URINARY CATHETERIZATION

Nelia Rodis- Nadua, RN, MN

Kristle Chiara M. De Los Santos, RN, MAN
Rosielie B. Lopez, RN
Bianney Mae A. Ranes, RN
OBJECTIVES FOR THE DAY
1. Define and state the purposes of urinary catheterization.
2. Enumerate the indications for urinary catheterization.
3. Discuss the complications of catheterization.
4. Determine the materials needed for the procedure.
5. Identify the rationale for each step of the procedure.
6. Perform the step-by-step process of urinary catheterization with
accuracy and dexterity.
DEFINITION
CATHERIZATION
• Urinary catheterization is the
INTRODUCTION OF A CATHETER into the
URINARY BLADDER.
• Usually performed only when necessary,
because the danger exists of introducing
microorganisms into the bladder and
trauma particularly in the male client,
whose urethra is longer and more tortuous.

• STRICT STERILE TECHNIQUE is used.

PURPOSES OF
CATHETERIZATION
1. To relieve discomfort due to bladder
distention or to provide gradual
decompression of a distended bladder.

2. To assess the amount of residual urine if the

bladder empties completely.

3. To obtain a sterile urine specimen.

4. To empty the bladder completely prior to

surgery.
PURPOSES OF
CATHETERIZATION
5. To facilitate accurate measurement of urinary
output for critically ill clients whose output
needs to be monitored hourly.

6. To provide for intermittent or continuous bladder

drainage and/or irrigation.

7. To prevent urine from contacting an incision after

perineal surgery.

8. To manage incontinence when other measures

have failed.
Who needs catheterization?
Urinary catheters are used to DRAIN THE
BLADDER. Your health care provider may
recommend that you use a catheter if you have:

1. Urinary incontinence (involuntary leaking of

urine or being unable to control when you
urinate)
2. Urinary retention (being unable to empty your
bladder when the urge to void is present)
3. Surgery on the prostate or genitals, CS
4. Other medical conditions such as multiple
sclerosis, spinal cord injury, or dementia
(affects the nerves that controls the bladder)
WHICH IS WHICH?

indwelling catheter

intermittent self catheter

Condom catheter
Indwelling catheter
3 MAIN TYPES OF
CATHETERS
1. Indwelling catheter
• is one that is left in the bladder. You may use an indwelling
catheter for a short time or a long time.
• has a small balloon inflated on the end of it. This prevents the
catheter from sliding out of your body. When the catheter
needs to be removed, the balloon is deflated.
2. Condom catheter
• can be used by men with incontinence. There is no tube placed inside
the penis. Instead, a condom-like device is placed over the penis. A
tube leads from this device to a drainage bag. The condom catheter
must be changed every day.
3. Intermittent self-catheter
• Will be inserted to drain the bladder and then remove it.
SECURING CATHETER AND URINE BAG
WHICH IS WHICH?
Catheter sizes
French
Can urine leak from the catheter?
Sometimes urine can leak around the catheter

Causes
• blocked or kinked catheter
• too small catheter
• Bladder spasms
• Constipation
• wrong balloon size
• Urinary tract infections
COMPLICATIONS OF CATHETER
USE
• Allergy or sensitivity to latex
• Bladder stones
• Blood infections (septicemia)
• Blood in the urine (hematuria)
• Kidney damage (usually only with long-
term, indwelling catheter use)
• Urethral injury
• Urinary tract or kidney infections
• Bladder cancer (only after long-term
indwelling catheter)
Call your provider if you have:
• Bladder spasms that do not go away
• Bleeding into or around the catheter
• Fever or chills
• Large amounts of urine leaking around the catheter
• Skin sores around a suprapubic catheter
• Stones or sediment in the urinary catheter or drainage bag
• Swelling of the urethra around the catheter
• Urine with a strong smell, or that is thick or cloudy
• Very little or no urine draining from the catheter and you are drinking enough
fluids
If the catheter becomes clogged, painful, or infected, it will need to be replaced
right away.
EQUIPMENT CATHETERIZATION
REMOVAL OF
INDWELLING CATHETER
Sterile Catheterization Pack
• kidney basin • towel
• 2 gauze
• kidney basin
• sterile forcep
• fenestrated drape • syringe
• urine specimen • clean gloves
---------------------------------------------
• sterile gloves
• lubricant and syringe
• cottonballs with betadine
• sterile catheter # 2
• urine bag
• sterile water
EQUIPMENT:
a. Sterile catheter of appropriate size (extra catheter should
be at hand)
b. Catheterization kit
• 1-2 pair sterile gloves
• Waterproof drape(s)
• Antiseptic solution Cleansing balls
• Forceps
• Water-soluble lubricant
• Urine receptacle
• Specimen container
c. For indwelling catheter
• Syringe prefilled with sterile water
• Collection bag and tubing
d. 2% lidocaine gel (if agency permits)
e. Disposable clean gloves
f. Supplies for perineal cleansing
• Irrigation solution
• bedpan
g. Bath blanket or sheet for draping
h. Adequate lighting
Procedure:
END OF THE PROCEDURE.