What is an Indwelling Catheter?
An indwelling catheter, also known as a Foley catheter, is a flexible tube that is inserted into the bladder to drain urine. It remains in place for an extended period and is secured by a small balloon inflated with sterile water.
Urinary retention due to obstruction
Postoperative care
Severe immobility
Chronic urinary incontinence
Palliative care
Hand hygiene and use of sterile gloves
Cleaning the urethral opening with an antiseptic solution
Lubricating the catheter
Gently inserting the catheter into the urethra until urine flows
Inflating the balloon to secure the catheter
Connecting the catheter to a drainage bag
Complications of Indwelling Catheters
While indwelling catheters are crucial in many clinical settings, they can lead to complications such as:Preventing Catheter-Associated Infections
To minimize the risk of infections, it is essential to follow stringent infection control practices: Strict adherence to aseptic techniques during insertion and care
Regular cleaning of the catheter and surrounding area
Maintaining a closed drainage system
Ensuring adequate hydration
Monitoring for signs of infection
Care and Maintenance of Indwelling Catheters
Proper care and maintenance are crucial for the effectiveness and safety of indwelling catheters: Keep the drainage bag below the level of the bladder
Empty the drainage bag regularly
Avoid kinks in the catheter
Encourage mobility if possible
Monitor urine output and characteristics
Patient Education
Educating patients and their caregivers about catheter care is vital for preventing complications: Teach proper hygiene practices
Instruct on recognizing signs of infection
Advise on fluid intake
Provide information on catheter maintenance
When to Remove an Indwelling Catheter
Indwelling catheters should be removed as soon as they are no longer medically necessary to reduce the risk of complications. Removal involves deflating the balloon and gently withdrawing the catheter.Conclusion
Indwelling catheters play a vital role in managing urinary functions in various clinical situations. However, their use comes with risks that can be mitigated through proper techniques, strict infection control, and patient education. Nurses are pivotal in ensuring the safe and effective management of indwelling catheters, contributing to better patient outcomes.
