How to Insert a Catheter
A urinary catheter is meant for patients undergoing urinary incontinence. There are numerous kinds of urinary catheter. It’s essential to determine the exact length and French size to employ:
- The appropriate length for a recurrent and strong catheter for female is 6” nevertheless some could need a still longer one.
- The French size for an intermittent catheter is between 8 fr and 24 fr. The indwelling catheter normally ranges between 12 fr – 18 18 fr.
- Males’ indwelling catheter is about 16”being a French dimension 12-26.
- The intermittent is 4” shorter with French range 10-24.
- 10 cc syringe
- Sterile gloves
- Cotton swabs
- Foley Catheter
- 10 cc of sterile water
- Water-based lubricant
- Collection bag and tubing
- Betadine or any cleansing solution
- Collect the entire apparatus required.
- Describe the process and its utility to the user.
- Assist the recipient adopt a flat posture. In case of female patient, help her assume a dorsal recumbent posture — instruct her to lie over back with her legs little raised, knees bent.
- Work at the target site. Make sure that the site remains sterile throughout.
- Unpack the catheterization kit.
- Put on gloves.
Skin Preparation for Females
- Make labia apart with the help of your non-dominant hand to make the peri-urethral area visible.
- Clean the site with forceps employing beta dine solution’s soaked cotton swabs or any other alternative solution.
- Always clean downward by a fresh swab of each vertical stroke.
- Beginning from the interior, direct the cleaning process from top to bottom.
Preparation for Females
- With the help of your non-dominant hand (left one in most of the cases) position the penile shaft upward, at right angle to the body plane.
- Begin cleaning from the tip through the shaft.
Finally, the Insertion
- Spread water-based fluid over the top-end of the catheter.
- Relax the patient by instructing him to inhale deep breaths and exhale calmly.
- Penetrate the device softly. In case of a female recipient, make sure that you’re precisely pushing it into the urethral meatus.
- A preliminary gush of urine is the indication that the device has been properly housed. Shove it a few inches deep.
- Take 10 CC sterile water in a syringe and inject the catheter to see inflation. Watch that 10cc is the prescribed quantity — it may vary from case to case.
- Now confirm catheter is inserted properly by withdrawing it a little.
- Plug the drainage pouch with the tube. Make sure that the pouch is below the level of patient’s bladder. Don’t allow the bag lie over floor.
- Lace the catheter to the thigh or belly of the patient. Make sure to allow sufficient provision to the patient without having him accidently pull the device out of contact.
- Record the arrangement and examine the hue and quantity of urine collected.
Substituting a catheter ought to be accomplished on a sterile pattern. Be careful to wash your hands before / after the dispensation. Cover your patient for essential privacy and convenience.
Filed Under: Conditions & Treatments