Urinary catheterization

Learning objective: At the end of the lesson, the learner will be able to

 Define urinary catheterization

 List the purpose of urinary catheterization

 Identify the necessary equipment for catheterization

 Perform procedure of urinary catheterization

Definition: Urinary Catheterization- involves inserting a small tube/ catheter/

through the urethra in to the bladder to allow urine to drain

 Catheters: are tubes commonly made of rubber or plastics, although certain

types are made of woven silk or metal.

Categories of urethral catheters

1. Straight or Robinson catheter a single lumen tube

2. Retention or Foley catheter contains second lumen ( two and three way

catheter)

3. Coude (elbowed):- used for elderly men who have BPH- which is curved tip

Types of Catheterization (routes)

 urethral catheterization

 Suprapubic catheterization
Purpose

 To empty the bladder in case of retention of urine, occurring as a post-

operative complication

 In case of retention due to injury or tumor of the spinal cord

 In case of obstruction due to the blockage of the urethra causing stricture

 To obtain sterile specimen of urine

 To ensure that the bladder is empty before an abdominal or pelvic operation

or Paracenthesis.
To keep incontinent patient dry

To avoid contamination after operation of vagina or perineum

To empty bladder irrigation or instillation of the bladder

To determine if residual urine is present in the bladder

For an accurate measurement of urinary out put

To facilitate healing of urethra

Insertions of indwelling catheter for Female patient

Leaning objective: At the end of the lesson, the learner will be able to

1. Define indwelling catheter for female pt

2. Identify equipments for insertions of indwelling catheter

3. Demonstrate insertions of indwelling catheter

Definition: Introduction of the indwelling catheter through the female urethra in

the bladder

Purpose

 To prevent retention by use of an indwelling catheter

 To prevent frequent catheterization in case where pt is unable to pass

urine

 To prevent bed sore in case of urine incontinence

 To prevent infection in cases of perineal operation

Equipment

Sterile

1. Indwelling catheter rubber or plastic

2. A bowl for antiseptic 7. Forceps ( 3)

3. Cotton swab 8. Sterile receiver

4. Gauze 9. Kidney dish

5. Large sterile 10. Syringe

fenestrated towel 11. Sterile water

6. Sterile towel 12. Lubricant

Clean
1. Rubber and draw sheet

2. Antiseptic solution

3. Receiver

4. Urinary drainage bag

5. Screen

6. Adhesive plaster

Procedure

1. Explain procedure to client and Provide for privacy

2. wash hand and assemble the necessary Equipment

3. Set the bed to a comfortable height to work, and raise the side rail on the

side opposite you.

4. Assist the client to a supine position with legs spread and feet together or

to a side-lying position with upper leg flexed.

5. Drape client’s abdomen and thighs.

6. Ensure adequate lighting of the perineum.

7. Wash hands, don disposable gloves, and wash perineal area from the mid-

thigh.

8. bring urine collection bag ready for attaching near to side of bed

9. Remove gloves and wash hands.

10. Done sterile gloving

11. Create a sterile field and Drape the client with a sterile drape (bottom

far side nearside pubic area)

12. Prepare the equipment and Put receiver for urine near the genital area

13. Place sterile equipment on drape between patient tight

14. Prepare the equipment and Put receiver for urine near the vulva.
15. Use non-dominant hand to separate labia until the catheter is inserted

16. Wash the outer skin folds then inner labia and urethral meatus with

antiseptic solution from front to back. (Starting from outer proceeding to

inside)

17. Put forceps in the receiver kidney dish

18. Wash and Rinse the area well from outer skin folds then inner labia and

urethral meatus finally with distil water from front to back.

19. Put forceps in the receiver kidney dish

20. Dry the dry gauze the outer skin folds then inner labia and urethral meatus

from front to back

21. Put forceps in the receiver kidney dish

22. Lubricate the insertion tip of the catheter (5-7 cm in)

23. Expose the urinary meatus adequately by retracting the tissue or the labia

minora in an upward direction

24. Gently insert the catheter into meatus until urine is noted. Continue

inserting for 2.5 to 5cm additional.

25. After catheter insertion, the balloon is inflated to hold the catheter in
place within the bladder.
26. Instruct the client to immediately report discomfort or pressure during
balloon inflation; if pain occurs, discontinue the procedure, deflate the
balloon, and insert the catheter further into the bladder.
27. Gently pull the catheter until the retention balloon is snuggled against the
bladder neck (resistance will be met) re-push back 2cm after the test
28. If laboratory test is prescribed, collect some amount of urine in the sterile
specimen bottle straight from the catheter
29. Secure the catheter to the abdomen or thigh and connect to drainage tube

30. Place the drainage bag below the level of the bladder.

31. Remove gloves, dispose of equipment, and wash hands.

32. Help client adjust position.

33. Assess and document