Question

Please discuss the different types of urinary catheters, the requirement or need, associated risk factors, nursing care, and subsequent patient education, for each one.

Answer 1

There are mainly three types of catheters

*Indwelling catheters

*External catheters

*Short term catheters

Indwelling catheters :-

These catheter is a catheters which resides in bladder.it is also known as Foley catheter.it can be used for short and long periods of time.

External catheters:-

It is condom catheter placed outside of the body. Used in men. these are more comfortable and chance for infection is less comaparing to indwelling catheters.

Short term catheters:-

Otherwise known as intermittent catheter used for a short period of time after surgery until the bladder empties.

# requirement and needs --

* When you can't control when you urinate

*When you have urinary incontinence

*When have urinary retention

By inserting catheter it helps the patient to get free and comfortable from above furnished reasons.

# associated risk factors :-

* Catheter associated urinary tract infections

*Allergic reactions due to material or latex allergy

*Bladder stones

* Blood in urine

* Injury to urethra

*Kidney damage (long term indwelling catheters use)

*Septicemia or infection of urinary tract kidneys or blood

# nursing care:-

* Should do urinary catheter care in fixed intervals as per hospital guidelines

*Use of sterile techniques throught out the procedure

*Disconnecting drainage bags from catheters only with clean hands

*Keep drainage bag connector clean as possible and change bag periodically in case of long term use

*Drink sufficient about of water daily

*Keep the drainage bag below the bladder level to prevent the back flow

# patient education:-

In case of long term use / indwelling catheters -

*Clean catheter

*Change drainage bags periodically

*Wash drainage bags every day

*Drink plenty of water

*Wash your hands before and after touching catheter with soap and water for atleast 20 mints

*Women should separate the labia and clean the areas from from front to back

*Keep the drainage bag below the bladder level to prevent back flow

*Don't make the drainage bag to lie on floor

*Keep the catheter secured to your thigh to prevent it from moving

Incase of external catheters:-

*Check for latex allergy

*Check for skin peeling or redness