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CATHETERIZATION
CATHETERIZATION
CATHETERIZATION
DEFINITION:
The introduction of a catheter into the bladder through the urinary meatus and urethral canal.
PURPOSES:
1. To relieve bladder distention.
2. To obtain sterile urine specimen.
3. To empty the bladder before the surgery where general and spinal anesthesia are used.
4. To check and or remove residual urine.
5. To prevent voiding when there are wounds in the genitor-urinary tract or other condition which make it
important that the area be kept clean and dry.
POINTS TO REMEMBER:
1. Never catheterized without a written order by the physician.
2. Exhaust all nursing measures to induce voiding before resorting to catheterization.
3. Rigid aseptic technique should be practiced.
4. Never use glycerine, it is irritant.
5. If the bladder is greatly distended, do not withdraw over 800 cc, at one time.
6. Usually 8 hours is the maximum length of time a patient should wait before voiding. Following pelvic
operations it is very important that the bladder nit become over distended.
EQUIPMENTS:
Sterile catheterization tray
KY jelly/water soluble
Syringe
Sterile water
Collection bag
Sterile pair of gloves
2 rubber catheters Fr. 14 and Fr. 16 for women/Fr. 18 and Fr. 20 for male
Pitcher with sterile solution
Perineal tray
Bedpan with cover
Flashlight/penlight
STEPS
1. Check physicians order.
2.
3.
4.
5.
6.
7.
8.
9.
RATIONALE
- Catheterization is dependent nursing
action.
Inform the client.
- To elicit cooperation.
Wash hands and observe other
- Handwashing deters the spread of
appropriate
infection
control
microorganisms.
procedures.
Provide for client privacy.
- Lessens embarrassment.
Place the client in the appropriate
- So the patient be relaxed and
position and drape all areas except the
convenient while doing the procedure
perineum.
and avoid interruption.
Establish adequate lighting. Stand on
the clients right if you are righthanded, on the clients left if you are
left-handed.
Arrange equipments to provide
- Placing equipment in order of use
convenience and to avoid having to
increase speed of performance.
reach over sterile field.
Reaching over sterile items increase
risk of contamination.
Don sterile gloves.
- Sterile equipment can be handled
without contamination when sterile
gloves are worn.
Lubricate catheter for about inch,
- Lubricant
reduces
friction
and
being careful not to plug eye of
facilitates easy insertion of catheter.
catheter.
10. Female
Place thumb and index finger between
labia minora, spread and then pull
upward, gloved hand separating labia is
now considered contaminated.
11. Cleanse exposed area of meatus
thoroughly. Move cotton ball from
above meatus down toward rectum.
12. Male
Use your non-dominant hand to grasp
the penis just below the glans. If
necessary, retract the foreskin. Hold the
penis firmly upright, with slight
tension.
13. Pick up a cleansing ball with the
forceps in your dominant hand and
wipe from the center of the meatus in a
circular motion around the glans.