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no you don't need foley catheter

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Q: When you have a suprapubic catheter do you need a foley catheters on?
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Does foley catheter insertion need a doctor's order?

Yes


Do you need to test the balloon when inserting Foley catheter?

Evidence based practice now says no you do not need to test inflate the balloon.


2 clinical procedures need to wear sterile gloves?

Dressing Change, and insertion of a Foley (indwelling) catheter.


Urinary catheters?

DefinitionA urinary catheter is any tube system placed in the body to drain and collect urine from the bladder.Alternative NamesCatheter - urine; Foley catheter; Indwelling catheter; Suprapubic cathetersInformationUrinary catheters are used to drain the bladder. Your health care provider may recommend a catheter for short-term or long-term use because you have or had:Urinary incontinence (leakage of urine or the inability to control when you urinate)Urinary retention (being unable to empty the bladder when you need to)Surgery that made a catheter necessary, such as prostate or gynecological surgeryOther medical conditions such as multiple sclerosis, spinal cord injury, or dementiaCatheters come in many sizes, materials (latex, silicone, Teflon), and types (Foley, straight, coude tip). A Foley catheter, for example, is a soft, plastic or rubber tube that is inserted into the bladder to drain the urine.In general, the smallest possible catheter will be used. Some people may need larger catheters to control urine leakage around the catheter or if the urine is thick and bloody or contains large amounts of sediment.There are three main types of catheters:Indwelling catheterCondom catheterIntermittent (short-term) catheterINDWELLING URETHRAL CATHETERSAn indwelling urinary catheter is one that is left in place in the bladder. Indwelling catheters may be needed for only a short time, or for a long time. These catheters attach to a drainage bag to collect urine. A newer type of catheter has a valve that can be opened to allow urine to flow out, when needed. An indwelling catheter may be inserted into the bladder in two ways:Most often, the catheter is inserted through the urethra, which is the tube that brings urine from the bladder to the outside of the bodySometimes, the doctor will insert a tube, called a suprapubic catheter, into your bladder from a small hole in your belly. This is done as an outpatient surgery or office procedure.An indwelling catheter has a small balloon inflated on the end of it. This prevents the catheter from sliding out of the body. When it's necessary to remove the catheter, the balloon is deflated.CONDOM CATHETERSCondom catheters are most frequently used in elderly men with dementia.There is no tube placed inside the penis. Instead, a condom-like device is placed over the penis. A tube leads from this device to a drainage bag. The condom catheter must be changed every day.INTERMITTENT (SHORT-TERM) CATHETERSSome people only need to use a catheter on occasion. Short-term, or intermittent, catheters are removed after the flow of urine has stopped. For more information on this type of catheter, see: Clean intermittent self-catheterization.DRAINAGE BAGSA catheter is usually attached to a drainage bag. There are two types:A leg bag is a smaller drainage device that attaches by elastic bands to the leg. It is usually worn during the day, because it fits discreetly under pants or skirts. It is easily emptied into the toilet.A down drain is a larger drainage device. It may be used during the night. This device is hung on the bed or placed on the floor.The drainage bag must always stay lower than the bladder to prevent urine from flowing back up into the bladder. Empty the drainage device at least every 8 hours, or when it is full.Some experts recommend cleaning the drainage bag periodically. Remove the drainage bag from the catheter (attach the catheter to a second drainage device during the cleaning).Cleanse and deodorize the drainage bag by filling the bag with two parts vinegar and three parts water. You can substitute chlorine bleach for the vinegar and water mixture. Let this solution soak for 20 minutes. Hang the bag with the outlet valve open to drain and dry the bag.HOW TO CARE FOR A CATHETERTo care for an indwelling catheter, cleanse the urethral area (where the catheter exits the body) and the catheter itself with soap and water every day. Also thoroughly cleanse the area after all bowel movements to prevent infection.If you have a suprapubic catheter, the opening in your belly and the tube must be cleansed daily with soap and water, then covered with dry gauze.Drinking plenty of fluids can help prevent infections. Discuss this issue with your health care provider.Wash your hands before and after handling the drainage device. Do not allow the outlet valve to touch anything. If the outlet becomes obviously dirty, clean it with soap and water.Some people have occasional leakage of urine around the catheter. This may be caused by a catheter that is too small, improper balloon size, constipation, urinary tract infections, or bladder spasms.If bladder spasms occur or there is no urine in the drainage bag, the catheter may be blocked by blood or thick sediment. Or, there may be a kink in the catheter or drainage tubing. Sometimes spasms are caused by the catheter irritating the bladder. Such spasms can be controlled with medication, although most patients eventually adjust to the irritation and the spasms go away. If you have been shown how to irrigate (or flush) the catheter, doing so may help reduce spasms. If you have not been instructed on irrigation, and urine is not flowing into your collection device, contact your health care provider immediately.POTENTIAL COMPLICATIONSComplications of catheter use include:Allergy or sensitivity to latexBladder stonesBlood infections (septicemia)Blood in the urine (hematuria)Kidney damage (usually only with long-term, indwelling catheter use)Urethral injuryUrinary tract or kidney infectionsContact your health care provider if you develop or notice:Bladder spasms that do not go awayBleeding into or around the catheterCatheter draining very little or no urine, despite drinking enough fluidsFever or chillsLeakage of large amounts of urine around the catheterSkin breakdown around a suprapubic catheterStones or sediment in the urinary catheter or drainage bagSwelling of the urethra around the catheterUrine with a strong smell, or that is thick or cloudyIf the catheter becomes clogged, painful, or infected it will need to be replaced immediately.ReferencesMoy ML, Wein AJ. Additional therapies for storage and emptyhing failure. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Sauders Elsevier; 2007: chap 70.Wierbicky J, Nesathurai S. Spinal cord injury (thoracic). In: Frontera WR, Silver JK, Rizzo Jr TD, eds. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2008: chap 147.


