ tray close by) |
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How to finish: |
- Remember to tug the catheter to position the balloon “nestled in the neck of the bladder” - Remember to tape the catheter in position, usually to the thigh to prevent irritation to the meatus - Remember to clean off the betadine from the penis glans or labia. |
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TTC |
Tug, tape, clean Remember when finishing |
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Risk of leaving Betadine |
irritate skin and may cause burning sensation at urinary meatus |
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Male Patient Position |
Supine with knees slightly apart and knees very slightly bent. --relaxes abdominal and perineal muscles |
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Female Patient Position |
Supine with knees up and out --allows for visualization of the urinary meatus and relax abdominal muscles |
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Foley catheter: Child |
8-10 Fr |
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Foley catheter: adult female |
14-16 Fr |
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Foley catheter: adult male |
18-20 Fr |
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Lubraicate catheter: female |
2-3 inches |
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Lubricate catheter: male |
4 inches |
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When Urine is visuble |
guide catheter 2 inches further to ensure balloon is in bladder |
