Nursing

 Essay upon Nursing

The University with the West Indies

Faculty of Medical Sciences

The UWI School of Nursing, Cogorza

Year II Semester 2

BScN

Catheterizing the Female Urinary Bladder

Overview:

Urinary Catheterization is the intro of a catheter through the harnrohre into the bladder for the purpose of pulling out urine.

Aim of the Urinary Catheterization is to

1 . Stop or relieve bladder distension

2 . Showcase urinary removal

3. Have a sterile specimen of Urine

4. Obtain accurate measurements of bladder function

5. Provide continuous urinary drainage

6. Instil medication

six. Measure the volume of left over urine

eight. Monitor the outcome of a critically ill sufferer

9. Help studies of the urinary system

10. Prevent skin break down in incontinent bedridden sufferers.

Equipment:

• Sterile Catheter kit which has:

o Sterile and clean Gloves

um Sterile Draperies (fenestrated)

o Cotton tennis balls or Gauze

o Forceps

o Channel size receiver/kidney basin

um Receiver

• Basin with soap and water (For perineal care)

o Rinse cloth

to Disposable mitts

• Sterile Catheter (Appropriate size Catheter)

• Further pack of cotton balls

• 20cc syringe with sterile filling device

• Antibacterial lotion (sterile savlon one particular: 200 intended for swabbing) • Urine collecting bag

• Sterile normal water base lubricant

• Drinking water to inflate the as well as the

• Water-resistant disposable pad

• Side sanitizer

• Tape

• Sterile example of beauty container

Examination

1 . Assess the patient's typical elimination practices

installment payments on your Assess person's ability to understand information and to cooperate several. Assess for patency in the urethra and then for contraindication pertaining to insertion in the catheter. some. Assess intended for latex allergy

Nursing Prognosis

1 . Reduced Urinary Reduction

2 . Bladder control problems

3. Exposure to possible Infection

5. Risk for Damaged skin honesty

5. Risk for Injury

Outcome Identification and Planning

Anticipated outcomes can include:

• Patient's urinary removal will be taken care of, with urine output of at least 30ml/hr • Patient's urinary will not be distended.

• Patient's epidermis remains clean, dry, and intact, with no evidence of irritability or breakdown. • Affected person verbalizes a knowledge of the goal for and care of the catheter, because appropriate.

Patient Goal:

To insert the catheter with sterile technique, results in instant urine flow and relieve the bladder.

Execution

| Actions |Evidence-Based Reason | |Wash hands |Hand washing/Hand care reduce the likelihood of spreading micro-organisms. | |Assemble the equipment |To prevent unneeded trip to storage area and saves time. | |Identify the individual. |Identifying the patient ensures that the best patient will get the right | | |intervention and helps stop errors. | |Explain treatment and rationale to individual |It encourages reassurance and offers knowledge about the procedure. | |Close curtain surrounding the bed |Provide privacy to the patient | |Provide good light |Proper lighting is important to visualize the urinary meatus | |Place patient in dorsal recumbent position |Proper positioning enables adequate visualization of the urinary meatus | |Place moisture resistant pad below patient's buttocks...

References: Taylor swift, C. 3rd there’s r., Lillis, C., LeMone, L. & Lynn, P. (2011) Fundamentals of Nursing. The art and science of nursing treatment. (7th ed. ). Phila. PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. Pg 613-621

Lynn, P. (2011). Taylor's Guide of Scientific Nursing Abilities. Philadelphia, PENNSYLVANIA: Wolters Kluwer Health/Lippincott Williams Wilkins. Pg 923-930

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