Catheter is a flexible tube made of latex, silicone, rubber or plastic (PVC) that can be inserted into the body creating a channel for the passage of fluid for the entry of a medical device. Now-a-days, there are many specialized catheter designs. For example, specific catheter designs allow catheters to be used in pulmonary, cardiac (vascular), neonatal, central nervous system, and epidural tissues. Catheters are designed to perform tissue ablation (tissue removal) and even serve as conduits for thermal, optics, and various medical devices. The three major types of catheters are Indwelling (Foley) catheters, External (condom) catheters and Intermittent (short-term) catheter.
exposed catheter is cleaned in a downward motion away from the insertion site without touching the mucus membranes, to reduce the risk of infection. These CHG Wipes were also utilized when a patient has a bowel movement. The outcomes reported by the article showed significant decrease in the amount of catheter associated UTI occurring on the unit. It is reported that in the first quarter of the trial, only four CAUTI incidents occurred on the unit, in the second quarter, only three CAUTI incidents were reported on the unit, and these were identified in patients who were transferred from another facility with Foley insertions. A revision was done to remove catheters past three weeks. By the 4th and last quarter, there were no CAUTI attributed to the unit (Carter et al, 2014).
Catheters are tubes that are used to drain fluids from the body. They are often employed in removing the fluid from the urinary bladder and therefore, are an important element in urology care. It is important to understand their importance and correct use, if you are looking to take care of a patient. It used in a variety of environments.
A catheter is used in an event of an individual that has either had trauma or surgery and as a result has temporary urinary retention (Patton & Thibodeau, 2013)
Clean intermittent catheterization (CIC) is a procedure to remove urine from the bladder by placing a small, flexible tube (catheter) into the bladder though the urethra. The urethra is a tube in the body that carries urine from the bladder out of the body.
Bernard, M.S., Hunter, K.F., & Moore, K.N. (2012). A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections. Urologic Nursing 32(1)
Catheter associated bloodstream infection (CRBSI) occurring in the neonatal intensive care unit (NICU) are frequent, complication related to it are potentially fatal and costly (Kim & Sandra, 2009). According to the center of disease control, an approximate of two hundred and fifty thousand cases of CRBSIs have been estimated to occur annually which cause health care to cost approximately twenty five thousand dollars per case, and between 500 to 4,000 patient die due to blood stream infection (CDC, 2002). Approximately 90 percent of blood stream infection occurs from central venous insertion (CVC). Even though CRBSI occurs from different ways, the most common source is contamination of the catheter by skin flora on insertion, skin flora
When changing a suprapubic catheter, you need to follow precise steps to keep the procedure sanitary as well as correct. Firsts, you need to have a clean and sanitize table that you can place all the supplies needed for it. Once, the table is clean go ahead and lay out all the following supplies; the catheter, insertion kit, iodine, personal lubricant, saline syringe, and collection bag. After you have everything you need laid out go ahead and put on both sets of surgical gloves. Next, clean the area in which the suprapubic catheter will go in with the iodine, making sure that you cover a 1-inch circumference around the surgical site. Afterward, you will need to open the insertion kit and get out the empty syringe and connect it to the used
A midline catheter is a thin, flexible tube that is inserted into a vein in the upper arm or at the bend in the elbow. Its tip ends at or near the armpit (axillary) area. A midline catheter is a type of intravenous (IV) access.
Peripheral IV catheterization is a painful and potentially anxiety-provoking procedure for the patients. The interventions to reduce the pain caused by venipuncture were explored in the past decades (Oman, 2014). The majority of the studies reviewed in this summary included one level 1 evidence of meta-analyses (Oman, 2014), three level 2 evidences of randomized controlled trials (Beck, 2011; Deguzman, 2012; Kahre, 2011) and one level 3 evidence of controlled trials without randomization (Levitt , 2013). Many studies have demonstrated that 1% lidocaine intradermal injection before IV insertion can reduce the pain significantly (Oman, 2014). Kahre and his colleagues’ study indicated bacteriostatic normal saline (BNS) group had lower pain score
A Foley catheter is a thin, sterile tube inserted into the bladder to drain urine ( ). There are many types of catheters such as a straight, indwelling, and condom catheters. A straight catheter is one that does not stay inside the person. It is removed immediately after urine is drained. An indwelling catheter is one that stays inside of the bladder for a period of time. And last, a condom catheter is one that has an attachment that fits onto the penis. This catheter is changed daily or as needed. For the purpose of this document, the care that is going to be performed will need to be performed on a patient/resident with an indwelling catheter.
My organ is the urinary bladder for the organ paper. The function of the urinary bladder is a storage container temporarily for urine, until it is expelled through the urethra. The elasticity of the bladder is unmatched as it has the ability to increase in size to make room for increases in urine volume from 600 to 800 ml at maximum capacity. The reason for this elasticity is due to the visceral muscles and transitional epithelium located in the walls of this hollow organ, that allows this distensibility enabling it to fill and empty multiple times every day. Another function of the bladder is to aid in expelling urine from the body by contracting the detrusor muscle as well as the relaxing of the urethral sphincter; the external urethral
As previously discussed, one of the major components that should guide the decision of bladder management devices is how it will affect the patient’s quality of life. A person’s perception of self, as well as their ability to bond with loved ones is a large factor in this. As mentioned previously Liu, Attar, Gall, Shah, and Craggs (2010) discuss that benefits of intermittent catheterization, when it is a realistic option, include an improved sense of independence. This higher level of functioning allows the patient to rely less on family or caregivers, while also giving the patient more of an ability to travel outside the home unassisted. Another benefit of the use of intermittent catheterization is that patients feel they are able to have closer interpersonal relationships than those with suprapubic or transurethral catheters in place (Sugimara, Arnold, English, and Moore, 2008). Since other bladder drainage methods require continuous drainage with an attached system, they may become cumbersome, and make it more difficult for patients to be physically closer to loved ones.
Urinary incontinence is a frustrating medical condition. You never know when a sneeze or burst of laughter will cause your bladder to leak. The wetness leaves you uncomfortable and worried about odor. One solution is to wear adult diapers, but you may hate the way they feel and look under your clothing. A better option is to seek treatment from your doctor. Here are some of the treatments he or she may try.