Are there any Ethnical issues re-guarding catheters?

I assume you're meaning In Dwelling Urine Catheters? Consider Does your pt really need the catheter (ie have they failed a trial of void) or are you inserting it/retaining it for your own convenience such as to avoid getting pans for your patient and having to roll them and possibly change their sheets? So long as you close curtains to insert, check, empty and remove it you should be fine. Catheters are the biggest cause of hospital acquired infections in Australia so avoid at all costs.


Bladder and urethral repair - series?

Normal anatomyBladder and urethral repair is usually performed to prevent urine leakage associated with stress incontinence.Stress incontinence is the involuntary leakage of urine when laughing, coughing, sneezing, or lifting, which can result from deformity or damage to the urethra and bladder from decreased muscle tone caused by multiple births, menopause, or other causes.ProcedureWhile the patient is deep asleep and pain-free (general anesthesia), the surgeon elevates the bladder neck (pubococcygeal muscle) by stitching it and the urethra to the anterior (front) pubic bone.After surgery, the patient will have a Foley catheter and a suprapubic catheter in place. The urine may initially appear bloody but this should gradually resolve. The suprapubic catheter may be removed several days after surgery so that the patient is able to completely empty the bladder. Often this suprapubic catheter will need to remain in place for as long as 3 months, depending on the person's ability to empty the bladder completely.AftercareThe amount of time it takes to recover from surgery depends on the individual.Reviewed ByReview Date: 05/22/2008Scott M. Gilbert, MD, Department of Urology, Columbia-Presbyterian Medical Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


What can happen if a foley catheter is not deflated before its removal?

In the hospital setting, nurses have to deal with this issue on a pretty regular basis. Pulling a Foley Catheter out causes: * Pain * Hematuria (bloody urine) * Possible bladder trauma * Possible urethra trauma * Possible prostate trauma * Bladder irrigation * Surgical repair of damage * Possible short term, or even long term, incontinence * Increased risk for infection * Possible need for additional medical interventions * ** Bladder irrigation ** Surgical repair


What is a Hemodialysis catheter and how to take care of it?

The catheter used for hemodialysis is a tunneled catheter because it is placed under the skin. Non-cuffed tunneled catheters are used for emergencies and for short periods. Tunneled cuffed catheters, a type recommended by the NKF for temporary access, can be used for longer than 3 weeks. By taking good care of your access, it will last longer and you will prevent problems such as infection and clotting. You should always: Keep the catheter dressing clean and dry. Make sure the area of the insertion site is clean and your care team changes the dressing at each dialysis session. Keep an emergency dressing kit at home, in case you need to change your dressing in between treatments. Never remove the cap on the end of your catheter. Air must not enter the catheter. You can shower or bath if you have a clear dressing that sticks to your catheter site and the skin around it. Wear a mask over your nose and mouth anytime the catheter is opened to prevent bacteria from entering the catheter and your bloodstream. The caps and the clamps of your catheter should be kept tightly closed when not being used for dialysis. If the area around your catheter feels sore or looks red, call your dialysis care team at once. Know your Kt/V and URR (urea reduction ratio). Kt/V and URR are numbers that tell you how much dialysis you should get and are getting.


Why would someone need a chronic urinary catheter?

"Urinary catheters are used to drain the bladder. Your health care provider may recommend a catheter for short-term or long-term use because you have or had: Urinary incontinence (leakage of urine or the inability to control when you urinate) Urinary retention (being unable to empty the bladder when you need to) Surgery that made a catheter necessary, such as prostate or gynecological surgery Other medical conditions such as multiple sclerosis, spinal cord injury, or dementia" - http://www.nlm.nih.gov/medlineplus/ency/article/003981.htm


Do you need to flush both catheters every 12 hours?

yes


Why do you need to remove epidural catheter first before removing foley bag catheter?

It is imperative for the effects of the epidural to wear off beofre the foley catheter is discontinued. The last area of the body to resolve the effects of the epidural is the sacral/perineal area, which innervate the bladder. The patient may not be able to sense that his/her bladder is full and may become distended (and uncomforatble) as a result. It may save a reinsertion if taken out too early. It is imperative for the effects of the epidural to wear off beofre the foley catheter is discontinued. The last area of the body to resolve the effects of the epidural is the sacral/perineal area, which innervate the bladder. The patient may not be able to sense that his/her bladder is full and may become distended (and uncomforatble) as a result. It may save a reinsertion if taken out too early. It is imperative for the effects of the epidural to wear off beofre the foley catheter is discontinued. The last area of the body to resolve the effects of the epidural is the sacral/perineal area, which innervate the bladder. The patient may not be able to sense that his/her bladder is full and may become distended (and uncomforatble) as a result. It may save a reinsertion if taken out too early.


Icd-9 code for suprapubic pain?

What I find for a female is 625.9, and as always in coding, verify this meets your diagnosis need.