Foley_Urethral_Catheterization_Module

Foley_Urethral_Catheterization_Module - 3. 18 F Coud if...

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Foley Urethral Catheterization Module Vic V. Vernenkar, D.O Dept. of Surgery St. Barnabas Hospital
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Indications Assess indications. Note that catheter insertion carries a risk of infection. A specific surgical consent is not generally obtained. Explain urethral catheterization (may be intermittent or indwelling).
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Indications Diagnostic To collect uncontaminated urine specimen Study anatomy of the urinary tract Urine output monitoring Therapeutic Acute urinary retention Chronic obstruction causing hydronephrosis Intermittent bladder decompression for neurogenic bladder Chronically bed-ridden patients for hygiene
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Contraindications Urethral injury Trauma patients with blood at meatus or abnormal prostate location on rectal exam.
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Equipment 1. Catheter tray. 2. Foley catheter:18 F adults
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Unformatted text preview: 3. 18 F Coud if obstruction at prostrate 4. 5 12 F children 5. 5 F feeding tube with tape infants < 6 months 6. Drainage bag. 7. Transurethral topical Lidocaine jelly [OPTIONAL] Procedure 1. Consider prophylactic antibiotics: valvular heart disease or acute prostatitis. 2. Consider intraurethral anesthetic. 3. Position: supine, frogleg or knees flexed. 4 . Locate meatus. 5. Apply antiseptic. 6. Gently insert lubricated tube until urine is obtained. 7. Inflate retention balloon slowly with 5cc saline. 8. Connect to drainage system. 9. Secure tube with tape. Female Male Removal Deflate retention balloon by aspirating contents with 10cc syringe from side port. Withdraw catheter gently, taking care not to splash from tip....
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Foley_Urethral_Catheterization_Module - 3. 18 F Coud if...

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