SlideShare a Scribd company logo
Urinary Catheterization
By: Ahmad Thanin
Definition
Urinary Catheterization is a medical procedure of
insertion a catheter through Male or Female urethra's
opening direct to bladder
Urinary Catheterization is used either therapeutic or
diagnostic.
Urinary Catheterization is done when a person is unable
to urinate using a toilet, bedpan, urinal, or when accurate
urinary output is required
Other Medical Terms
Dysuria:
Painful or
difficult
urination.
Hematuria:
Blood in
urine.
Nocturia:
Frequent
urination at
night.
Polyuria:
Large
amount of
urine.
Urinary
Urgency:
Need to void
at once.
Urinary
Frequency:
Voiding
frequent
intervals.
Indication
Therapeutic Diagnostic
Acute & Chronic Urinary Retention.
Intractable urinary incontinence
Bladder Irrigation.
Post operative.
Post spinal injury.
Post Epidural Anesthesia.
Measure Residual Urine.
Bladder investigation.
Allow intravesical drug
instillation
Obtain uncontaminated
urine sample
Contraindications
Acute
Prostatitis.
Urethral injury
or trauma.
Agitated
patient.
Allergy to
latex.
Types of Catheterization
• consists of a soft
plastic or rubber
sheath, tubing, and a
collection bag for the
urine.
Condom catheter
• used when the
catheter is to be
inserted and removed
immediately
Straight Catheter
• known as Foley
catheter, is left inside
the bladder to
provide continuous
urine drainage.
Indwelling Catheter
• is a type of indwelling
catheter. It is inserted
to irrigate the bladder
to prevent
obstruction (i.e
bleeding)
3-Way Catheter for
continuous bladder
irrigation (CBI)
• inserted into the
bladder through a
surgical incision
made in the
abdominal wall, right
above the pubic bone.
Suprapubic
Catheter
Complications
• Urinary Tract Infection.
• Creation of false passages.
• Urethral strictures.
• Urethral perforation.
• Bleeding
Acute phase
• Prostatitis.
• Cystitis.
• Urethritis.
• Pyelonephritis.
• Sepsis
For long period use:
Symptoms of a CAUTI can
include
pain in the lower
abdomen or groin area
a high temperature
a burning sensation
during urination
more frequent
urination
A person can reduce their risk
of developing a CAUTI by:
washing their hands thoroughly with soap and warm water before and after
touching catheter equipment
keeping the skin around the catheter entrance clean by washing it with mild soap
and water twice per day
ensuring that urine collection bags are kept below the level of the bladder, as this
will help prevent blockages
not lying on the catheter, as this can prevent the flow of urine through the tube
ensuring that there are no twists or kinks in the tubing, as blockages can raise the
risk of infection
keeping hydrated by drinking one or two glasses of liquid every 2 hours
Catheter Insertion
Equipment – General
Sterile Gloves.
Suitable Antiseptic.
Swabs or cotton wool.
Sterile paper towel or sterile blanket.
Anesthetic lubricating gel (Lignocaine Gel)
Appropriate size of sterile catheters.
Urine bag.
How To Do Urethral
Catheterization in a Female
Equipment
• Sterile drapes and gloves
• Povidone iodine
• Applicator swabs, sterile gauze, or cotton balls
• Water-soluble lubricant
• Urethral catheter (size 16 French Foley catheter is
appropriate for most women)*
• 10-mL syringe with water (for catheter balloon inflation)
• Sterile collection device with tubing
• The female urethral meatus appears as an anterior-
posterior slit located anterior to the vaginal opening and
about 2.5 cm posterior to the glans clitoris. If the meatus
recedes superiorly into the vagina, as can happen in
older women, it can often be palpated in the midline as a
soft mound surrounded by a firm ring of periurethral
tissue.
Relevant Anatomy
• To expose the vulva, position the patient supine in either
lithotomy or frog position (hips and knees partially
flexed, heels on the bed, hips comfortably abducted).
Positioning
Step-by-Step Description of
Procedure
Place all equipment within easy reach on an uncontaminated sterile field on
a bedside tray. You may put the box containing the catheter and the drainage
system between the patient’s legs, so that it is easily accessible during the
procedure.
If not done already, attach the catheter to the collection system and do not
break the seal unless a different type or size of catheter is required.
Test the retention balloon for leaks by inflating it with water.
Apply lubricant to the tip of the catheter.
Saturate the applicator swabs, cotton balls or gauze with povidone iodine.
Place the sterile fenestrated drape over the pelvis so that the
vulva is exposed.
Gently spread the labia and expose the urethral meatus, using
your nondominant hand. This hand is now contaminated and
must not be removed from the labia or touch any of the
equipment during the rest of the procedure.
Cleanse the area around the meatus with each cotton ball
saturated in povidone iodine. Use a circular motion, beginning
at the meatus and working your way outward. Discard or set
aside the newly contaminated gauze or cotton balls.
