NSE 22A/B Lecture Notes - Lecture 9: Urinary Retention, Urethra, Defecation
Document Summary
Try again when patients feel they have not emptied bladders fully. Good perineal hygiene (cleaning urethral meatus after each voiding or bowel movement) Maintaining an adequate daily intake of fluids to dilute urine and promote regular micturition. Maintaining closed drainage system below level of bladder. Urethral catheterization: intervention in which narrow tube is introduced through urethra and into bladder to allow a continuous flow of urine into drainage receptacle. Intermittent/straight catheterization: catheterization in which a single-use catheter is introduced for 5-10 mins to drain bladder. Indications: assess residual urine, sterile specimen collection. In-dwelling/foley (retention) catheterization: catheterization in which a catheter is anchored for longer periods by means of small balloon. Short-term indications: obstruction of urine outflow (i. e prostate enlargement), bladder irrigation. 3 types of materials: latex (intermittent and in-dwelling, silicone (long-term, teflon (short-term) 3 types of lumens: single (intermittent, double (in-dwelling, triple (in-dwelling)