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Nur 113 Exam 3 With Complete Solutions
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Nur 113 Exam 3 With Complete SolutionsCoude Catheter for BPH
usually used on men who have an enlarged prostate
curved end and has a harder tube
Foley drainage bag
drain every 4hrs
acute setting might be even more frequently
never hang on the side rail and keep Cath. off floor
Types of foley bags
regular foley cath
leg bag
A leg bag
a bag attached to the leg to drain urine
used for a pt who is up ambulating
holds less urine than a regular foley so needs to be changed more frequently
When using a Foley Cath. Kit
Keep hands up and away when applying sterile gloves
Can only touch what is on sterile field once gloves are on
Make sure not to hang over a sterile field
What is the max amount of solution that can be inserted into a Foley Cath?
10ml
When providing any care to the gentile area:
touch the pts leg first and touch the gentile area
Where does a urinary catheter go in a female
,right below the clitoris
Elderly women
harder to find urethra
women with extra adipose
may be difficult to find so bring assistance to help with inserting urinary Cath
when inserting a Cath in a woman clean:
front to back
when insetting a Cath in men clean:
using the bullseye method
inserting a Cath in men
never leave foreskin pulled back(retracted)
Stat lock
Located inside upper thigh to keep Cath from sliding in and out and reducing friction
Red plastic on on stat lock:
Don't mess with it and don't break the seal
CAUTI
catheter associated urinary tract infection
#1 cause of CATI
Contamination during insertion
The longer a Cath. Is in
The increase of risk for infection
Condom Cath
Non-invasive Cath
Clean technique
Female Cath kit
Open and put on sterile gloves then pull blue tab long enough for insertion
Straight cath
, used to drain and obtain specimen
used for both male/ female
BPH
benign prostatic hyperplasia
When should men have a prostate exam
starting at age 50
African American men: 45
BPH diagnosis
digital rectal exam
urinary flow test
post void residual volume test
24hr voiding diary
BPH lab:
- prostate specific antigen (PSA) blood test
normal: less than 4.0 ng/ml
-Urinary analysis
BPH treatment
minimal invasive procedures:
Transurethral microwave heat treatment (TUMT)
Transurethral needle ablation (TUNA)
TURP:
benchmark procedure (most often seen; goes through urethra to open up and remove
excess tissues)
TUNA (Transurethral Radio frequency Needle Ablation of Prostate)
low level radio frequency is transmitted to the prostate via a transurethral needle
delivery system
the resultant heat causes localized necrosis (tissue death) of the prostate
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