HLTEN504A - INCP Urinary Catheterisation

Urinary catheterisation Indications Discomfort of chronic and acute urinary retention. End of life care to promote comfort. Preoperative emptying of bladder Post operative intensive care Paralysis Urine specimen collection Urodynamic investigations Urinary incontinence (last resort)

Complications associated with IDC Urinary Tract Infection (UTI) Urine bypassing Trauma / dislodgement of catheter Urethritis Urethral erosion Fistula formation Encrustation Non patent urinary catheter

Nursing care for patient with IDC Minimise the risks of trauma to bladder neck and urethra Minimise risk of ascending infection Minimise the risk of by passing and / or obstruction to urinary flow.

Nursing care for patient with IDC Fluid intake of 2-3 litres/day unless contraindicated Acidify urine with Vitamin C mgs QID Cranberry juice 1 glass BD Ensure the catheter is not obstructed Position the collecting bag below the level of patient’s bladder Secure the catheter to prevent in-out movement

Nursing care for patient with IDC Practice standard infection control measures Treat infections if patient is symptomatic Thorough perineal /penile hygiene BD Observe for bypassing of catheter Burettes may be used if precise measurement and frequent recordings are required. Maintain closed drainage system

Problems with draining Constipation Kinked tubing Catheter position Fluid intake Blocked catheter- remove and replace Leaking of bypassing constipation

Condom drainage for men Ensure that the tape is not too tight to cause oedema Ensure that the tip of penis does not touch the condom If left on for longer than 24 hours watch for maceration of skin Clean and dry the area daily Ensure that the condom is not twisted and the tubing has free drainage

Condom drainage application

Appliance used for urinary stoma