INDWELLING CATHETER INDICATIONS AND CARE
INDWELLING CATHETER INDICATIONS AND CARE
FACTS: Indwelling urinary catheters are placed in 25% of hospitalized patients
Catheter associated UTI account for 40% of all nosocomial infections
The risk of acquiring bacteriuria is approx. 5% for each day of
catheterization
INDICATIONS SHORT TERM CATHETER PLACEMENT
• Management of acute urinary retention
• Bladder decompression during or following surgery
• Monitoring urinary output (especially in critically ill patients)
• Sudden and complete inability to void
• Need for immediate and rapid bladder decompression
• Temporary relief of bladder outlet obstruction secondary to
▪ Enlarged prostate
▪ Urethral stricture
▪ Obstructing pelvic organ prolapse
▪ Urologic or prolonged surgical procedure
• Irreversible medical conditions are present (metastatic terminal disease, coma,
other end stage conditions)
• Presence of stage III or stage IV pressure ulcers that are not healing because of
continual urine leakage
* URINARY INCONTINENCE IS NOT AN INDICATION FOR INDWELLING CATHETER PLACEMENT*
BALLOON INFLATION:
The purpose of the balloon is to retain the catheter in the bladder. Occlusion of the urethral opening or leakage prevention are not functions of the balloon. Proper inflation creates a symmetrical balloon. If a balloon is not properly inflated it could prevent bladder emptying, increase the risk of bladder spasm, bacteriuria.
NURSING MANAGEMENT:
• Use strict aseptic technique for catheter insertion
• Minimize urethral trauma during insertion: use generous amount of lubricant,
insert catheter all the way to the hub before inflating balloon (in males)
• Stabilize the catheter to minimize urethral trauma
• Maintain a closed system
• Maintain drainage bag and tubing in dependent position to facilitate urine flow
• Maintain adequate hydration (30cc/Kg body weight/day ) unless contraindicated
• Gently cleanse perineum and proximal catheter daily and after each bowel
movement
• Assess bowel function and implement measures to eliminate impaction or correct
constipation
MANAGE/PREVENT LEAKAGE
• Assess for patency, if occluded remove and replace
• Assess for signs and symptoms of UTI ( to obtain urine for culture, remove
existing catheter and replace before obtaining sample)
• If urine is concentrated, provide adequate hydration (unless contraindicated)
• Check for fecal impaction, remove if present, institute bowel management
program
• Check for proper balloon inflation
• Stabilize catheter
• For severe bladder spasms, consider MD consult for anticholinergics
CDC RECOMMENDATIONS
“Urinary catheterization should be discouraged as a means of obtaining urine for culture or certain diagnostic tests such as urinary electrolytes when the patient can voluntarily void or as a substitute for nursing care of the incontinent patient”.
REFERENCES
Cochran, S. Care of the indwelling urinary catheter: Is it evidence based? Journal of
Wound, Ostomy and Continence Nursing. 2007;34(3):282-288.
Gray, M. What nursing interventions reduce the risk of symptomatic urinary tract
infection in the patient with an indwelling catheter? Evidence-Based Report Card from the Center for Clinical Investigation. Journal of Wound, Ostomy and Continence Nursing. 2004;31(1):3-13.
Newman, DK. The indwelling urinary catheter: Principles for best practice. Journal of
Wound, Ostomy and Continence nursing. 2007;34(6):655-661.
Wong, E.S., Hooten, T.M. Guideline for prevention of catheter-associated urinary tract
infection. .
Wound, Ostomy and Continence Nurses Society. Clinical fact sheet: Indwelling
catheters:.
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