Catheterisation

a nursing procedure

1. Deblina Roy M.Sc. Nursing 1 st year K.G.M.U Institute of Nursing Catheterisation

2. Introduction Urine Bladder Silicone Latex Drainage Urethra

3. Review of the anatomy and the physiology

4. Definition In  urinary catheterization  a  latex ,  polyurethane , or  silicone  tube known as a urinary  catheter  is inserted into a patient's  bladder  via the  urethra . Catheterization allows the patient's  urine  to drain freely from the bladder for collection. It may be used to inject liquids used for treatment or diagnosis of bladder conditions.

5. Types of C atheterisation Indwelling catheters Intermittent catheterization

6. Types of catheters Folley’s catheter Robinson’s intermittent catheter TURP catheter Silicone catheter coudé catheter Condom catheter/ external catheter Suprapubic catheter

7. 1. folley’s catheter 2. Coude catheter 3. Irrigation catheter

8. Silicon catheter K 90 urinary catheter Suprapubic catheter

9. Indications neurological condition or injury outlet obstruction intractable incontinence, or where other methods are inappropriate or unsuccessful. ƒ Palliative care Chronic urinary retention Tissue viability and preserving skin integrity

10. Additional Risk Factors history of sexual abuse Heart defects

11. Product selection Size Length Drainage system Material V olume Catheter material Duration of catheterisation

12. Articles for catheterisation

13. Articles Single use disposable apron Catheter Sterile dressing pack Additional pair of single use disposable sterile gloves One pair of single use disposable non-sterile gloves Prescribed single use anaesthetic gel/ lubricant gel - written on Patients Medication Administration Chart Drainage bag 10 ml Syringe x 2 • single use sachet normal saline 0.9% If catheter is not prefilled - 10mls sterile water for injection and green needle. Disposable Non-sterile Kidney dish .

14. procedure

15. Procedure of catheterisation

16. Lithotomy Supine Positioning

17. Female Male Procedure of insertion

18. procedure

19. Female Male

20. Suprapubic catheter A urinary catheter that is inserted supra- pubically when urethral catheterisation is not indicated , it is done after cystostomy has been done .

21. complications Incontinence Infection Sepsis Urethral injury Skin break down Hematuria Bladder cancer.

22. Prevention of infection Cleansing the urethral area clean hands Disconnecting drainage bag as seldom as possible. Keeping drainage bag connector as clean as possible Use of a thin catheter. Drinking sufficient liquid to produce at least two liters of urine daily Sexual activity is very high risk.

23. Note : in such cases one must then perform retrograde urethrography (injecting 20 cc of contrast into the urethra.) then go for catheterisation . one must perform a genital and rectal exam first.

24. Summary Introduction Review of the anatomy and physiology Definition‘ Types Indications Risk factors Articles Procedure Complications Prevention of infection Contraindications

25. Conlusion

26. Assignment Discuss the nurses responsibility in catheterization.

27. Bibliography Black, Mary Ann (1994).  Medical nursing  (2nd ed.). Springhouse, Pa.: Springhouse Corp. p. 97.  ISBN   0-87434-738-6 .  LCCN   94035389 Royal Marsden Handbook of Clinical Nursing Procedure 6th ed., London Association for Continence Advice (2007) Notes on good practice Association for Continence Advice. London Department of Health (2005) Saving Lives A Delivery Programme to Reduce HCAI (including MRSA) Retrieved from:http ://www.dh.gov.uk

28. Thank you