Urinary Elimination

 Content:

1.    Definition.

2.    Purposes.

3.    Solutions used.

4.    General instructions.

5.    Procedure.

6.    Complications. 

Definition:

 

A close system catheter is a self-contained pre-lubricated catheter housed within its own collection bag. The sterile collection bag eliminates the need to void the urine into a receptacle or toilet. 

Component:

 

1.    Catheter cap.

2.    Pre-lubricated catheter.

3.    Introducer Tip.

4.    Measured collection bag.

5.    Gloves & Under-pad.

6.    Antiseptic wipes.

7.    Additional Lubrication. 

Solutions Used:

 

Three types of solution are available to help with blocked catheters. These solutions are often called ‘catheter maintenance solutions’ or ‘catheter washouts’, but the correct term is ‘catheter patency solutions’. Chlorhexidine 0.02%, an antiseptic solution aimed at preventing bacterial growth, was commonly used in the past but is no longer recommended as it may contribute to the development of resistant strains of bacteria. 

General instructions:

 

1.    Get the needed supplies together.

2.    Wash your hands with soap and water.

3.    Urinate if you can.

4.    Cleanse the urethral opening from front to back.

5.    Remove catheter from package.

6.    Squeeze lubricant on the first 2-3 inches of the catheter that will be going into the urethra.

7.    Allow bladder to empty completely.

8.    Remove the catheter, slowly rotating it as you withdraw. Stop each time more urine drains out. 

Procedure:

 

1.    Do not withhold fluids.

2.    Follow the person’s routines.

3.    Assist the person to the bathroom as needed. Provide the bedpan or urinal if needed.

4.    Assist the person to assume a normal voiding position.

5.    Provide for privacy.

6.    Allow time to void.

7.    Run water to help start urination.

8.    Provide paerineal care if needed.

9.    Allow person to wash hands after toileting. 

Complications:

 

1.    Fever.

2.    Chills.

3.    Headache.

4.    Cloudy urine due to pus.

5.    Burning of the urethra or genital area.

6.    Leaking of urine out of the catheter.

7.    Blood in the Urine.

8.    Foul smelling urine.

9.    Low back pain and achiness.

 

Other Complications from Using a Urinary Catheter:

 

1.    Allergic reaction  to the material used in the catheter, such as latex.

2.    Bladder stones.

3.    Blood in the urine.

4.    Injury to the urethra.

5.    Kidney damage (with long-term indwelling catheters).

6.    Septicemia or infection of the urinary tract, kidneys, or blood.