Hold the lubricated catheter and gently pass it through the
urethra, using your free hand. Urine should flow freely into
the collection tubing. If the catheter accidentally passes into
the vagina, it should be discarded and a new catheter used.
Inflate the balloon with the
recommended volume of water, usually
10 mL. Resistance or pain may indicate
that the balloon is in the urethra and
not the bladder. If so, deflate the
balloon, then insert it all the way
before reinflation.
Pull the balloon up snug against
the bladder neck, after the balloon
has been inflated, by slowly
withdrawing the catheter until
resistance is felt.
• Remove the drapes.
• Secure the catheter to the thigh with an adhesive
bandage or tape.
• Hang the bag on the bed rails, so that urine can drain
via gravity.
Aftercare
• Be sure to maintain strict sterile technique during the
procedure to avoid urinary tract infection.
Warnings and Common Errors
How To Do Urethral
Catheterization in a Male
Equipment
• Sterile drapes and gloves
• Povidone iodine with application swabs, cotton balls, or gauze
• Water-soluble lubricant
• Urethral catheter* (size 16 French Foley catheter is appropriate for
most men; in the setting of prostatic hypertrophy or urethral
stricture, an alternate size or style of catheter may be required†)
• 10-mL syringe with sterile water (for catheter balloon inflation)
• Local anesthetic (eg, 5 to 10 mL of 2% lidocaine jelly in a syringe
[with no needle]) for distention and anesthesia of the male urethra
• Sterile collection device with tubing
Relevant Anatomy
• The male urethra bends acutely at the pubis.
Always hold the penis straight and upright, to
smooth out the curve, when passing a catheter
through the urethra.
Positioning
• Position the patient supine with hips
comfortably abducted.
Step-by-Step Description of
Procedure
Place all equipment within easy reach on an uncontaminated sterile field on a
bedside tray. You may put the box containing the catheter and the drainage
system between the patient’s legs, so that it is easily accessible during the
procedure.
If not done already, attach the catheter to the collecting system and do not
break the seal unless a different type or size of catheter or irrigation of the
catheter is required.
Test the retention balloon for integrity by inflating it with water, and apply
lubricant to the catheter tip.
Saturate the applicator swabs, cotton balls, or gauze with povidone iodine.
Place the sterile fenestrated drape over the pelvis so that the penis remains
exposed.
Grasp the shaft of the penis using your nondominant hand,
and retract the foreskin if the patient is uncircumcised. This
hand is now nonsterile and must not be removed from the
penis or touch any of the equipment during the rest of the
procedure.
Cleanse the glans penis with applicator swabs, gauze, or
cotton balls saturated in povidone iodine. Use a circular
motion, beginning at the meatus, and work your way
outward. Discard or set aside the newly contaminated
items.
Inject viscous lidocaine into the urethra. Insert the hub of
the lidocaine-containing syringe into the penile meatus and
inject about 5 mL. Pinch the meatus closed, to retain the
lidocaine within the urethra, for at least 1 minute. The
lidocaine distends the urethra, as well as provides some
anesthesia, thereby easing catheter passage.
Hold the catheter in your free hand. If a coudé catheter is being used, the tip
should point upward, so as to track the superior urethral wall during
insertion.
Advance the catheter slowly through the urethra and into the urinary bladder.
Patient discomfort is common. Ask the patient to relax and take slow deep
breaths as you continue to apply steady pressure on the catheter until it is
fully advanced to the level of the side port. Urine should flow freely into the
collection tubing.
Slowly inflate the balloon with 5 to 10 mL of water. Obvious resistance or
patient discomfort suggests incorrect placement. If this happens, deflate the
balloon, withdraw the catheter slightly, and then reinsert the catheter all the
way before trying to reinflate the balloon.
Position the balloon at the bladder neck, after successful balloon inflation, by
slowly withdrawing the catheter until you feel resistance.
To prevent paraphimosis, reduce the foreskin after the procedure.
• Remove the drapes.
• Secure the catheter to the thigh with an adhesive bandage, tape, or
strap. Some advocate taping the catheter to the lower abdominal wall to
minimize pressure on the posterior urethra.
• Place the bag below the level of the patient to ensure that urine can
drain via gravity.
Aftercare
• Be sure to maintain strict sterile technique during the procedure to
avoid urinary tract infection.
• Be sure to reduce the foreskin after the procedure.
• Be careful not to use excessive force during insertion, which could
potentially cause urethral injury.
Warnings and Common Errors
Urinary Catheterization
Urinary Catheterization

