Page 279 - Clinical Managers Orientation Binder
P. 279

4/11/2019










                                               Considerations



                              Home care situations can exist where
                              patient’s incontinence cannot be
                              managed by caregiver
                              Catheter size should be the smallest size
                              to provide adequate drainage of urine
                              Catheter size is measured in French (1
                              French = 1/3 of 1 mm).
                              Adult catheters are usually 14 - 18   Specific orders are required for
                              French but range from 12f (small) to 48f   specialty catheters (e.g.,
                              (large).                          silicone or silver- coated) as
                              Larger size catheters can distend the of   well as:
                              urethra, which can lead to erosion and
                              stricture formation.
                                                                • Size of catheter (smallest
                                                                  best)
                              Balloon size should be 5 mL -10 ml.   • Balloon size
                              Larger balloons increase pressure on   • Frequency of change
                              internal sphincter, causing dysfunction.


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                              Equipment









                                                                • Sterile Foley Catheter
                                                                  Insertion Kit
                                                                • Foley Catheter with lumen
                                                                  and balloon size as per MD
                                                                  orders
                                                                • Foley drainage Bag
                                                                • 10cc syringe (if patient has
                                                                  indwelling foley to remove)






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