NUR 2050 Lab Notes 2.docx - NUR 2050 Lab Notes 2 8 1 Reasons for urinary catheterization in a patient Post-surgery Inability to void/urinary retention

NUR 2050 Lab Notes 2.docx - NUR 2050 Lab Notes 2 8 1...

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NUR 2050 Lab Notes 2 8 1. Reasons for urinary catheterization in a patient Post-surgery Inability to void/urinary retention Strict I&O Open sacral or perineal wound (urine could impede healing) Incontinence is not a reason for urinary catheterization!!! Try alternatives first! Catheter criteria : reevaluate on a regular basis and D/C as soon as possible 2. How to obtain a urine specimen from a patient with an indwelling urinary catheter Urine is removed from the port in the catheter tubing using a syringe If no urine in the catheter tubing, kink for no more than 30 minutes to collect the urine NEVER take urine from the bag for testing (higher bacterial growth) 3. Interventions related to placement of the urinary catheter drainage bag that can reduce the risk of infection Hand hygiene before and after Secure catheter on thigh to prevent movement of tubing and balloon Hang bag below patient Hang bag on the bed frame, NOT on the side rails and NOT laying in the bed Empty bag on regular intervals Make sure the tubing does not have any kinks or coils (stasis) 4. Urine characteristics that should be documented Odor (foul odor = bacteria) Color (can range from pale yellow-dark orange/red) Turbidity (range of cloudiness) Presence/absence of blood 5. Risk factors for urinary tract infections Females (due to short urethra) Indwelling catheterization Post-menopausal women (decrease of estrogen which controls moisture and sphincter tone) Older adults Woman who have delivered children Diabetes (glucose in urine attracts bacteria) 6. Ways to care for the indwelling catheter. Ensure constant downward flow of urine Secure catheter below patient Make sure there are no kinks Hand hygiene before and after Clean perineal area daily and following bowel movements Make sure patient is not laying on the bag or tubing Make sure patient is staying hydrated Monitor for signs and symptoms of infection (burning, pain, increased frequency with smaller amounts of urine, irritation, cloudiness, strong odor, blood, change in sensorium or orientation in older adults)
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Definitions: Anuria : output less than 50 mL in a 24-hour period Functional incontinence : individual has loss of urine because they are unable to reach the toilet in time due to environmental obstacles, physical limitations, loss of memory, or disorientation Intermittent catheterization : catheter is inserted on a schedule, using a straight catheter without a balloon, to drain the bladder as needed using sterile technique (when at home, sterile technique is not necessary) Oliguria : output less than 400 mL in a 24-hour period Nocturia : urination at night Overflow incontinence : involuntary loss of urine associated with overdistention and overflow of bladder (reaches capacity and leads to dribbling) Suprapubic catheter : inserted directly into bladder rather than through urethra for patients who
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  • Fall '17
  • urinary tract infection, Catheter, Urinary catheterization,  Inability

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