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:

Available Dimensions

For Females

• 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.

For Males

• Males’ indwelling catheter is about 16”being a French dimension 12-26.
• The intermittent is 4” shorter with French range 10-24.

Apparatus

• Drapes
• Forceps
• 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

Preparation

• 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.