Monday, May 13, 2019
Discuss safe urinary catheterisation of a male patient defining the Essay
Discuss safe urinary catheterisation of a anthropoid patient defining the indications and contra indications and the potential complications that may arise - Essay Examplees are verified, they should be positioned as comfortable as possible in order to reduce anxiety and also accelerate access to their anatomy (Michael 2012, p. 31). The proper type and size of catheter is selected and then the genital area cleansed thoroughly. In baptismal font of an uncircumcised patient, the foreskin should be re parcel of landed and the area cleansed with saline (Saint 2000, p. 804). This reduces chances of contamination and trauma to the urethra. The penile urethra is straightened by extending the appendage at a 90 degree angle to the body to facilitate the administration of local anesthetic(a) gel. The gel, which requires approximately five minutes to take effect, will dilate, lubricate and anaesthetise the urethral passage (Bradsley, A 2005, p. 45). The catheter is then inserted approximate ly 20 centimetres into the urethra, at which point urine should flow. In case of resistance at the sphincter, gentle pressure should be applied on the catheter. It is then inflated to make sure it system in situ and a suitable closed drainage unit attached. Before the foreskin is returned to its position, it must be dry and clean (Francis 2008, p. 69). Indications include acute urinary retention, hygienic care of patients who are bedridden and supervise the output of urine. Traumatic injury of the urinary tract, such as a urethral tear, will rede urinal catheterisation. Possible complications include infection, bladder spasm and trauma to the bladder neck or urethra (Stewart 1998, p. 124).Michael, S 2012, A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections, Urology Nursing, vol. 32, no. 1, pp.
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