More Related Content

What's hot

Catheter care
Catheter careCatheter care
Catheter care
Amanda Johnson
 
BOWEL WASH AND INSERTION OF FLATUS TUBE
BOWEL WASH AND INSERTION OF FLATUS TUBEBOWEL WASH AND INSERTION OF FLATUS TUBE
BOWEL WASH AND INSERTION OF FLATUS TUBE
Arifa T N
 
Intravenous cannulation
Intravenous cannulationIntravenous cannulation
Intravenous cannulation
AYM NAZIM
 
Bowel Wash
Bowel WashBowel Wash
Nasogastric tube (NG tube)
Nasogastric tube (NG tube)Nasogastric tube (NG tube)
Nasogastric tube (NG tube)
Abhay Rajpoot
 
Nasogastric tube insertion
Nasogastric tube insertionNasogastric tube insertion
Nasogastric tube insertion
surgerymgmcri
 
Suture care
Suture careSuture care
Suture care
arunmtin
 
Surgical scrubbing
Surgical scrubbing Surgical scrubbing
Surgical scrubbing
bhoomikasingh8
 
Intravenous Injection ppt
Intravenous Injection ppt Intravenous Injection ppt
Intravenous Injection ppt
Silpa Jose
 
Nasogastric tube insertion and feeding
Nasogastric tube insertion and feedingNasogastric tube insertion and feeding
Nasogastric tube insertion and feeding
Ranjit Khobragade
 
Sitz bath Procedure
Sitz bath ProcedureSitz bath Procedure
Sitz bath Procedure
Rachana Joshi
 
Colostomy care
Colostomy careColostomy care
Colostomy care
rohini pandey
 
Abdominal paracentesis
Abdominal paracentesisAbdominal paracentesis
Abdominal paracentesis
Saint Vincent Hospital
 
Bladder irrigation
Bladder irrigationBladder irrigation
Bladder irrigation
Assistant Professor
 
suturing and care of drainage
suturing and care of drainagesuturing and care of drainage
suturing and care of drainage
Mahesh Chand
 
Procedure : ASSISTING WITH LUMBAR PUNCTURE
Procedure : ASSISTING WITH LUMBAR PUNCTUREProcedure : ASSISTING WITH LUMBAR PUNCTURE
Procedure : ASSISTING WITH LUMBAR PUNCTURE
silla elsa soji
 
Colostomy care
Colostomy careColostomy care
Colostomy care
Sam Asir
 
presentation on gastrostomy and jejunostomy feeding
presentation on gastrostomy and jejunostomy feedingpresentation on gastrostomy and jejunostomy feeding
presentation on gastrostomy and jejunostomy feeding
SanjiviGovekar
 
Nasogastric tube feeding
Nasogastric tube feedingNasogastric tube feeding
Nasogastric tube feeding
Jays George
 
Tracheostomy suctioning
Tracheostomy suctioningTracheostomy suctioning
Tracheostomy suctioning
leohome
 

What's hot (20)

Catheter care
Catheter careCatheter care
Catheter care
 
BOWEL WASH AND INSERTION OF FLATUS TUBE
BOWEL WASH AND INSERTION OF FLATUS TUBEBOWEL WASH AND INSERTION OF FLATUS TUBE
BOWEL WASH AND INSERTION OF FLATUS TUBE
 
Intravenous cannulation
Intravenous cannulationIntravenous cannulation
Intravenous cannulation
 
Bowel Wash
Bowel WashBowel Wash
Bowel Wash
 
Nasogastric tube (NG tube)
Nasogastric tube (NG tube)Nasogastric tube (NG tube)
Nasogastric tube (NG tube)
 
Nasogastric tube insertion
Nasogastric tube insertionNasogastric tube insertion
Nasogastric tube insertion
 
Suture care
Suture careSuture care
Suture care
 
Surgical scrubbing
Surgical scrubbing Surgical scrubbing
Surgical scrubbing
 
Intravenous Injection ppt
Intravenous Injection ppt Intravenous Injection ppt
Intravenous Injection ppt
 
Nasogastric tube insertion and feeding
Nasogastric tube insertion and feedingNasogastric tube insertion and feeding
Nasogastric tube insertion and feeding
 
Sitz bath Procedure
Sitz bath ProcedureSitz bath Procedure
Sitz bath Procedure
 
Colostomy care
Colostomy careColostomy care
Colostomy care
 
Abdominal paracentesis
Abdominal paracentesisAbdominal paracentesis
Abdominal paracentesis
 
Bladder irrigation
Bladder irrigationBladder irrigation
Bladder irrigation
 
suturing and care of drainage
suturing and care of drainagesuturing and care of drainage
suturing and care of drainage
 
Procedure : ASSISTING WITH LUMBAR PUNCTURE
Procedure : ASSISTING WITH LUMBAR PUNCTUREProcedure : ASSISTING WITH LUMBAR PUNCTURE
Procedure : ASSISTING WITH LUMBAR PUNCTURE
 
Colostomy care
Colostomy careColostomy care
Colostomy care
 
presentation on gastrostomy and jejunostomy feeding
presentation on gastrostomy and jejunostomy feedingpresentation on gastrostomy and jejunostomy feeding
presentation on gastrostomy and jejunostomy feeding
 
Nasogastric tube feeding
Nasogastric tube feedingNasogastric tube feeding
Nasogastric tube feeding
 
Tracheostomy suctioning
Tracheostomy suctioningTracheostomy suctioning
Tracheostomy suctioning
 

Similar to Urinary Catheterization

urinary SYSTEM catheterization PROCEDURE .pptx
urinary SYSTEM catheterization PROCEDURE .pptxurinary SYSTEM catheterization PROCEDURE .pptx
urinary SYSTEM catheterization PROCEDURE .pptx
MosaHasen
 
