Urinary catheterization Definition Types of Urinary catheterization Effects or risks of Urinary catheterization Suprapubic catheterization Intermittent catheterization Caring for catheters Signs and symptoms of Urinary tract infections

1. URINARY
CATHETERIZATION
Types, indications and demerits of the procedure.

2. Definition
◦ Is the process of inserting a catheter through the urethra into the urinary bladder.
◦ To withdraw,
◦ drain,
◦ Collect ,
◦ installation of medication or
◦ bladder irrigation.

3. Types of urinary catheterization.
1. Indwelling catheterization
Can be used for long term care or for short term care.
One end of the catheter remains inside the bladder.
A small inflated balloon at the tip of the catheter inside the bladder keeps the end of the
catheter from slipping out.
Urine flows from the bladder through the catheter and collects in a drainage bag.
If the client is bedridden the drainage bag is ussually attached to the lower portion of the
hospital bed - near the floor.
If the patient is not bedridden the bag is worn on the leg where it can be hidden- under
skirt or slacks.
This position of the drainage bag allows gravitational movement of urine

4. 2. Intermittent catheterization
The urinary catheter does not remain inside the bladder.
But it is inserted into the bladder long enough to allow the bladder to drain then it’s removed

5. 3. Suprapubic catheterization
The catheter is surgically inserted through a small Insertion above the pubic area.
Used for long term continuous drainage.
Suprapubic bladder drainage diverts urine from the urethra when injury stricture,prostatic
obstruction, abdominal surgery has compromised the flow of urine through the urethra.

6. 1. To treat incontinence: Difficulties of holding urine immediately after its formation.
2. To drain urine when the bladder muscles or nerves are not working which can be caused by
Spinal cord injury, certain medications ,that can interfer with the bladders normal emptying.
3. To measure urine output: In clients who are incapacitated because of critical illness or surgery.
4. To collect urine during diagnostic studies of the urinary tract.
5. To obtain clean urine sample for tests to detect bacteria infections in the urine.
A clean sample is the one that is not contaminated by bacteria from the patient’s hands, genital
or rectum .
With a catheter, a clean sample urine can be obtained directly from inside the bladder.

7. Risks associated with urinary
catheterization
Urinary tract infections
◦ Refers to the risk of using Urinary cather that allows bacteria to enter your body.
◦ This can cause an infection in urethra, bladder and less commonly to the entire kidney.

8. Symptoms of urinary tract infections.
◦ Fever,chills,headache,cloudy urine due to pus,burning of urethra or genital area,blood in
urine,foul smelling urine,low back pain and achiness.
◦ Leaking of urine out of the catheter.
◦ Allergic reaction to the material used in the catheter.
◦ Kidney damage (with long term indwelling catheter).
◦ Septicaemia (infection of the urinary tract,kidney or blood).

9. Note
◦ Catheterization is for both Male and Female.
The size of catheter to be used is important.
Catheter should not be allergic.
Fowler's position is recommended for this procedure.

10. Caring for urinary catheter.
◦ Patients should drink a lot of water to keep urine clean or slightly yellow so as to prevent
infection.
◦ THE END