Catheterization Using a straight catheter

Purpose
• To relieve discomfort due to bladder distention
• To assess the residual urine
• To obtain a urine specimen
• To empty the bladder prior to surgery

Equipment
I. Sterile
• Kidney dish
• Galipot
• Gauze
• Towel
• Solution
• Lubricant
• Catheter
• Syringe
• Water
• Specimen bottle
• Gloves

II. Clean
• Waste receiver
• Rubber sheet
• Flash light
• Measuring jug
• Screen

Procedure
• Prepare the client and equipment for perennial wash
• Position the patient – dorsal recumbent (pillows can be used to elevate the buttocks in females).
• Drape the patient.
• Wash the perennial area with warm water and soap
• Rinse and dry the area
• Prepare the equipment
• Create a sterile field
• Drop the client with a sterile drape
• Clean the area with antiseptic solution.
• Lubricate the insertion tip of the catheter (5-7 cm in)
• Expose the urinary meatus adequately by retracting the tissue or the labia minora in an upward direction – female
• Retract the fore skin of uncircumcised mal.
• Grasp the penis firmly behind the glans and hold straighten the down ward curvature of vertical it go to the body – male hole the catheter 5 cm from the insertion tip
• Insert the catheter into the urethral orifice
• Insert 5 cm in females and 20 cm in males or until urine comes
• Collect the urine – for specimen (about 30 ml)
• Pinch previous leakage
• Empty or drain the bladder and remove the catheter
• For adults experiencing urinary retention an order is needed on the amount to urine to be expelled

Note.
• If resistance is encountered during insertion, do not force it – forceful pressure can cause trauma. Ask the client to take deep breaths - relaxes the external sphincter (slight resistance is normal)

• Dorsal Recumbent
Female - for a better view of the urinary meatus and reduce the risk of catheter contaminate. Male- allows greater relaxation of the abdominal and perennial muscles and permits easier insertion of the tube. Straight Catheter: is a single lumen tube with a small eye or opening about (1.25 cm) from the insertion tip: