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