CASE STUDY: PATIENT on URINARY CATHETER

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BY SITI HALEEDA BINTI AB HALIM (MEJ 110025) NURUL ADILAH BINTI YUSOP (MEJ 110018)
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What is CBD?
CBD: Continuous Bladder Drainage Urinary catheter: is any tube system placed in the body to drain and collect urine from the bladder

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Indication

Intermittent Catheter. An intermittent catheter is used to drain the bladder for short periods (5-10 minutes). It may be inserted by the patient. Retention/Indwelling Catheter. This type of catheter is placed into the bladder and secured there for a period of time. It is used following 5/21/12 surgery, bladder injury, or in

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Foley catheter..
commonly used indwelling catheter A drainage tube and collection device are connected to the catheter. It has a balloon at the distal end, which is inflated with sterile water or saline to prevent the catheter from slipping out of the bladder

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Supra Pubic Catheter..

This type of catheter is inserted into the bladder through a small incision above the pubic area. It is used for continuous drainage

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Urinary catheter sizes..

French scale (Fr.) is used to denote the size of catheters Number 8 Fr. to 10 Fr. = children. Number 14 Fr. to 16 Fr. = female adults. Number 20 Fr. to 22 Fr. = male adults.

A larger sized catheter for a male 5/21/12stiffer, easy to push the distance R:

About patient

Name : Lam Wai Age/gender : 83/Male Status : Married Reason of admission: cataract and low level of consciousness : Urosepsis, Hypertension, recurrent cerebrovascular accident (CVA), ischeamic Heart Disease (IHD), Atrial Fibrillation (AF)

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Why on CBD?
Urinary incontinence (inability to control urination) Cerebrovascular accident disease (CVA) level of consciousness Bed ridden

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Nursing Process

# Diagnosis
INFO
Urinary catheter is changed once in 2 weeks.
(PPUM protocol)

* Objective

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#Risk for urinary tract infection(UTI) r/t improper urine care of urinary Click to edit Master subtitle style catheter/indwelling catheter

* No sign and symptom of UTI present(fever, lession,redness)

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Nursing intervention.

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#Risk of catheter blockage r/t unsuitable catheter size/balloon size.

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*to avoid catheter tube blocked by blood or sediment *to ensure the catheter remain patent.

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Nursing intervention

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#discomfort feeling r/t insertion of catheter into Click to edit Master subtitle style the penis>external sphincter>urinary bladder

*to minimize painful or discomfort feeling of the patient.

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Nursing intervention

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