N210 Week 1 Lab Urinary Catherization

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Leon
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309518
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N210 Week 1 Lab Urinary Catherization
Updated:
2015-10-12 21:44:25
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N210 Week Lab Urinary Catherization
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N210
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  1. a. Demonstrate the insertion of a Foley catheter using sterile technique (Ch. 36, pp. 1313-1324)
    i. Completed in Lab, go over video notes
  2. b. Explain the procedure for removal of an indwelling catheter(Ch. 36, pp. 1295)
    • 1. Wash hands before and after procedure, wear gloves
    • 2. Deflate balloon before attempting to remove the cathete
    • 1. Insert syringe into balloon valve and aspirate all of the sterile water use to inflate it
    • 2. DO NOT CUT THE TUBING WITH SCISSORS
    • 3. Ask patient to take several deep breaths to relax while you gently remove the catheter
    • 4. Wrap catheter in a towel or disposable WATERPROOF drape
    • 5. Clean the perineal area after the catheter is removed
  3. c. Discuss patient teaching related to MAINTAINING a foley catheter
    • 1. Explain to patients with an indwelling catheter how the system functions and how they can assist with their care
    • 2. Teaching points
    • 1. Keeping the tubing free from kinks
    • 2. Maintaining a constant flow of urine
    • 3. Maintaining an adequate fluid intake
    • 4. Promptly reporting unusual symptoms
  4. 3. Primary care provider may insert a Coude catheter
    • c. Patient is obese orhas a retracted penis
    • 1. Have an assistant available to place fingers on either side of the pubic area and press backwards to bring the penis out of the pubic cavity
    • 2. Hold patient's penis up and forward
    • 3. The catheter still needs to be inserted to the bifurcation as the length of the urethra has not changed
    • d. Urine flow initially contains a large amount of sediment and then suddenly stops; bladder remains palpable
    • 1. Catheter may be plugged with sediment
    • 2. Irrigate the catheter to restore flow ONLY WITH AN ORDER FROM THE PRIMARY CARE PROVIDER
    • e. Urine leaks out of the meatus around the catheter
    • 1. SAME PROCEDURE AS FEMALE PATIENT
    • f. Urine flow is initially well established and clear, but after several hours urine flow dwindles
    • 1. SAME PROCEDURE AS FEMALE PATIENT

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