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Catherization
yep
48
Nursing
Undergraduate 1
04/21/2014

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Cards

Term
What is the primary regulator of fluid and acid/base balance in the body
Definition
Kidneys
Term
What do nephrons do
Definition
Filter blood and remove metabolic waste
Term
Ureters
Definition
Take urine from the renal pelvis to the bladder
Term
Bladder
Definition
Urine reservoir
Term
Polyuria
Definition
Too much urine
Term
Oliguria
Definition
Not enough urine
Term
Anuria
Definition
No urine output
Term
Purpose of urinary catheters (diagnostic)
Definition
Collect sterile specimen
-Accurate measurement
-Assess residual urine
Term
Purpose of urinary catheters (therapeutic)
Definition
Prevent/relieve urine retention
-Drain urine from bladder
-control incontinence
-Intermittent or continuous irrigation
Term
CAUTI
Definition
Catheter associated urinary tract infections
Term
Why do we not use catheters all the time?
Definition
Huge infection risk
Term
What are some catheter complications
Definition
Infection
Rapid decompression can cause atony or spasms
-Acute renal failure in obstructed catheters
Term
Straight cath/Robinson Cath
Definition
-One time use for:
-Specimen collection
Term
Purpose of straight cath
Definition
Relieve bladder distention
Assess residual urine
Obtain specimen
Empty bladder prior to surgery/procedure
Term
Indwelling cath aka foley
Definition
Has a balloon
-Provides continous drainage
-STERILE TECHNIQUE
Term
What cath do you use with patients with an enlarged prostate?
Definition
Coude Catheter
Term
Infant cath size
Definition
5-6 french
Term
Children cath size
Definition
8-10 french
Term
Adults cath size
Definition
14-16 french
Term
What should you always check before inserting a cath?
Definition
Iodine/Betadine allergy
Term
Do you test the balloon before hyou insert it?
Definition
No, because it never goes back to normal
Term
Who should you have assistance for?
Definition
Young, obese, frail, confused, or combative
Term
When should foleys be emptied
Definition
At least every 8 hours, or if more than 1/3 to 1/2 half full
Term
How often should cath care be performed?
Definition
At least BID
Term
How much urine sample do you need?
Definition
20-30mL
Term
How soon do you have to get a urine specimen to the lab
Definition
30 min
Term
When can you get a urine sample?
Definition
At time of insertion, straight cath, or from existing cath
Term
How to get a sterile specimen from existing foley
Definition
CLEAN gloves
-clamp tubing 30 min prior
-Cleanse Port
-Connect syringe
-Withdraw specimen
-Remove clamp
Term
How much urine is needed for a culture?
Definition
3mL
Term
How much urine is needed for a urinalysis?
Definition
20mL
Term
Urinary catheter irrigation
Definition
Sterile irrigating fluid, clearly labeled. Monitor I/O. Output should exceed normal due to added irrigation fluid
Term
What do we do before we use the closed irrigation method
Definition
Empy the bag and clamp below aspiration port.
Term
Closed irrigation is what type of procedure
Definition
Sterile
Term
Removing a cath
Definition
Empty urine
-Remove tape/velcro leg bands
-REMOVE AIR IN BALLOON PORT
-Remove while asking pt to take a deep breath
Term
Assessment after removal
Definition
-Inspect tip
-record output
-provide pericare
Term
What should a pt do when un-cathed?
Definition
Increase fluid intake. RING FOR FIRST VOID
Term
When should the pt void after removal
Definition
Within 6-8 hours.
Term
Average urinary output
Definition
1000-2400mL per 24 hour is normal
Term
Minimum output for adults per hour
Definition
30mL
Term
Polyuria amount
Definition
Not frequent urinary need. It pertains to volume. More than 3mL per day
Term
Oliguria
Definition
Less than 500mL per 24 hour period in an adult
Term
Anuria
Definition
Passage of less than 50mL of urine a day. Symptom of acute kidney failure
Term
Residual urine
Definition
If they have a lot of urine left in bladder after voiding, they could be losing muscle tone. They are more at risk for UTIs. This is measured by straight cath
Term
French is divided by 3 for mm
Definition
French is divided by 3 for mm
Term
What allergy contraindicates betadine use?
Definition
Shell fish
Term
Can you refrigerate urine to increase time before you can get it to the lab?
Definition
Yes, but only for two hours.
Term
Closed Continous Irrigation
Definition
Bladder is constantly being irrigated by an IV-like solution to prevent clots and obstruction after surgery. Normal Saline is usually used
Term
Closed Intermittent irrigation
Definition
attach a syringe and instill a solution. Clamp BELOW the port, not above, because we want it to go in the bladder for now. Unclamp after.
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