Facts about
Foley Catherization
Foley Catherization
This type of catheter remains in place in the bladder. At the tip, there is an inflatable balloon to keep it in place, that is commonly inflated with 10 mL of sterile water. It can be attached to a drainage bag or a leg bag.
Foley/Indwelling catheter
This hand should be used to insert the urethral catheter.
Dominant hand
Explain the purpose of inserting the syringe into the balloon inflation port before removing the foley catheter.
The purpose is to deflate the foley catheter balloon by removing the normal saline within the balloon.
Before beginning the catheter dressing change, the site should be assessed for ____________.
Signs of infection, which may include drainage, erythema, swelling, bleeding and/or tenderness.
After assessing the AV site, you observe redness, swelling and drainage. This is an expected finding of the AV site after the first few days of being created. TRUE or FALSE
FALSE - These are signs of infection.
Name the two types of urethral catheters.
An indwelling urethral catheter (foley catheter) and an intermittent urethral catheter (straight catheter)
Name three items included in a sterile catheter kit for urethral catherization.
Items included in a sterile catheter kit:
Sterile gloves
Sterile drapes
Sterile catheter
Antiseptic cleansing solution and cotton balls or gauze squares; antiseptic swabs
Lubricant
Forceps
Prefilled syringe with sterile water
Sterile specimen container (if specimen is required)
An indwelling catheter should be removed as soon as possible to prevent this condition.
Urinary Tract Infection
To allow dialysate to infuse and drain from the body, a small thin catheter is inserted through this part of the body (for peritoneal dialysis).
The abdominal wall into the peritoneal cavity.
An Arteriovenous Fistula is a passage surgically created by connecting an _____ and a _____.
An artery and vein.
This type of catheter is inserted into the bladder through an incision in the pubic area for continuous urinary drainage. Used when injury, stricture, prostatic obstruction, or gynecologic or abdominal surgery has compromised the flow of urine.
Suprapubic catheter
What side of the bed should the licensed personnel stand on for the foley catheterization?
Stand on the patient’s right side if you are right-handed, and on the patient’s left side if you are left-handed.
What should be told to the client after deflating the balloon of the urethral catheter?
Ask the patient to take several slow deep breaths.
Name the condition that may occur in the peritoneum if infection control is inadequate.
Peritonitis
To assess for patency of the AV fistula/graft, this should be performed.
Auscultate over the AV site with the bell of a stethoscope to listen for bruits or thrill.
Define urinary catherization.
The introduction of a catheter (tube) through the urethra into the bladder for the purpose of withdrawing urine.
Explain the position for foley catherization.
A dorsal recumbent position with knees flexed, legs abducted and feet about 2ft apart.
In other words: Supine, knees/hips flexed, and legs abducted.
Before gathering equipment to remove the foley catheter, what must be verified?
That there is an order for catheter removal, by the physician.
Using aseptic technique, this is used to clean the peritoneal dialysis catheter.
An antimicrobial-soaked gauze
Name one action that should be avoided when having an AV fistula or graft.
The following should be avoided:
Performed BP, performed venipuncture or accessing IV on affected arm should be avoided.
The patient should not sleep with affected arm under head or body.
The patient should not lift heavy objects or put pressure on the area with the access site. Patient should be advised not to carry anything heavy on the shoulder of affected arm as well.
Mention three indications for urinary catheterization.
Indications for urinary catheterization include:
Perioperative use in selected surgeries
Acute urinary retention or obstruction
Hospice/comfort care/palliative care
Accurate measurement of urinary output in critically ill patients
Required strict immobilization for trauma or surgery
Assistance in healing of severe perineal and sacral wounds in incontinent patients
Mention three signs and symptoms of UTI, which can be caused by urinary catheterization.
Signs and symptoms of UTI: cloudy malodorous urine, hematuria, fever, chills, anorexia, and malaise.
After removal of the indwelling catheter, the patient has how much time to void, before further assessments or measures must be performed?
8 hours
This object should be placed around the catheter exit site.
A sterile drain sponge should be placed around the catheter exit site.
**Then, a 4 × 4 gauze should be placed over the exit site. This should all be covered with a transparent, occlusive dressing.
Explain the purpose of Hemodialysis.
It is a method to remove fluids and waste from the body.