CATHETERIZATION
Definition
• Insertion of a catheter (thin tube) into
the body
• Commonly used to drain urine from
the bladder
Types of Catheterization
• Urinary Catheterization: Indwelling,
Intermittent, Suprapubic
• Vascular Catheterization
• Cardiac Catheterization
Indications for Urinary Catheterization
• Monitor urine output
• Relieve urinary retention
• Collect sterile urine sample
• Empty bladder pre/post surgery
• Manage incontinence (selectively)
• Bladder irrigation
• Measure post-void residual volume
Equipment Needed
• Sterile catheterization kit
• Catheter (12–16 Fr for adults)
• Sterile gloves & lubricant
• Antiseptic solution
• Sterile drainage bag
• Syringe (for Foley balloon)
• Waste disposal items
Aseptic Technique Principles
• Hand hygiene
• Use of sterile gloves and equipment
• Maintain sterile field
• Clean perineal area thoroughly
• Avoid contamination
Female Catheterization Procedure
• Explain procedure & obtain consent
• Dorsal recumbent position
• Clean labia front to back
• Insert lubricated catheter
• Inflate balloon if Foley
• Connect to drainage bag
• Document
Male Catheterization Procedure
• Explain & get consent
• Supine position
• Retract foreskin, clean glans
• Insert lubricated catheter
• Inflate balloon
• Return foreskin
• Connect bag & document
Complications
• Urinary tract infection (UTI)
• Urethral injury
• Hematuria
• Bladder spasms
• Catheter blockage
• False passage
• Paraphimosis
Nursing Responsibilities
• Before Insertion: Confirm order, explain,
assess allergies
• During: Aseptic technique, monitor
patient
• After: Secure catheter, monitor output,
catheter care
Catheter Removal
• Deflate balloon completely
• Gently remove catheter
• Monitor first void post-removal
• Report retention or complications
Documentation
• Catheter type & size
• Time of insertion/removal
• Urine output and characteristics
• Patient response
• Any complications
Patient Education
• Hygiene & fluid intake
• Infection signs (fever, odor, pain)
• Catheter care at home
• When to seek help
Conclusion
• Catheterization is a vital nursing skill
• Requires strict aseptic technique
• Accurate monitoring, documentation,
and education are key