Foley Catheterization and Urinary Care Procedures

Foley Catheterization

Procedure for inserting a urinary catheter.

Sterile Technique

Method to prevent infection during catheterization.

Perineal Care

Cleaning of the genital area before catheterization.

Drainage Bag Positioning

Keep bag below bladder to prevent backflow.

Urinary Meatus

Opening of the urethra for catheter insertion.

Luer-lock Syringe

Device used to withdraw fluid from catheter balloon.

Catheter Security

Ensuring catheter is securely in place after insertion.

Daily Perineal Care

Routine cleaning to prevent catheter-associated infections.

Patient Identification

Using 2 identifiers to confirm patient identity.

Catheter Removal Procedure

Steps to safely remove a urinary catheter.

Graduated Container

Used to measure urine volume from drainage bag.

Supine Position

Patient lying flat on their back.

Dorsal Recumbent Position

Patient lying on their back with knees bent.

Irritation Assessment

Checking for redness or drainage around catheter site.

Foreskin Management

Repositioning foreskin after catheterization in uncircumcised males.

Catheter Insertion Depth (Female)

Insert 2-3 inches until urine returns, then advance.

Catheter Insertion Depth (Male)

Insert until urine seen, then secure with sterile water.

Patient Education

Informing patient about the catheterization process.

Hand Hygiene

Washing hands before and after catheter procedures.

Privacy Provision

Ensuring patient comfort and confidentiality during procedures.

Fluid Encouragement

Encouraging hydration unless contraindicated for patient.

Closed Drainage System

System that prevents urine backflow and infection.

Urinary Incontinence

Involuntary leakage of urine due to various causes.

Stress Incontinence

Leakage during activities increasing bladder pressure.

Urge Incontinence

Strong urge to urinate, leakage occurs before reaching toilet.

Reflex Incontinence

Leakage due to nerve damage affecting bladder control.

Overflow Incontinence

Incomplete bladder emptying leads to overfilling and leakage.

Functional Incontinence

Inability to reach toilet in time due to physical impairments.

Nocturnal Enuresis

Nighttime bedwetting, common in children and some adults.

Urinary Incontinence Interventions

Strategies to manage and reduce urinary incontinence.

Bladder Scanning

Technique to assess need for catheterization.

Facilitating Voiding

Encouraging fluid intake and providing privacy for urination.

Condom Catheter Placement

External catheter secured to penis with specific guidelines.

Urinary Retention Indicators

Symptoms include difficulty urinating and bladder distension.

Infants Urination

Frequent, unconcentrated urination due to immature systems.

Older Adults Urination

Decreased bladder capacity and sensation with aging.

Urinary Tract Infection (UTI)

Infection caused by bacteria entering the urinary tract.

Untreated UTI Consequences

Can progress to pyelonephritis if not treated.

UTI Risk Factors

Includes catheter use, poor hygiene, and urinary retention.

UTI Symptoms

Dysuria, urgency, lower back pain, fever, and hematuria.

UTI Prevention

Hydration, antibiotics, and proper hygiene practices.

Preventing Skin Breakdown

Use barrier creams and keep skin dry and clean.

Enema Administration Position

Position patient in left Sims' position for enema.

Enema Insertion Depth

Insert lubricated tip 3-4 inches for adults.

Urostomy

Ileal conduit for urine drainage via stoma.

Nephrostomy

Drains urine from kidney to external pouch.

Neobladder

Bowel piece used to store urine.

Continent cutaneous reservoir

Reservoir with valve for urine storage.

Cystostomy

Catheter drains bladder into external bag.

Ileostomy

Fecal diversion using small intestine.

Colostomy

Fecal diversion using part of colon.

J-pouch

Internal pouch from ileum to anus.

**** pouch

Internal pouch with valve from ileum.

Skin protectant

Applied before skin barrier for protection.

NG Tube

Inserted from nostril to esophagus for nutrition.

PEG tube

Feeding tube inserted directly into stomach.

Dysphagia diet

Includes pureed or thickened liquids.

Respiratory distress signs

Include dyspnea, tachypnea, and confusion.

Clubbing

Fingertip condition linked to lung diseases.

Barrel chest

Chest shape associated with chronic lung disease.

Jugular vein distention

Indicates elevated central venous pressure.

Pleural effusion

Fluid buildup in pleural space.

Pneumothorax

Air in pleural space causing lung collapse.

Crackles

Popping sounds from fluid in air sacs.

Wheezing

Whistling sound during inhalation.

Stridor

High-pitched wheezing, a medical emergency.

Incentive Spirometry

10 repetitions per hour, hold breaths 3-5 seconds.

Atelectasis

Lung collapse due to inadequate inflation.

Nasal Cannula

Delivers oxygen at 1-6 L/min, 24%-44% concentration.

High Flow Nasal Cannula

Delivers 5-10 L/min, 24%-44% oxygen concentration.

Simple Mask

5-10 L/min, 35%-60% oxygen concentration.

Partial Rebreather Mask

6-11 L/min, 60%-75% oxygen concentration.

Non-Rebreather Mask

10-15 L/min, 80%-95% oxygen concentration.

Venturi Mask

4-12 L/min, 24%-50% oxygen concentration.

Face Tent

At least 10 L/min, 24%-100% oxygen concentration.

Endotracheal Tube (ETT)

Delivers 21%-100% oxygen concentration.

Tracheostomy

Procedure creating an opening in the neck for airflow.

Oxygen Toxicity

Cellular damage from high oxygen concentration exposure.

Acute Oxygen Toxicity

CNS effects include twitching, nausea, convulsions.

Chronic Oxygen Toxicity

Pulmonary symptoms like atelectasis and dyspnea.

Oxygen Administration Safety

No smoking, avoid oil/grease near oxygen.

Complications of Oxygen Therapy

Includes oxygen poisoning and pulmonary damage.

Sputum Specimen Collection

Process for collecting mucus for analysis.

Chest Physiotherapy

Technique to improve lung function and drainage.

Purse-Lipped Breathing

Technique to improve ventilation and oxygenation.

Huff Coughing

Technique to clear airways effectively.

Blood Glucose Monitoring

Assessing blood sugar levels using a glucose monitor.

Clean-catch urine

Sample collection method for urinalysis.

Urinalysis

Laboratory test to detect UTI presence.

Indwelling catheter

Requires sterile technique for urine collection.

Fecal Occult Blood Test

Test to check stool for hidden blood.

Dietary restrictions for FOBT

Avoid beets, red meat, and Vitamin C.

Stool Culture

Identifies organisms causing severe diarrhea.

Sputum Collection

Collecting mucus from lungs for analysis.

Intake/Output measurement

Tracking fluid intake and output accurately.

Medication Administration Record

Document verifying patient and medication details.

Gauge size

Larger gauge indicates smaller needle diameter.

Injection angle

IM injections typically at 90-degree angle.

Ventrogluteal site

Preferred site for larger volume injections.

Deltoid site

Common site for immunization injections.