Catheterization
1. CATHETERIZATION PROCEDURE - MS. KHYATI CHAUDHARI
2. INTRODUCTION In urinary catheterization or urinary elimination is a procedure in
which a latex, polyurethane, or silicone tube known as a urinary catheter is inserted into
a patient's bladder via the urethra. Catheterization allows the patient's urine to drain
freely from the bladder for collection. It may be used to inject liquids used for treatment
or diagnosis of bladder conditions.
3. DEFINITION Introducing catheter into the urinary bladder through urethra using
aseptic technique for the purpose of emptying the bladder.
4. TYPE OF CATHETERIZATION Intermittent catheterization Indwelling
catheterization
5. TYPES OF CATHETERS 1. Simple rubber catheter 2. Simple plastic catheter 3. Self
retaining catheter 4. Condom catheter 5. Foley's catheter a. Two way b. Three way
6. In three way Foley's catheter One lumen is for instillation of fluid or medicine
while bladder irrigation One lumen for urine to drain out One lumen for inserting
sterile fluid in inflating balloon
7. Condom catheter Is used for male who’s having incontinence of urine. It is less
traumatic during insertion. Catheter comes in many diameter to fix the size of the
client’s urethral canal.
8. The unit for size of catheter is French gauze (FG). In children, usually requires 8-
10 FG. In women, requires 14-16 FG. In men, requires 16-18 FG.
9. INDICATIONS Retention of urine Incontinence of urine Obtain sterile
specimen Assess presence of residual urine Client undergone surgeries Client
following childbirth Bladder irrigation Perineal surgery Patient having urinary
obstruction Oliguria/polyuria Unconscious patient Terminally ill patient
10. ARTICLES A sterile tray with: Sterile catheter Small bowel to take antiseptic
solution One bowel with cotton swabs & gauze piece One pair of sterile gloves
Sponge holding forceps Sterile specimen bottle Kidney tray
11. ARTICLES A clean tray containing : Lubricant jell Operation towel or drape
Disposable gloves Kidney tray Adhesive tap & scissors 10 ml syringe Sterile
water Green/pink needle Pint to measure urine Mackintosh & draw sheet
12. PROCEDURE Introduce yourself to the patient. Verbal confirmation of the
patient. Check the file and confirm. Explain the procedure to the patient Provide
privacy Raise the bed to appropriate working level.
13. POSITIONING Dorsal recumbent with knee flexed & thighs externally rotated.
Supine with thighs slightly abducted.
14. PROCEDURE Spread mackintosh & draw sheet under the patient’s buttocks.
Place sterile kidney tray between patient legs. Wash hands. Place operation
towel/drape in such a way so only perineum area will expose. Don sterile gloving.
Clean perineum with cotton balls dipped in antiseptic solution using sponge holding
forceps.
15. PROCEDURE Clean the perineal area as per perineal care procedure. Open the
sterile packaging of the catheter Apply the xylocaine jelly on the tip to 4cms Hands
holding 7.5 cm up from tip & place distal end in the sterile kidney tray. So, urine will
flow into kidney tray.
16. PROCEDURE OF INSERTION
17. PROCEDURE OF INSERTION Female Male
18. PROCEDURE OF INSERTION Female Insert the catheter approximately 5-
6cms. Once urine has started draining insert a further 3-5cms. Inflate the balloon with
10 ml Sterile water Male Insert catheter until urine has started to drain, then insert a
further 5cm or almost up to the bifurcation. Inflate the balloon with 10 ml sterile water
19. PROCEDURE Measure the amount of urine Assess the patient is comfortable
and the genital area
20. AFTER CARE On completion of procedure remove and dispose of PPE and the
articles. Remove drapes and help patient to put on clothe Give comfortable position.
Documentation & report