Friday, April 2, 2010

Urinary Catheters Q&A

Urinary catheters strike fear and anxiety to the heart of most hospital patients who have never been "cathed" before, but once a catheter is used the majority of these concerns are assuaged with more knowledge of catheters.  Here are some QA about urinary catheters to clear up any myths :

Q: What's a catheter? 
A: A catheter is a thin sterilized tube engineered to drain urine by inserting it in the urethra and into the bladder.  The urine comes out into a urine bag that may either be still or strapped to the leg.  There are many types of catheters which we'll discuss later. 

Q: What sorts of catheters are there? 
A: The type of catheter used depends a lot on the individual; such as  reasons for the incontinence or why the catheter is necessary, as well as somebody's gender and biology.  A Foley catheter has a balloon on the tip that's inflated after the catheter is inserted to hold it into place.  A male external catheter affixes to the exterior of the male unit, permitting the urine to flow into the bag much like an internal catheter.  There are coude tip catheters, which have a little curved tip for more comfort. 

Q: I am scared it'll be painful.  How painful is it to be cathed? 
A: Urinary catheterization can cause some slight discomfort, especially for the first timer, but most individuals who unconsciously cathed usually wake up not aware a catheter has been placed inside.  Taking out the catheter can bring some discomfort but surprisingly brings no major discomfort.  The portion of the catheter that goes into the bladder is relatively thin, even thinner than the tubes, making it less possible to experience any discomfort while the catheter is installed. 

When inserted, you will have the sensation to urinate since the catheter puts additional pressure against the bladder.  This is normal; just relax and the urine will flow through the tube and into the bag. 

Q: What materials are catheters made of? 
A: Balsa wood.  (Just kidding)  Catheters are most commonly made from latex, silicone, rubber, or a mix of these materials. 


Q: What keeps a catheter staying in place? 
A: A Foley catheter has a small inflatable balloon that's inflated once the catheter is installed in the bladder.  Sterile water is used to fill this balloon with a syringe thru a new hole on end of the catheter.  This small balloon keeps the catheter from falling out of the urethra. 

Q: Is it OK if I‘m mobile, or is this problematic? 
A: Talk with your physician if you should be moving.  Your medical condition, catheter or not, should be evaluated by a health professional so you don't cause more damage.  But speaking specifically about catheters, it’s generally perfectly ok to move around, take part in physical treatment, sitting / standing, and other low-level movement. 



Q: Is it agonizing to leave the catheter inside me, or urine flow? 

A: With the tube prepared you probably will not even notice urine flowing from the bladder.  It is not uncommon to have some discomfort from having a catheter in place, in fact, it is a tube that may get tugged on from time to time.  This tugging can be less of an issue by taping the external end of the catheter to the leg with a little play room for shifting. 


Q: What is the process of catheterization? 
A: If you're getting a catheter inserted by a nurse, you may remove your undies and lay on your back.  The nurse should clean their hands and wear a pair of sterile gloves and use a new sterile catheter kit.  They should swab the  area and feed the catheter tip into the urethra and the bladder.  It's a relatively unpleasant process and you will feel a little discomfort.  Inhale and exhale deeply and quietly, relax the muscles and without strain the method should be fast and easy.  If it's's a Foley catheter, the nurse will hold the catheter in place and insert the syringe into the catheter porthole and inflate the balloon with sterile water. 


Q: How vital is cleanliness? 
A:  Cleanness is of the greatest seriousness when inserting and maintaining for a catheter.  Sterile catheters should  be used, and per the directions of the catheter's packaging.  Re-using catheters, unclean hands, or non-sterile gloves can all increase the risks of urinary tract infections ( UTI ).  If you're self-cathing or needed to maintain your catheterization yourself, you are going to want to ensure the cleanest environment available and always use a new cath for each insertion.

Q: How should I clean my inserted catheter? 
A: Talk with your doctor or nurse if you are going to be needed to clean and upkeep your own catheter.  You should clean the area surrounding the catheter several times a day to stop nasty bacteria from collecting round the opening.  Wipe off any discharge (this is normal) and rub the discharge away from the body and onto the material.  Using clean portions of the material, wipe downward from the opening along the catheter.  Wash the surrounding area and swab it with alcohol to eradicate any remaining bacteria. 


Q: What is the point of using a catheter, anyway? 
A: There are many medical conditions requiring catheterization; some are simply from immobilization due to surgery or an accident, or illness.  Sometimes doctors also require a strictly detailed output measurement for a medical decision and will advocate catheterization for a proper reading.  Some needs for catheterization are from more major urological health conditions and infections.  In any state, you should always talk with your doctor to appreciate the reasons why you want a catheter. 


Q: Any recommendation for leg bags? 

A: First off, typical fluid movement applies to catheterization.  The urine bag should always be under your bladder.  If the bag is above the bladder, the contents cannot drain into the bag.  Also, if the leg bag has urine in it and it's positioned above your bladder, this urine can flow back into the bladder and places you in higher risk for infections.  Letting the leg bag get too full can also cause infections, so empty it frequently.  Second, draining the leg bag should be done in either the measuring hat or the toilet, depending on your physician’s directions.  There's a clip and a clamp you remove to empty the bag.  After you empty the bag, put the clamp and clip back in place and be sure to swab the area with alcohol to stop infections. 


Q: Any useful suggestions for self catheterization? 
A: You should usually be certain you've had correct materials and training to handle your own catheters.  Each situation and catheter is somewhat different.  For instance, you should never try to remove a Foley catheter without removing the water from the balloon first.  You may cause serious damage to your health by doing this. 

If you experience any defects, like blood in the urine, UTIs, or anything that you are feeling is not ordinary, contact your doctor and / or nurse as soon as possible for assistance.

For more info about Catheters:
Urinary Catheterization
American Urological Association Added with Posterous - Home Medical Supplies.

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