URINARY CATHETRIZATION AND CARE IN CHILD.pptx
URINARY CATHETRIZATION AND CARE IN CHILD.pptxURINARY CATHETRIZATION AND CARE IN CHILD.pptx
URINARY CATHETRIZATION AND CARE IN CHILD.pptx
vanitha n
 
Catheterization.pptx
Catheterization.pptxCatheterization.pptx
Catheterization.pptx
SmartBoy81
 
Urinary Catheterization presentation by Rebira.pptx
Urinary Catheterization presentation by Rebira.pptxUrinary Catheterization presentation by Rebira.pptx
Urinary Catheterization presentation by Rebira.pptx
RebiraWorkineh
 
catheters and urethral catheterization.pptx
catheters and urethral catheterization.pptxcatheters and urethral catheterization.pptx
catheters and urethral catheterization.pptx
ObumnemeChuma1
 
Catheterization
CatheterizationCatheterization
Catheterization
KHyati CHaudhari
 
Female urinary catheterization by dr naz ptx (1)
Female urinary catheterization  by dr naz ptx (1)Female urinary catheterization  by dr naz ptx (1)
Female urinary catheterization by dr naz ptx (1)
dr shabnam naz shaikh
 
Final urinary bladder catheterisation
Final urinary bladder catheterisationFinal urinary bladder catheterisation
Final urinary bladder catheterisation
Cristi Francis
 
Urinary Catheterization-Training.pptx
Urinary Catheterization-Training.pptxUrinary Catheterization-Training.pptx
Urinary Catheterization-Training.pptx
SKILLVERSITY COUNCIL OF TRAINING AND EDUCATION
 
Urinary Catheterization Nursing Procedure & Management ppt.pptx
Urinary Catheterization Nursing Procedure & Management ppt.pptxUrinary Catheterization Nursing Procedure & Management ppt.pptx
Urinary Catheterization Nursing Procedure & Management ppt.pptx
anjalatchi
 
Common surgical procedure
Common surgical procedureCommon surgical procedure
Common surgical procedure
Ewei Voon
 
Urinary Elimination Unit 10th of FON
Urinary Elimination Unit 10th of FONUrinary Elimination Unit 10th of FON
Urinary Elimination Unit 10th of FON
Atul Yadav
 
Female urinary catheterization
Female urinary catheterizationFemale urinary catheterization
Female urinary catheterization
Anurag Danda
 
urinary catheterization
urinary catheterizationurinary catheterization
urinary catheterization
ibrahim alhedrbi
 
Catheterization Procedure by Anushri Srivastav.pptx
Catheterization Procedure by Anushri Srivastav.pptxCatheterization Procedure by Anushri Srivastav.pptx
Catheterization Procedure by Anushri Srivastav.pptx
AnushriSrivastav
 
Urinarycatheterization 091016170505-phpapp01
Urinarycatheterization 091016170505-phpapp01Urinarycatheterization 091016170505-phpapp01
Urinarycatheterization 091016170505-phpapp01
Kiran Kumare
 
Na Ii Ppt Module 8
Na Ii Ppt Module 8Na Ii Ppt Module 8
Na Ii Ppt Module 8
natrainer
 
FOLEYS CATHETER
FOLEYS CATHETER FOLEYS CATHETER
FOLEYS CATHETER
samar hopelessness
 
Catheterization.ppt
Catheterization.pptCatheterization.ppt
Catheterization.ppt
Joric Magusara
 
Enema administration. Suppository administration. Digital rectal examination....
Enema administration. Suppository administration. Digital rectal examination....Enema administration. Suppository administration. Digital rectal examination....
Enema administration. Suppository administration. Digital rectal examination....
TeonaMacharashvili
 

Similar to Urinary Catheterization (20)

urinary SYSTEM catheterization PROCEDURE .pptx
urinary SYSTEM catheterization PROCEDURE .pptxurinary SYSTEM catheterization PROCEDURE .pptx
urinary SYSTEM catheterization PROCEDURE .pptx
 
URINARY CATHETRIZATION AND CARE IN CHILD.pptx
URINARY CATHETRIZATION AND CARE IN CHILD.pptxURINARY CATHETRIZATION AND CARE IN CHILD.pptx
URINARY CATHETRIZATION AND CARE IN CHILD.pptx
 
Catheterization.pptx
Catheterization.pptxCatheterization.pptx
Catheterization.pptx
 
Urinary Catheterization presentation by Rebira.pptx
Urinary Catheterization presentation by Rebira.pptxUrinary Catheterization presentation by Rebira.pptx
Urinary Catheterization presentation by Rebira.pptx
 
catheters and urethral catheterization.pptx
catheters and urethral catheterization.pptxcatheters and urethral catheterization.pptx
catheters and urethral catheterization.pptx
 
Catheterization
CatheterizationCatheterization
Catheterization
 
Female urinary catheterization by dr naz ptx (1)
Female urinary catheterization  by dr naz ptx (1)Female urinary catheterization  by dr naz ptx (1)
Female urinary catheterization by dr naz ptx (1)
 
Final urinary bladder catheterisation
Final urinary bladder catheterisationFinal urinary bladder catheterisation
Final urinary bladder catheterisation
 
