Indwelling Urinary Catheter Insertion

Indwelling Urinary Catheter Insertion

Also known as a Foley or retention catheter, an indwelling urinary catheter remains in the bladder to provide continuous urine drainage. A balloon inflated at the catheter’s distal end prevents it from slipping out of the bladder after insertion.

Indwelling catheters are used most commonly to relieve bladder distention caused by urine retention and to allow continuous urine drainage when the urinary meatus is swollen from childbirth, surgery, or local trauma. Other indications for an indwelling catheter include urinary tract obstruction (by a tumor or enlarged prostate), urine retention or infection from neurogenic bladder paralysis caused by spinal cord injury or disease, and any illness in which the patient’s urine output must be monitored closely. During bladder retraining for patients with neurologic disorders, such as stroke or spinal cord injury, bladder ultrasound scanning may be used to determine postvoid residual urine volume as well as the need for intermittent catheterization.

An indwelling catheter is inserted using sterile technique and only when absolutely necessary. Insertion should be performed with extreme care to prevent injury and infection. The catheter should be removed as soon as it is no longer needed to prevent catheter-associated urinary tract infections.1,2,3

Preparation of Equipment

Verify the order on the patient’s medical record to determine if a catheter size or type has been specified. Then perform hand hygiene, select the appropriate equipment, and assemble it at the patient’s bedside.1,4,5,6,7,8

Jul 21, 2016 | Posted by in NURSING | Comments Off on Indwelling Urinary Catheter Insertion

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