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Wednesday, June 19, 2013

Nursing Review: Urinary Catheterization

Urinary Catheterization



Ø  Use appropriate size of catheter
  • Male: Fr 16-18
  • Female: Fr 12-14

Ø  Place the client in appropriate position:
  • Male: Supine, legs abducted and extended
  • Female: Dorsal recumbent

Ø  Locate the urinary meatus properly:
  • Male: at the tip of the glans penis
  • Female: between the clitoris and vaginal orifice

Ø  Lubricate catheter with water soluble lubricant before insertion
  • Male: 6 – 7 inches
  • Female: 1 – 2 inches

Ø  Length of catheter insertion:
  • Male: 6 – 9 inches
  • Female: 3 -4 inches

Ø  Anchor catheter properly:
  • Male: laterally or upward over the lower abdomen / upper thigh
  • Female: inner aspect of the thigh


Nursing Interventions to Induce Voiding/Urination

Provide privacy
Assist the patient in the anatomical position of voiding
Serve clean, warm and dry bedpan (female) or urinal (male)
Allow the client to listen to the sound of running water
Dangle fingers in warm water
Pour warm water over the perineum
Promote relaxation
Provide adequate time for voiding

Last resort: URINARY CATHETERIZATION
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