Apply market research to generate audience insights. Measure content performance. Develop and improve products. List of Partners vendors. When you're unable to urinate, the problem can quickly become serious. As urine builds up in the bladder , it becomes uncomfortable, then painful. If the problem continues, the bladder can become overly full and urine can back up into your kidneys , causing damage that can be permanent.
When this happens, a sterile, flexible tube called a urinary catheter is inserted into the urethra where urine leaves the body and is gently pushed up until the end rests in your bladder. The catheter then drains the urine into an attached bag. Urinary catheters are often used during surgery, as you can't control your bladder while under anesthesia.
For this purpose, a foley catheter is typically placed prior to surgery and keeps the bladder empty throughout. It often remains in place until the surgery is completed and you're awake and alert enough to begin urinating normally. A foley catheter is a sterile urinary catheter that's intended to stay in place for an extended period of time. The tip of the catheter has a balloon on it that can be inflated in the bladder and hold the foley in place. Urine then drains from the bladder through the tube and into a collection bag.
This type of catheter is used when a patient is unable to urinate on their own, either because they are too sick, sedated, or unable to urinate without assistance because of a medical issue. If your bladder just needs to be drained once, and the catheter doesn't need to remain in place, a straight catheter, or straight cath, is inserted and then removed once your bladder is emptied.
A urinary catheter, regardless of type, increases the risk of a urinary tract infection. The longer a foley catheter stays in the bladder, or the greater the number of times a temporary catheter is inserted, the greater the chance of infection. Catheters are used for several reasons.
The most common is urinary retention, or being unable to empty your bladder. Keep your hands, the catheter, and the pubic area around your urethra clean. When you urinate, the urethra carries urine from the bladder to the outside of the body. The urethra is just above the opening to the vagina. When you need to empty your bladder, try to urinate first, if you can, before you use the catheter.
You will need the catheter, a mirror if you want to use one, and a container to hold the urine. If you empty the urine right into the toilet, you won't need the container. You also need lubricating jelly, such as K-Y Jelly, that dissolves in water. Don't use a petroleum jelly such as Vaseline. You may want to use a clean face cloth or towel, and a bag or plastic tub to hold the supplies. Choose a comfortable position with your legs spread.
You may want to put one leg up on the toilet. Or you can lie on your back with your legs bent and spread in a "frog" position. Place the urine container between your legs if you are using one.
Spread the lubricating jelly on the tip of the catheter. Put the other end of the catheter over the toilet bowl or in the container to catch the urine. Gently insert the catheter into the urethra opening until urine begins to flow out. You may want to use a mirror to see better.
Then insert it about 2. Remove the catheter slowly. If you are using a disposable catheter, throw it away. If not, wash it with warm, soapy water. Dry it and put it into a clean container. Clean the catheter after each use.
Before you start, clean and disinfect the area where you will be working, such as the sink and counter. Then follow these steps:. Call your doctor or nurse call line now or seek immediate medical care if:. Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if you have any problems.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems.
It's also a good idea to know your test results and keep a list of the medicines you take. Adapted with permission from copyrighted materials from Healthwise, Incorporated Healthwise. This information does not replace the advice of a doctor. Healthwise disclaims any warranty and is not responsible or liable for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
To learn more about Healthwise, visit Healthwise. Once urine starts to drain, insert the catheter up to the bifurcation point to ensure the balloon is in the bladder. Inflation of the balloon in the urethra is painful.
For pre-filled balloons remove the clip and gently squeeze the reservoir of sterile water. Observe the patient for any signs of discomfort as inflation should be pain-free. Once the balloon is inflated, withdraw the catheter slightly to ensure the catheter is in the bladder and is secure Dougherty and Lister, If the catheter is not already attached to a drainage bag, attach it to either a drainage system or catheter valve as required see Parts 3 and 4 of this catheter series.
Make the patient comfortable. Help her get dressed if required and ensure the bed is clean and dry. The volume also provides important information about bladder capacity in patients who have urinary retention Dougherty and Lister, Check the patient is comfortable and give her information on the maintenance and care of the catheter and drainage system.
Box 1. Anaesthetic and lubricating gels in female patients. The use of anaesthetic gels for catheterisation is well recognised in male patients but there is controversy over their use in female patients. Lidocaine is a topical drug and local medicines administration policy should be followed.
As with any drug, it is essential to check for allergies before use Dougherty and Lister, Tagged with: Newly qualified nurses: practical procedures. Sign in or Register a new account to join the discussion. You are here: Continence. Urinary catheters 2: inserting a catheter into a female patient. Abstract This article is the second in a six-part series on urinary catheters. This article has been double-blind peer reviewed Scroll down to read the article or download a print-friendly PDF here if the PDF fails to fully download please try again using a different browser Click here to see other articles in this series.
Source: Catherine Hollick. Anaesthetic and lubricating gels in female patients The use of anaesthetic gels for catheterisation is well recognised in male patients but there is controversy over their use in female patients. Aesthetic gels and female patients There is evidence to suggest that: Pain is reduced in females when an anaesthetic gel is used before catheterisation Yates, ; Use of an anaesthetic dilates the urethral folds, making catheter insertion easier Dougherty and Lister, ; Trauma can occur during catheterisation, which increases the risk of infection, but using single-use lubrication gels with or without anaesthetic can reduce these risks Loveday et al, Also in this series Urinary catheters 1: male catheterisation Urinary catheters 3: catheter drainage and support systems Urinary catheters 4: teaching intermittent self-catheterisation Urinary catheters 5: teaching patients how to use a catheter valve Urinary catheters 6: removing an indwelling urinary catheter.
Oxford: Wiley-Blackwell. Loveday HP et al epic3: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. Prinjha S, Chapple A Living with an indwelling urinary catheter.
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