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Female Urinary Catheterization
Lt. Anurag Danda
Steps of Catheterisation
• Position the patient on her back with her knees
apart and her feet together.
• Open a sterile catheterisation kit.
• Put on the gloves.
• Open the antiseptic solution and the lubricant.
• Place the sterile drape over the patient.
• Test the balloon if you are inserting a Foley’s
catheter.
• Apply a generous amount of lubricant or
lidocaine jelly to the end of the catheter.
• Use your non-dominant hand to separate the
labia minora.
• Don’t test the balloon of a silicon catheter.
• Clean the vulva with the antiseptic.
• Find the urethra meatus.
• Insert the catheter-Grasp the catheter no more
than 2 inches from the end and insert it into the
urethra meatus,angling it slightly upward.
• When you see the flow of urine from the
catheter,continue inserting it for another 1-2
inches (3-5 cm).
• Inflate the balloon if you are using a Foley’s
catheter to keep it in place.-capacity printed
on inflation valve.After inflation,pull gently on
the catheter to position the balloon against
the bladder neck.
• Tape the catheter to the patient’s leg and
attach a urine collection bag.
Size of catheter
• The female indwelling catheter (suprapubic) is
6 inches long and comes in sizes 12Fr-18Fr.
• Size 12 catheters have successfully been used
in female patients with urinary restriction.
Types of catheter materials:
• Latex
• Polyurethane
• Silicone
Indications
• Acute/chronic urinary retention
• Orthopaedic procedures that limit a patient’s
movement
• Urine output monitoring
• Urinary incontience-Stress,Urge
• Intra-op : to empty the urinary bladder
• During LSCS
Effects of long-term use
• UTI
• Sepsis
• Urethral injury
• Bladder stones
• Haematuria
• Bladder cancer-foll. many yrs of use

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Female urinary catheterization

  • 2. Steps of Catheterisation • Position the patient on her back with her knees apart and her feet together. • Open a sterile catheterisation kit. • Put on the gloves. • Open the antiseptic solution and the lubricant. • Place the sterile drape over the patient. • Test the balloon if you are inserting a Foley’s catheter.
  • 3. • Apply a generous amount of lubricant or lidocaine jelly to the end of the catheter. • Use your non-dominant hand to separate the labia minora. • Don’t test the balloon of a silicon catheter. • Clean the vulva with the antiseptic. • Find the urethra meatus. • Insert the catheter-Grasp the catheter no more than 2 inches from the end and insert it into the urethra meatus,angling it slightly upward. • When you see the flow of urine from the catheter,continue inserting it for another 1-2 inches (3-5 cm).
  • 4. • Inflate the balloon if you are using a Foley’s catheter to keep it in place.-capacity printed on inflation valve.After inflation,pull gently on the catheter to position the balloon against the bladder neck. • Tape the catheter to the patient’s leg and attach a urine collection bag.
  • 5. Size of catheter • The female indwelling catheter (suprapubic) is 6 inches long and comes in sizes 12Fr-18Fr. • Size 12 catheters have successfully been used in female patients with urinary restriction.
  • 6. Types of catheter materials: • Latex • Polyurethane • Silicone
  • 7. Indications • Acute/chronic urinary retention • Orthopaedic procedures that limit a patient’s movement • Urine output monitoring • Urinary incontience-Stress,Urge • Intra-op : to empty the urinary bladder • During LSCS
  • 8. Effects of long-term use • UTI • Sepsis • Urethral injury • Bladder stones • Haematuria • Bladder cancer-foll. many yrs of use