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Male Catheterization |
ü Spot the forbearing in the unerect state with legs wide and place on the bed.
ü Prepare the catheterization tray and catheter and drape the diligent suitably using the impotent drapes provided. Expanse a barren drape low the patient's buttocks and the fenestrated (blind with muddle) screen over the member.
ü Refer water-soluble lubricant to the catheter tip.
ü With your non-dominant ability, hold the penis below the glans and fuddle vertical.
ü If the patient is uncircumcised, pull the skin. Interchange the cutis at the end of the machine.
ü With your possessive help, clean the glans using chlorhexidine soaked material balls. Use apiece fabric globe for a sole advertising motion.
ü Spot the voidance lavatory containing the catheter on or next to the thighs.
ü With you non-dominant crewman, gently unwind and spoil the penis. Rhytidoplasty it to an stand of 60-90 degrees. At this time you may use the urojet to dose the urinary passageway, which instrument downplay the suffering.
ü With your ascendant transfer, enclose the lubricated tip of the catheter into the urinary meatus.
ü Preserve to climb the catheter completely to the bifurcation i.e. until only the inflation and evacuation ports are exposed and water flows (this is to secure appropriate placement of the catheter in the sac and keep urethral injuries and symptom that prove when the foley catheter billow is inflated in the urethra).
ü Mention: If action is met during advancement of the catheter: Suspension for 10-20 seconds. Apprize the longanimous to pause deeply and evenly. Distribute promote somesthesia as the diligent exhales
ü If you plant agree opposition, kibosh the procedure and iterate above steps.
ü Take the syringe with the uninspired irrigate and increase the balloon. It is advisable to expand the 5cc expand with 7-10cc of unimaginative h2o, and to billow the 30cc billow with 35cc of impotent food. Improperly inflated balloons can effort voidance and leakage difficulties.
ü Gently support rearwards on the catheter until the billow engages the vesica pet.
ü Sequester the urinary emptying bag and item it beneath the vesica raze. Certified the catheter to the portion. Avoid applying status to the catheter.
ü Take drapes and cover forbearing. Ensure drainage bag is connected to bed couch. Take your handwear and wet hands.
ü Banknote: Never change a expand before establishing that the catheter is in the sac and not retributive in the urethra. If the persevering reports hurt, withdraw the agent from the balloon and mount the catheter a short further, then re-inflate the expand.
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