Basic information for caring for patient with indwelling urethral and suprapubic catheter.
What is a catheter?
A catheter is a tube that can be inserted into the body’s cavity, duct, or vessel.
Catheters are used for drainage or administration of fluids, medication.
The process of inserting a catheter is called catheterisation, a catheter can be left inserted either temporarily or permanently, this is often refer to as indwelling catheter.
REASONS FOR CATHETERISATION:
TO empty the bladder before certain investigations.
To accurately measure urine output.
To carry out bladder irrigation.
To relieve urine obstruction.
To administer cytotoxic drugs.
There are different types of ureteral catheter:
Long-term catheter that stays in for 3 months.
Short term stays in for 7 -17 days then it would need to be changed to a long-term catheter, if necessary.
Intermittent self-catheterisation is used only as needed and not left insitu.
Supra pubic catheter is inserted through the abdomen directly into the bladder.
A catheter comes in different sizes and is made with different materials.
Irrigation catheter has three lumen instead of the standard two, with sizes ranging from 18-24.
Catheter material: catheter is made from different materials, PVC, latex, Teflon, all silicone, hydrogel coating, and conformable catheter.
All silicone is more widely used in clinical settings.
ALWAYS CHECK IF PATIENT’S HAS AN ALLERGY ESPECIALLY TO LATEX.
There are three lengths currently available.
Paediatric 30cm.
Female 23-26cm
Standard 40-44cm.
All catheters are held the bladder by a balloon that is inflated after the catheter has been inserted. Only sterile water should be used to inflated balloons and the correct amount should be used depending on the size of the catheter.
Most standard size catheter comes with a prefilled syringe, for balloon inflation.
Drainage systems:
There are different types of drainage systems available, always chose a drainage bags according...