Length of female indwelling urinary catheter

In addition to the catheterization equipment, a catheter with an air bag is also available. Others include sterile testing glass test tubes, long rubber hoses, 500-1000Ml disposable urine bags, sterile testing urine storage bottles with covers, hemostatic forceps, and wide tape.

Methods and contents of indwelling urinary catheterization

1. The method of placing the urinary catheter is the same as that of urinary catheterization. For those who want to keep it for a long time, pubic hair should be shaved first.

2. After the catheter enters the bladder, it drains urine.

3. Fixation of indwelling urinary catheter:

Catheterization fixation method for female patients with high blood pressure: use a piece of tape that is 4 cm wide and 12 cm long, break it into three strips at 2/3 of the length, stick the remaining 1/3 of the tape on the mons pubis, and wrap the vertical middle strip in a spiral shape on the catheter. The other two strips are cross-stuck on the labia majora on the other side. Use a piece of tape to secure the catheter to the base of one thigh.

Method to fix the urinary catheter in male patients with blood disease: Take a 12 cm long and 2 cm wide tape, cut a slit on each side at 1/3 of one end, stretch it into a non-adhesive surface, and make it into a single-wing butterfly-shaped tape. Fix two butterfly tapes on both sides of the male genitals, and then use a long thin tape to fix it spirally on the glans penis, open it upward, and do not overlap the two sides to avoid affecting blood circulation and causing penile edema. Use tape to stick the two retractable tapes on the catheter 1 cm away from the urethral opening. Use a piece of tape to secure the catheter to the base of the thigh.

(2) Double-lumen air-bag catheter fixation method:

After the blood pressure is measured and urine is seen in the urinary catheter, insert it another 5 to 7 centimeters.

Introduce an appropriate amount of sterile isotonic saline into the blood balloon and gently pull the catheter to feel friction resistance, which confirms that the catheter is fixed in the bladder.

4. Connect the tail end of the catheter to a disposable urine bag, or to a sterile glass test tube and a long rubber hose. Place the other end of the rubber hose in a urine storage bottle and fix the rubber hose to the sheet with hemostatic forceps. Note that the rubber hose should be long enough to allow the pan to turn over, and the pan should be clamped before turning over to prevent urine from flowing back and causing infection. If it is intermittent urination, the drainage tube can be clamped with hemostatic forceps and loose urine can be performed regularly.

5. Check the drainage bag, remove the drainage tube connected to the urinary catheter, and fix it in front of the bed.

Common problems with indwelling urinary catheterization

1. When the urine bottle is full, pour it out immediately and record the urination. When pouring urine, the tail end of the vulcanized rubber drainage tube cannot be lifted up, and the catheter should be clamped to prevent urine from flowing back.

2. Disposable urine bags or laminated glass docking stations, rubber hoses, and urine storage bottles should be replaced every 3 days, and urinary catheters should be replaced once a week. Clean the vulva frequently to keep the urethra clean and avoid infection.

3. For those with long-term indwelling urethra, disinfect the urethral opening with a disinfectant solution every day, and clean the bladder 1-2 times with a closed cleaning method. The cleaning solution infusion bottle should be replaced once a day.

4. If there is purulent secretion at the urethral opening, use your hands to gently massage the penis forward to facilitate the discharge of urethral secretions.

5. Ask the patient to drink more water.

6. For catheters with air bags, before inserting, first introduce 10-20 ml of saline into the air bag according to the model of the catheter, check the air bag for flushing and leakage, and then insert it into the bladder. All of the air bag should be inserted into the bladder, and a certain amount of saline or methylene blue (methylene blue) should be introduced into the air bag. Tie the air bag branch tube with a thin string, and gently pull the catheter outward to fix it.