The provided context describes the placement of a Foley catheter, which is connected to a urine bag. Here's how a Foley catheter is generally inserted into a female, resulting in urine collection in the attached bag:
Foley Catheter Insertion in a Female
The insertion of a Foley catheter is a sterile medical procedure that should only be performed by trained healthcare professionals. The following steps are a general overview and should not be used as a guide for self-catheterization or for procedures by untrained individuals.
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Preparation: Gather necessary sterile supplies including the Foley catheter, sterile gloves, lubricant, antiseptic solution (e.g., betadine), sterile drapes, syringe with sterile water (for balloon inflation), and a urine collection bag.
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Patient Positioning: The patient should be positioned comfortably on her back with her knees bent and legs spread (dorsal lithotomy position).
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Sterile Field: Create a sterile field around the patient's perineal area using sterile drapes.
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Cleansing: Thoroughly cleanse the perineal area with antiseptic solution using sterile technique. This typically involves wiping from front to back.
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Catheter Insertion:
- Lubricate the tip of the Foley catheter with sterile lubricant.
- Gently separate the labia to visualize the urethral meatus.
- Slowly and carefully insert the catheter into the urethral meatus.
- Advance the catheter 2.5 to 5 cm further after urine begins to flow.
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Balloon Inflation: Inflate the balloon at the tip of the catheter with the appropriate amount of sterile water, as indicated on the catheter packaging. This secures the catheter in place within the bladder.
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Catheter Securing: Gently pull back on the catheter until resistance is felt, confirming that the balloon is properly seated against the bladder neck.
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Connect Urine Bag: Connect the urine collection bag to the end of the Foley catheter. Ensure the bag is positioned below the level of the bladder to facilitate drainage. Secure the catheter tubing to the patient's thigh to prevent accidental pulling.
Important Considerations:
- Sterility: Maintaining sterile technique throughout the procedure is crucial to prevent urinary tract infections (UTIs).
- Patient Comfort: Open communication with the patient is important to ensure comfort and minimize anxiety.
- Potential Complications: Potential complications include UTI, urethral trauma, and bladder spasms.
- Professional Training: This procedure requires proper training and expertise.
