a nurse is caring for a client who has been prescribed an indwelling urinary catheter This is a topic that many people are looking for. cfiva.org is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, cfiva.org would like to introduce to you Catheter Care for Health Professionals. Following along are instructions in the video below:
Im meryl mcphee continence nurse. Advisor at western health in melbourne and coordinator of of the national continence helpline. Which is managed by the continence foundation on behalf of australian government in this video.
I will focus on the most common problems. Clients experience with catheterization and offer some practical solutions to be given or followed up by health professionals. It is very important to ensure that there is a clear and detailed capita care plan for clients to ensure good ongoing management.
The indications for kapiti use include short term following surgery for drainage pre and post operation long term following surgery for retention of urine for prosthetic issues and management of bladder problems related to conditions. Such as stroke and multiple sclerosis intractable incontinence that is bladder problems. Which have not responded well to treatment and therefore cannot be cured for example spinal patients who are able to empty their bladder catheterization might be considered beneficial to enhancing a persons lifestyle or quality of life catheters can be in 12 or suprapubic latex.
Non latex short or long term and available for males females and pediatric clients. There are three different sizes of balloons five more for pediatric clients. Five to ten mil for routine drainage and 30 mil for post operative views.
Sterile water is used to fill the balloons and the amount put in the balloon should not exceed. The recommended amount everyday advice given to patients as part of their catheter care plan should include good hygiene particularly to the area around the catheter where the catheter enters. The body.
The area should be washed at least twice per day with mild soap and water and men should wash under the foreskin patients should be advised to have a fluid intake of 15. To 2 liters. Per day.
Which is equivalent to six to eight cups of a variety of fluids.
Including water. Remember that soups jellies and other similar foods should be counted in fluid intake. Patients.
Should also keep their bow of patterns. Regular to avoid constipation. Avoid kinks or clamps on the catheter empty.
The drainage bag regularly keep a closed system. Which i will talk about later in this video. A day bag should remain in place for seven days and then be discarded.
It should only be changed more frequently if stained or smelly due to sedimentation a night bag attached two day bag might be washed out with warm. So do you order every morning. Use the night bag for two weeks.
And then throw it away patients should call the doctor or clinic for assistance. If they experience any of the following problems the indwelling catheter or suprapubic catheter blocks. There is no urine in the bag for two to three hours the indwelling catheter or suprapubic catheter falls out the patient experiences abdominal pain urine is suddenly blood stained.
If there is bypassing or cloudy urine. How often a catheter should be changed. Depends on how the patient reacts to the catheter and this varies with each individual.
It is important that the catheter is not left in for longer than the manufacturers recommendation for changing and is changed in accordance with the catheter care plan.
Regular changing will also reduce problems due to incarceration on the balloon or difficulty in deflating. The balloon encrustation can be a problem in certain patients. It is usually possible to estimate the lifespan of a catheter by observation and recording the length of time that the catheter remains functional before becoming blocked documenting how the catheter is draining.
Assists. In scheduling. Rico theorization to take place before blockage occurs research shows that when a catheter is put in.
There is bacteria in the urine after 14 days in order to minimize problems symptoms of infection should be monitored and managed appropriately antibiotics should only be prescribed if the client is symptomatic for example experiencing symptoms pyrexia loin pain offensive cloudy urine or confusion if not normally confused most sedimentation is produced by bacteria which makes the urine alkaline for example klebsiella and pseudomonas urethral discomfort may be caused by distension of the urethra by using two larger catheter which may lead to urethritis an offensive discharge around the catheter. The solution is to use a different type or smaller capita maintaining a closed system is important in reducing the infection rate. A closed system of urine drainage.
Is where the catheter and collection device or one continuous system drainage and emptying of the catheter should be achieved without disconnecting. The capita from the bag an increasingly popular alternative to the cumbersome and sometimes unsightly drainage bags. Its the use of a catheter valve.
Which is a tough like device that fits onto the catheter instead of using a drainage bag. Patients need to be assessed as having the necessary awareness dexterity bladder capacity and sensation in order to learn how to manage the use of a valve. The valve allows the bladder to fill and empty mimicking normal bladder function.
While a closed system is maintained another common problem is blockage of the drainage system. Which can be caused by the indwelling catheter or tubing being kinked. The bag itself may be hanging.
Too high the bag should be below the height of the bladder at all times.
If the urine bag is too full urine will not drain constipation may also prevent a catheter from draining. If none of these are considered a problem then this may necessitate the need for the indwelling catheter should be changed by passing is leakage around the catheter. This might indicate that the catheter is blocked or it could be caused by spasm in an unstable or irritable bladder constipation lack of fluid intake and urinary tract infection should be excluded or treated.
If the bypassing is being caused by spasm in an unstable or irritable. Bladder and sometimes choosing a smaller catheter with a smaller balloon can overcome the bypassing problem. Replacing the catheter does not necessarily address the underlying cause and may exacerbate.
The problem in some clients anticholinergic drugs can help reduce irritability and bladder spasm hematuria is the microscopic presence of blood in the urine and is quite common in the urine of cathedrals patients. And maybe a result of the trauma of the catheter being asserted or from infection. If the bleeding becomes severe seek medical advice macroscopic bleeding.
Which is a visual presence of blood in the urine is set in tubing or bags on occasion. If there is a marked amount of bleeding than it should be reported and investigated if the claim has a urinary tract infection. It is recommended that the catheter be changed after the client has been taking antibiotics for two to three days this will reduce the likelihood of ongoing or recurrent infection.
If you need further information on any of the problems mentioned in this video called the national continence helpline on 1800 double three double. O. Double six the free helpline is staffed from 8am till 8.
Pm. Monday to friday by continence nurse advisors. Who provide advice resources and referrals to local continents services.
The helpline is also able to provide you with information on available funding schemes for patients to purchase catheters once again. I would like to reinforce that a clear and detailed catheter care plan is vital for good ongoing management. Thank you for taking the time to view this educational video you .
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