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Urinary catheterization Procedure
The document provides a comprehensive overview of urinary catheterisation, including its definition, indications, types of catheters, precautions, and detailed procedures for both male and female catheterisation. It also discusses potential complications and emphasizes the importance of proper catheter care and monitoring to prevent infections and other issues. Additionally, it outlines necessary equipment and steps for decatheterisation, ensuring patient comfort and safety throughout the process.
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Urinary catheterization Procedure
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- 2. Synopsis ❖Definition ❖Indication ❖Types of catheter ❖Precaution ❖Needfulfor the Procedures ❖Catheterisation Procedure ❖Male urinary catheterisation ❖Female urinary catheterisation ❖Complication ❖Main concerns to be followed ❖Catheterisation ❖Decatheterisation
- 3. Definition Definition in dictionary Passageof passage tube or tube like material into a body channel or cavity. Surgical definition Introduction of a catheter via the urethra into the urinary bladder is called Urinary catheterisation.
- 4. Indication Diagnostic Purpose • Monitoringof urine output (bedside and long surgical procedure ) • Imaging purpose(KUB) Therapeutic indications ▪ Acute urinary retention ▪ Chronic urinary retention(hematuria) ▪ Initiation of continuous bladder irrigation ▪ Intermittent decompression of bladder ▪ Prolonged Immobilization ▪ UTI(Urinary Track Infection) Surgical indication ➢ Prostate surgery ➢ Bladder surgery ➢ urology surgery & gynaecology surgeries ➢ Removal of kidney stone ➢ Long surgical procedure ➢ Hip fracture & lumbar spine fracture
- 5. Types of catheter Indwellingcatheter • Rubber or coude catheter • Plastic (PVC) • Silicone • Latex -foleys • Polyurethane External Catheters ✓ condom catheter Short-Term (Intermittent) Catheters ❖ Robinson catheter ❖ Infant feeding tube (in case of paediatrics) Three way foleys catheter
- 6. Parts of foleyscatheter Urine drainage port Luer lock Inflating port Pilot inflating baloon Bladder opening
- 7. Catheter Types SILICONE CATHETERRobinson catheter
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- 9. Catheter Types Condom catheterCoude catheter
- 10. Precaution • Before theprocedure Health professional must clear about the anatomy of urethra other organ related to that . • Procedure and steps to be followed during urinary catheterisation. • They must know the about patient history and complication .
- 11. Needful for theProcedures • Sterile Gauze with sponge holder in a bowl • Painting solution either Povidine Iodine or other Disinfectant . • Catheter(surgeon choice). • Synringe (5 or 10 ml) syringe of appropriate size and sterile water or saline for the bulb. • Sterile water . • Sterile drape (center hole towel). • Lubricating gel (2%lignocaine) incase of paediatric use sterile liquid paraffin . • Urobag or urometer. • Sterile gloves. • Securing tape or cathsecure
- 12. Catheterisation Procedure For bothmale and female catherization is differ by anatomy . Follow the steps as follow a) Clean and position b) Find the urethral opening c) Lubricate and Insert the catheter d) Inflate the catheter in pilot valve e) Confirm the catheter is in position by syringe f) Secure the catheter with plaster or cathsecure
- 13. Cleaning & Draping •Clean the whole thigh(both thigh) ,whole urethral parts and surfaces • Drape the patients as shown in figure with sterile drape
- 14. Position of thePatients Male For male supine Female • For female lithotomy or both knee flexed and knee are supported at the both side . • For female one must hold on the knee during the procedure.
- 15. Positions Female -lithotomyor both knee flexed
- 16. Positions for Male-supine
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- 18. Confirmation of catheterposition • Confirm the catheter by visualization of urine in urobag tube (compress at the suprapubic area when no draining of urine).
- 19. Confirmation of catheterposition conti,,,,. • Try to aspirate with the sterile syringe in the urine outlet valve . • In some case radiographic lined catheter is used intraoperatively (confirmation is by fluoroscorcopy(c-arm))
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- 21. Securing of catheter •Secure the catheter using dynaplaster (elasto plaster) or cathsecure. • Secure the catheter on the thigh without any discomfort to the patients. • Check for the connection of urine colloection is connected properly. • Please ensure the urine bag is closed and has the air inside the bag.
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- 24. Decatheterisation of catheter •Catheter must be changed average of within 15 days of catheterisation • Silicone catheter – I month • Foleys -15 days • Decatheterisation is done when is there is no need of catheter for the patients or patients discomforts . • Insert the empty syringe into pilot valve where we have injected the sterile water. • Aspirate the liquids inside the baloon. • Remove the catheter slowly out of the urethra.
- 25. Complication • Catheter block& leak • UTI (urinary track infection). • Infection and sepsis. • Hematuria. • Urethral Injury. • Asymptomatic bacteriuria. • Cystitis. • Urethritis. • Prostatitis. • Vesicoureteric reflux. • Bacteraemia. • KUB (Kidney Ureter urinary Bladder )Infection. • Bladder stones.
- 26. Main concern tolook after Things to followed and Checked 1.check the catheter position and confirm that. 2.Ensure that catheter is connected to the urobag. 3.Close the urine bag drain cap ,if it’s open it may have chance of infection in whole air inside the room(Nosocomial infection ).