Urinary Catheterization-Training.pptx
Urinary Catheterization-Training.pptxUrinary Catheterization-Training.pptx
Urinary Catheterization-Training.pptx
 
Urinary Catheterization Nursing Procedure & Management ppt.pptx
Urinary Catheterization Nursing Procedure & Management ppt.pptxUrinary Catheterization Nursing Procedure & Management ppt.pptx
Urinary Catheterization Nursing Procedure & Management ppt.pptx
 
Common surgical procedure
Common surgical procedureCommon surgical procedure
Common surgical procedure
 
Urinary Elimination Unit 10th of FON
Urinary Elimination Unit 10th of FONUrinary Elimination Unit 10th of FON
Urinary Elimination Unit 10th of FON
 
Female urinary catheterization
Female urinary catheterizationFemale urinary catheterization
Female urinary catheterization
 
urinary catheterization
urinary catheterizationurinary catheterization
urinary catheterization
 
Catheterization Procedure by Anushri Srivastav.pptx
Catheterization Procedure by Anushri Srivastav.pptxCatheterization Procedure by Anushri Srivastav.pptx
Catheterization Procedure by Anushri Srivastav.pptx
 
Urinarycatheterization 091016170505-phpapp01
Urinarycatheterization 091016170505-phpapp01Urinarycatheterization 091016170505-phpapp01
Urinarycatheterization 091016170505-phpapp01
 
Na Ii Ppt Module 8
Na Ii Ppt Module 8Na Ii Ppt Module 8
Na Ii Ppt Module 8
 
FOLEYS CATHETER
FOLEYS CATHETER FOLEYS CATHETER
FOLEYS CATHETER
 
Catheterization.ppt
Catheterization.pptCatheterization.ppt
Catheterization.ppt
 
Enema administration. Suppository administration. Digital rectal examination....
Enema administration. Suppository administration. Digital rectal examination....Enema administration. Suppository administration. Digital rectal examination....
Enema administration. Suppository administration. Digital rectal examination....
 

More from Ahmad Thanin

Abdominal Paracentesis - Nursing Role
Abdominal Paracentesis - Nursing RoleAbdominal Paracentesis - Nursing Role
Abdominal Paracentesis - Nursing Role
Ahmad Thanin
 
Methicillin-resistant Staphylococcus Aureus (MRSA)
Methicillin-resistant Staphylococcus Aureus (MRSA)Methicillin-resistant Staphylococcus Aureus (MRSA)
Methicillin-resistant Staphylococcus Aureus (MRSA)
Ahmad Thanin
 
Latex Allergy
Latex AllergyLatex Allergy
Latex Allergy
Ahmad Thanin
 
Electrical Safety in healthcare.
Electrical Safety in healthcare.Electrical Safety in healthcare.
Electrical Safety in healthcare.
Ahmad Thanin
 
H1N1 flu (swine flu) overview
H1N1 flu (swine flu) overviewH1N1 flu (swine flu) overview
H1N1 flu (swine flu) overview
Ahmad Thanin
 
Patient Safety and Quality in Home Health Care
Patient Safety and Quality in Home Health CarePatient Safety and Quality in Home Health Care
Patient Safety and Quality in Home Health Care
Ahmad Thanin
 
cardiovascular disease.pptx
cardiovascular disease.pptxcardiovascular disease.pptx
cardiovascular disease.pptx
Ahmad Thanin
 
DIABETES MELLITUS
DIABETES MELLITUSDIABETES MELLITUS
DIABETES MELLITUS
Ahmad Thanin
 
ABG.pptx
ABG.pptxABG.pptx
ABG.pptx
Ahmad Thanin
 
Safety Data Sheet ( SDS )
Safety Data Sheet ( SDS ) Safety Data Sheet ( SDS )
Safety Data Sheet ( SDS )
Ahmad Thanin
 
Reduce the Risk of Patient Harm Resulting from Falls.pptx
Reduce the Risk of Patient Harm Resulting from Falls.pptxReduce the Risk of Patient Harm Resulting from Falls.pptx
Reduce the Risk of Patient Harm Resulting from Falls.pptx
Ahmad Thanin
 
Respiratory Hygiene and Cough Etiquette.pptx
Respiratory Hygiene and Cough Etiquette.pptxRespiratory Hygiene and Cough Etiquette.pptx
Respiratory Hygiene and Cough Etiquette.pptx
Ahmad Thanin
 
Cleaning and Decontamination in Hospitals.pptx
Cleaning and Decontamination in Hospitals.pptxCleaning and Decontamination in Hospitals.pptx
Cleaning and Decontamination in Hospitals.pptx
Ahmad Thanin
 
The Safe Handling and Disposal of Sharps.pptx
The Safe Handling and Disposal of Sharps.pptxThe Safe Handling and Disposal of Sharps.pptx
The Safe Handling and Disposal of Sharps.pptx
Ahmad Thanin
 
Hand hygiene.pptx
Hand hygiene.pptxHand hygiene.pptx
Hand hygiene.pptx
Ahmad Thanin
 
