Foleys Catheterisation
Catheterisation is insertion of a Sterile Hollow Tube in the Bladder through Urethra to excrete Urine.
Purposes-
1. To empty the Bladder ( In case of Pre Op or Post Op Patient , Inability to pass Urine, Unconscious Patient)
2. Obtain Sterile Sample
3. Measure Urine Output Accurately
Types of Urinary catheterisation-
1. Intermittent-
Used for Short Period (5-10 Min.)
e.g. K-90
2. Retention/ Indwelling-
Foleys Catheter - 14 Days
Silicon Catheter - 60 -90 Days
3. Suprapubic Catheterisation-
Insertion of catheter in Bladder through pubic Area by making and Incision.
It is used for Continuous Drainage
e.g. Malecot Catheter ( Nipple Size) , Mushroom Tip Catheter
Size Of Foleys Catheter-
Children - 8-10 Fr
Adult Female - 14- 16 Fr
Adult Male - 18-22 Fr
Articles Needed for Catheterisation-
1. Sterile Gloves
2. Sterile Water- For Balloon Inflation
3. Single USe Lubricant - Lignocaine Jelly 2%
4. catheter
5. catheter Bag
6. WAterproof pad
Catheterisation Procedure -
Preparatoion -
1. Explain the Procedure to The Patient
2. Try to solve and answer Client's Queries
3. Provide Privacy
4. Proper Positioning - For Male- Supine & For Female - Dorsal Recumbent
5. Place a Disposable pad Under Patient's Buttocks
6. Perform hand HYgiene and WEar Sterile Gloves
7. Remember It is a Sterile Procedure
In Male-
1. Prepare the Glans penis and Urethral Meatus using a Sterile technique (from centre to outward)
2. The penis is held using the NonDominant Hand
3. The Catheter is inserted in the Uretheral Meatus with the Dominant Hand until the Y OF the catheter is at the URethral Meatus
4. The Return of Urine in the attached Bag is a sign of Correct Placement into the bladder.
5. The catheter Balloon is then inflated using Sterile Water (5-30 ML)
Fix the cathter (Upper Inner Thigh)
In Female -
1. In women use the Non Dominant Hand to expose the urethral Meatus by Separating the labia AND prepare the meatus with an Antiseptic Solution ( front to back 3 times).
2. Catheter Tip is inserted in the meatus until there is a spontaneous return of urine.
Contraindication-
1. Blood at the Meatus
2. Gross Hematuria
3. Evidence of urethral Infection
4. urethral pain or Discomfort
5. Patient Refusal