Urinary Catheterization

Urinary Catheterization

1. Types of Catheterization

   • Intermittent
     • Catheter Type used
       • Single-use Straight Catheter
         • Plastic Catheters
           • Single-lumen
   • In-dwelling
     • Catheter Type used
       • Two Lumen/ Three Lumen
         • Short-term
           • Silver-hydrogel catheters
           • Anti-infective surface catheter
           • Latex & Rubber catheters
         • Long-term
           • Pure Silicone catheters
           • Teflon catheters
           • Hydrophilic-coated catheters

2. Indications for Catheterization

   • Short-term In-dwelling
     • Obstructed urine flow
       • Prostate enlargement
     • Surgical repair
       • Bladder
       • Urethra
       • Surrounding structures
     • Prevent urethral obstruction
       • Blood clots
     • Measure urinary output
     • Continous/ Intermittent bladder irrigations
   • Long-term In-dwelling
     • Chronic urinary retention
     • Integumentary issues with urine contact
       • Skin rash
       • Ulcers
       • Irritated wounds
   • Intermittent
     • Bladder distention
     • Assess residual urine after urination
     • Urethral strictures
     • Long-term management of
       • Neuromuscular degeneration
       • Incompetent bladders
       • Spinal Cord injuries
     • Sterile urine specimen

3. Nursing Considerations before Catheterization

   • Patient's medical record
     • Purpose of Insertion
     • Any Pathological condition
       • Prostate enlargement
   • Physician's order
     • Type of catheterization
   • Nurse's notes
     • Previous catheterization Hx
       • Catheter size
       • Response of patient
       • Time of last catheterization
   • Patient's Status
     • Time of last voiding
       • Intake/Output
     • Level of Awareness
     • Mobility & Physical limitations
     • Pt.'s gender & age
       • Catheter size
         • 8 to 12 Fr for children
         • 14 to 16 Fr for adults
         • 12 Fr for young girls
     • Assess Pt.'s knowledge

4. Complications of Catheterization

   • Urethral/perineal irritation
   • Buildup of secretions at catheter insertion site
   • Urinary Tract Infection
     • Fever
     • Odour
     • Small, frequent voiding
     • Burning Sensation
     • Bleeding on voiding
   • Urinary Retention
   • Inability to void after catheter removal

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