Monkeypox Virus
Monkeypox Virus Monkeypox Virus
Monkeypox Virus
Ahmad Thanin
 
Basic Microbiology.
Basic Microbiology.Basic Microbiology.
Basic Microbiology.
Ahmad Thanin
 
Business Models in Strategic Management.PPTX
Business Models in Strategic Management.PPTXBusiness Models in Strategic Management.PPTX
Business Models in Strategic Management.PPTX
Ahmad Thanin
 
Foreign market analysis
Foreign market analysisForeign market analysis
Foreign market analysis
Ahmad Thanin
 
Bedsores (pressure ulcers)
Bedsores (pressure ulcers)Bedsores (pressure ulcers)
Bedsores (pressure ulcers)
Ahmad Thanin
 

More from Ahmad Thanin (20)

Abdominal Paracentesis - Nursing Role
Abdominal Paracentesis - Nursing RoleAbdominal Paracentesis - Nursing Role
Abdominal Paracentesis - Nursing Role
 
Methicillin-resistant Staphylococcus Aureus (MRSA)
Methicillin-resistant Staphylococcus Aureus (MRSA)Methicillin-resistant Staphylococcus Aureus (MRSA)
Methicillin-resistant Staphylococcus Aureus (MRSA)
 
Latex Allergy
Latex AllergyLatex Allergy
Latex Allergy
 
Electrical Safety in healthcare.
Electrical Safety in healthcare.Electrical Safety in healthcare.
Electrical Safety in healthcare.
 
H1N1 flu (swine flu) overview
H1N1 flu (swine flu) overviewH1N1 flu (swine flu) overview
H1N1 flu (swine flu) overview
 
Patient Safety and Quality in Home Health Care
Patient Safety and Quality in Home Health CarePatient Safety and Quality in Home Health Care
Patient Safety and Quality in Home Health Care
 
cardiovascular disease.pptx
cardiovascular disease.pptxcardiovascular disease.pptx
cardiovascular disease.pptx
 
DIABETES MELLITUS
DIABETES MELLITUSDIABETES MELLITUS
DIABETES MELLITUS
 
ABG.pptx
ABG.pptxABG.pptx
ABG.pptx
 
Safety Data Sheet ( SDS )
Safety Data Sheet ( SDS ) Safety Data Sheet ( SDS )
Safety Data Sheet ( SDS )
 
Reduce the Risk of Patient Harm Resulting from Falls.pptx
Reduce the Risk of Patient Harm Resulting from Falls.pptxReduce the Risk of Patient Harm Resulting from Falls.pptx
Reduce the Risk of Patient Harm Resulting from Falls.pptx
 
Respiratory Hygiene and Cough Etiquette.pptx
Respiratory Hygiene and Cough Etiquette.pptxRespiratory Hygiene and Cough Etiquette.pptx
Respiratory Hygiene and Cough Etiquette.pptx
 
Cleaning and Decontamination in Hospitals.pptx
Cleaning and Decontamination in Hospitals.pptxCleaning and Decontamination in Hospitals.pptx
Cleaning and Decontamination in Hospitals.pptx
 
The Safe Handling and Disposal of Sharps.pptx
The Safe Handling and Disposal of Sharps.pptxThe Safe Handling and Disposal of Sharps.pptx
The Safe Handling and Disposal of Sharps.pptx
 
Hand hygiene.pptx
Hand hygiene.pptxHand hygiene.pptx
Hand hygiene.pptx
 
Monkeypox Virus
Monkeypox Virus Monkeypox Virus
Monkeypox Virus
 
Basic Microbiology.
Basic Microbiology.Basic Microbiology.
Basic Microbiology.
 
Business Models in Strategic Management.PPTX
Business Models in Strategic Management.PPTXBusiness Models in Strategic Management.PPTX
Business Models in Strategic Management.PPTX
 
Foreign market analysis
Foreign market analysisForeign market analysis
Foreign market analysis
 
Bedsores (pressure ulcers)
Bedsores (pressure ulcers)Bedsores (pressure ulcers)
Bedsores (pressure ulcers)
 

Recently uploaded

How to choose the best dermatologists in Indore.
How to choose the best dermatologists in Indore.How to choose the best dermatologists in Indore.
How to choose the best dermatologists in Indore.
Gokuldas Hospital
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Health Advances
 
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
Gokuldas Hospital
 
Acute Gout Care & Urate Lowering Therapy .pdf
Acute Gout Care & Urate Lowering Therapy .pdfAcute Gout Care & Urate Lowering Therapy .pdf
Acute Gout Care & Urate Lowering Therapy .pdf
Jim Jacob Roy
 
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdfOphthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
MuhammadMuneer49
 
MRI for Surgeons introduction and basics
MRI for Surgeons  introduction and basicsMRI for Surgeons  introduction and basics
MRI for Surgeons introduction and basics
rohitsharma19711
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
LEFLOT Jean-Louis
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
phuakl
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
NX Healthcare
 
Pollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdfPollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdf
Chulalongkorn Allergy and Clinical Immunology Research Group
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
NX Healthcare
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
NephroTube - Dr.Gawad
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Dr. Nikhilkumar Sakle
 
Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.
Gokuldas Hospital
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
HongBiThi1
 
SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.
KULDEEP VYAS
 
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of RespirationThe Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
MedicoseAcademics
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
SIVAVINAYAKPK
 
Breast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapyBreast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapy
Dr. Sumit KUMAR
 

Recently uploaded (20)

How to choose the best dermatologists in Indore.
How to choose the best dermatologists in Indore.How to choose the best dermatologists in Indore.
How to choose the best dermatologists in Indore.
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
 
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
 
Acute Gout Care & Urate Lowering Therapy .pdf
Acute Gout Care & Urate Lowering Therapy .pdfAcute Gout Care & Urate Lowering Therapy .pdf
Acute Gout Care & Urate Lowering Therapy .pdf
 
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdfOphthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
 
MRI for Surgeons introduction and basics
MRI for Surgeons  introduction and basicsMRI for Surgeons  introduction and basics
MRI for Surgeons introduction and basics
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
 
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public HealthAgeing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
 
Pollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdfPollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdf
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
 
Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
 
SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.SENSORY NEEDS B.SC. NURSING SEMESTER II.
SENSORY NEEDS B.SC. NURSING SEMESTER II.
 
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of RespirationThe Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
 
Breast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapyBreast cancer: Post menopausal endocrine therapy
Breast cancer: Post menopausal endocrine therapy
 

Urinary Catheterization

  • 2. Definition Urinary Catheterization is a medical procedure of insertion a catheter through Male or Female urethra's opening direct to bladder Urinary Catheterization is used either therapeutic or diagnostic. Urinary Catheterization is done when a person is unable to urinate using a toilet, bedpan, urinal, or when accurate urinary output is required
  • 3. Other Medical Terms Dysuria: Painful or difficult urination. Hematuria: Blood in urine. Nocturia: Frequent urination at night. Polyuria: Large amount of urine. Urinary Urgency: Need to void at once. Urinary Frequency: Voiding frequent intervals.
  • 4. Indication Therapeutic Diagnostic Acute & Chronic Urinary Retention. Intractable urinary incontinence Bladder Irrigation. Post operative. Post spinal injury. Post Epidural Anesthesia. Measure Residual Urine. Bladder investigation. Allow intravesical drug instillation Obtain uncontaminated urine sample
  • 6. Types of Catheterization • consists of a soft plastic or rubber sheath, tubing, and a collection bag for the urine. Condom catheter • used when the catheter is to be inserted and removed immediately Straight Catheter • known as Foley catheter, is left inside the bladder to provide continuous urine drainage. Indwelling Catheter • is a type of indwelling catheter. It is inserted to irrigate the bladder to prevent obstruction (i.e bleeding) 3-Way Catheter for continuous bladder irrigation (CBI) • inserted into the bladder through a surgical incision made in the abdominal wall, right above the pubic bone. Suprapubic Catheter
  • 7. Complications • Urinary Tract Infection. • Creation of false passages. • Urethral strictures. • Urethral perforation. • Bleeding Acute phase • Prostatitis. • Cystitis. • Urethritis. • Pyelonephritis. • Sepsis For long period use:
  • 8. Symptoms of a CAUTI can include pain in the lower abdomen or groin area a high temperature a burning sensation during urination more frequent urination
  • 9. A person can reduce their risk of developing a CAUTI by: washing their hands thoroughly with soap and warm water before and after touching catheter equipment keeping the skin around the catheter entrance clean by washing it with mild soap and water twice per day ensuring that urine collection bags are kept below the level of the bladder, as this will help prevent blockages not lying on the catheter, as this can prevent the flow of urine through the tube ensuring that there are no twists or kinks in the tubing, as blockages can raise the risk of infection keeping hydrated by drinking one or two glasses of liquid every 2 hours
  • 10. Catheter Insertion Equipment – General Sterile Gloves. Suitable Antiseptic. Swabs or cotton wool. Sterile paper towel or sterile blanket. Anesthetic lubricating gel (Lignocaine Gel) Appropriate size of sterile catheters. Urine bag.
  • 11. How To Do Urethral Catheterization in a Female Equipment • Sterile drapes and gloves • Povidone iodine • Applicator swabs, sterile gauze, or cotton balls • Water-soluble lubricant • Urethral catheter (size 16 French Foley catheter is appropriate for most women)* • 10-mL syringe with water (for catheter balloon inflation) • Sterile collection device with tubing
  • 12. • The female urethral meatus appears as an anterior- posterior slit located anterior to the vaginal opening and about 2.5 cm posterior to the glans clitoris. If the meatus recedes superiorly into the vagina, as can happen in older women, it can often be palpated in the midline as a soft mound surrounded by a firm ring of periurethral tissue. Relevant Anatomy • To expose the vulva, position the patient supine in either lithotomy or frog position (hips and knees partially flexed, heels on the bed, hips comfortably abducted). Positioning
  • 13. Step-by-Step Description of Procedure Place all equipment within easy reach on an uncontaminated sterile field on a bedside tray. You may put the box containing the catheter and the drainage system between the patient’s legs, so that it is easily accessible during the procedure. If not done already, attach the catheter to the collection system and do not break the seal unless a different type or size of catheter is required. Test the retention balloon for leaks by inflating it with water. Apply lubricant to the tip of the catheter. Saturate the applicator swabs, cotton balls or gauze with povidone iodine.
  • 14. Place the sterile fenestrated drape over the pelvis so that the vulva is exposed. Gently spread the labia and expose the urethral meatus, using your nondominant hand. This hand is now contaminated and must not be removed from the labia or touch any of the equipment during the rest of the procedure. Cleanse the area around the meatus with each cotton ball saturated in povidone iodine. Use a circular motion, beginning at the meatus and working your way outward. Discard or set aside the newly contaminated gauze or cotton balls. Hold the lubricated catheter and gently pass it through the urethra, using your free hand. Urine should flow freely into the collection tubing. If the catheter accidentally passes into the vagina, it should be discarded and a new catheter used.
  • 15. Inflate the balloon with the recommended volume of water, usually 10 mL. Resistance or pain may indicate that the balloon is in the urethra and not the bladder. If so, deflate the balloon, then insert it all the way before reinflation. Pull the balloon up snug against the bladder neck, after the balloon has been inflated, by slowly withdrawing the catheter until resistance is felt.
  • 16. • Remove the drapes. • Secure the catheter to the thigh with an adhesive bandage or tape. • Hang the bag on the bed rails, so that urine can drain via gravity. Aftercare • Be sure to maintain strict sterile technique during the procedure to avoid urinary tract infection. Warnings and Common Errors
  • 17. How To Do Urethral Catheterization in a Male Equipment • Sterile drapes and gloves • Povidone iodine with application swabs, cotton balls, or gauze • Water-soluble lubricant • Urethral catheter* (size 16 French Foley catheter is appropriate for most men; in the setting of prostatic hypertrophy or urethral stricture, an alternate size or style of catheter may be required†) • 10-mL syringe with sterile water (for catheter balloon inflation) • Local anesthetic (eg, 5 to 10 mL of 2% lidocaine jelly in a syringe [with no needle]) for distention and anesthesia of the male urethra • Sterile collection device with tubing
  • 18. Relevant Anatomy • The male urethra bends acutely at the pubis. Always hold the penis straight and upright, to smooth out the curve, when passing a catheter through the urethra. Positioning • Position the patient supine with hips comfortably abducted.
  • 19. Step-by-Step Description of Procedure Place all equipment within easy reach on an uncontaminated sterile field on a bedside tray. You may put the box containing the catheter and the drainage system between the patient’s legs, so that it is easily accessible during the procedure. If not done already, attach the catheter to the collecting system and do not break the seal unless a different type or size of catheter or irrigation of the catheter is required. Test the retention balloon for integrity by inflating it with water, and apply lubricant to the catheter tip. Saturate the applicator swabs, cotton balls, or gauze with povidone iodine. Place the sterile fenestrated drape over the pelvis so that the penis remains exposed.
  • 20. Grasp the shaft of the penis using your nondominant hand, and retract the foreskin if the patient is uncircumcised. This hand is now nonsterile and must not be removed from the penis or touch any of the equipment during the rest of the procedure. Cleanse the glans penis with applicator swabs, gauze, or cotton balls saturated in povidone iodine. Use a circular motion, beginning at the meatus, and work your way outward. Discard or set aside the newly contaminated items. Inject viscous lidocaine into the urethra. Insert the hub of the lidocaine-containing syringe into the penile meatus and inject about 5 mL. Pinch the meatus closed, to retain the lidocaine within the urethra, for at least 1 minute. The lidocaine distends the urethra, as well as provides some anesthesia, thereby easing catheter passage.
  • 21. Hold the catheter in your free hand. If a coudé catheter is being used, the tip should point upward, so as to track the superior urethral wall during insertion. Advance the catheter slowly through the urethra and into the urinary bladder. Patient discomfort is common. Ask the patient to relax and take slow deep breaths as you continue to apply steady pressure on the catheter until it is fully advanced to the level of the side port. Urine should flow freely into the collection tubing. Slowly inflate the balloon with 5 to 10 mL of water. Obvious resistance or patient discomfort suggests incorrect placement. If this happens, deflate the balloon, withdraw the catheter slightly, and then reinsert the catheter all the way before trying to reinflate the balloon. Position the balloon at the bladder neck, after successful balloon inflation, by slowly withdrawing the catheter until you feel resistance. To prevent paraphimosis, reduce the foreskin after the procedure.
  • 22. • Remove the drapes. • Secure the catheter to the thigh with an adhesive bandage, tape, or strap. Some advocate taping the catheter to the lower abdominal wall to minimize pressure on the posterior urethra. • Place the bag below the level of the patient to ensure that urine can drain via gravity. Aftercare • Be sure to maintain strict sterile technique during the procedure to avoid urinary tract infection. • Be sure to reduce the foreskin after the procedure. • Be careful not to use excessive force during insertion, which could potentially cause urethral injury. Warnings and Common Errors