Listen Focus. There are different types of urinary catheters: A Foley catheter enters your child's bladder through the tube that carries urine out of the body the urethra.
A suprapubic catheter enters your child's bladder through a cut in the belly. You care for both these catheters the same way.
Helping your child. How to care for the catheter Try to get your child to drink at least six to eight glasses of liquid every day. Wash your hands with soap and water before and after you touch the catheter or urine. Check the catheter tubing every hour for leaks, loops or kinks. Keep your child's catheter taped firmly in place. Your child's nurse will show you how to do this before you leave the hospital. Never try to take the catheter out or put it back in by yourself.
Always keep the catheter drainage bag lower than your child's bladder. Empty the catheter drainage bag at least two times each day. Clean your child's skin around the catheter every day. Use a clean tissue and povidone-iodine solution such as Betadine. If Betadine is not available, you can use soap and water. Let the Betadine dry for one minute.
Then wipe it away with water. Give your child all medicine exactly as prescribed by your child's doctor. Irrigate your child's catheter as directed by your child's doctor. Your child's catheter needs to be irrigated From time to time, your child's catheter needs to be irrigated rinsed.
Parents and older children can learn how to irrigate the catheter at home. Your child's catheter may need to be irrigated for one or more of these reasons: if your child has bladder spasms if urine stops draining from the catheter if there is mucus in the urine Some children need their catheter irrigated often and at set times.
Use this space to write down when to irrigate your child's catheter: A nurse will teach you how to irrigate your child's catheter Before your child goes home from the hospital, the nurse will teach you how to irrigate the catheter. You will need special supplies You will need these supplies each time you irrigate your child's catheter: an alcohol swab a special salt water mixture called normal saline solution a 60 mL syringe with a tapered end a paper towel or other clean towel Before your child goes home, the discharge planner will help you get these supplies.
To irrigate the catheter, follow these steps:. When to seek medical attention. Catheter problems that need a doctor or nurse There are some catheter problems that you cannot take care of by yourself. These problems need a doctor or nurse: If the catheter comes out, do not try to put it back by yourself. Instead, go to the emergency department at the hospital right away.
Normally, there should be a slow, steady flow of urine through the catheter. If there is much less urine than usual, call your child's surgeon or the urology resident on call in the hospital. If you notice a change in the colour of your child's urine, call your child's surgeon or the urology resident on call. If your child gets a fever or chills, call the urology resident on call. Important phone numbers Your child's surgeon: Urology resident on call: When to call the hospital If the flow of urine slows down or stops; if you notice a change in the colour of your child's urine; or if your child has a fever or chills, you should see the doctor.
At SickKids. At SickKids Supporting your child When preparing your child for an operation, the urology team recommends that whenever possible, your child and family members attend the Pre-Admission Program offered at SickKids. Tap the syringe to remove any air bubbles. Remove the syringe from the saline bottle and hold it vertically.
Then, tap on the barrel with your knuckles to loosen any air bubbles. Place the syringe back into the bottle, then carefully push the plunger to get rid of the trapped air.
Cover the syringe and set it to the side. To make sure it stays sterile, place the tip cover included with your syringe onto the catheter tip. If a cover was not included, place the syringe back into its sterile packaging. Set it aside for later use. Part 2. Clean your hands a second time. For safety, you should wash your hands again even if you already did so while preparing the syringe. Wash your hands with soap and warm water, scrubbing well for at least 15 seconds.
Dry them with a clean paper towel when finished. Place towels and a pan under the catheter. To absorb excess liquid and urine, place several towels beneath the connection site joining the catheter to the drainage tubing.
Then, position a pan beneath the open end of the catheter connection. This basin will collect urine and other fluids that escape the catheter as you irrigate it. Clean the catheter. Scrub the connection site between the catheter and drainage tubing with an alcohol pad, cleaning the area for 15 to 30 seconds before continuing. Allow the area to air dry on its own. Do not dry it with towels, and do not attempt to speed up the drying process by blowing on the area with your breath or a fan.
Separate the catheter from the drainage tubing. Gently twist the catheter off the drainage tubing to disconnect the two pieces. Place the end of the drainage tubing on a clean towel. Position the catheter over the collection basin you just prepared, but do not let the open end of the catheter actually touch the basin.
Remove excess urine from the catheter using an empty syringe. Place a sterile, empty syringe into the open end of the catheter that's over the basin. Gently pull the plunger back to check for excess urine. If you draw urine into the syringe, continue pulling to remove the urine currently inside the catheter. Remove as much urine as possible before continuing. Try to suction out any sediment or clots as you do this. Have the person wearing the catheter to sit in an upright position so more urine comes out.
Dispose of urine in a toilet or other clean, sterile waste container. Switch to the saline syringe. Remove the empty syringe from the catheter and dispose of it. Then, grab the syringe filled with saline solution and, if necessary, remove the cap. Insert the saline-filled syringe into the catheter opening and twist the syringe until the connection feels secure. To keep it sterile, remember to avoid touching the end of the syringe.
Push the saline into the catheter. Push the plunger down to insert all of the saline into the catheter. Stop if you feel any resistance. When finished, pull back on the syringe plunger to remove as much of the saline solution as you can. If you encounter resistance, stop and call a doctor for help, as they may need to change the catheter or use a different technique to irrigate it.
Clean the catheter connection site and drainage tubing. Scrub both the catheter connection site and drainage tubing with an alcohol wipe for about 15 seconds.
Let them dry on their own, and do not attempt to speed up the process by drying them with towels or blowing on them with your mouth or a fan.
Make sure to remove the drainage tubing cap before cleaning it. Remove the syringe and reinsert the tubing. To remove the syringe, pinch the end of the catheter while untwisting the syringe from the catheter cap. Then, insert the tubing back into the catheter. When everything is secure, discard the used syringe. Wash your hands one more time.
For safety, wash your hands with soap and warm water for 15 seconds, then dry them with paper towels. Though this may seem like overkill, it will protect you from any bacteria from the catheter and urine. Make sure the urine is flowing properly. After irrigation, urine should flow from the catheter with ease.
If urine has not started flowing after 15 minutes, repeat the flushing process. If the problem persists, call your doctor. Jurdy Dugdale, RN. If it's a permanent catheter, it may need to be flushed once every few weeks. Some catheters only need to be flushed if the urine becomes cloudy or develops a bad smell. Not Helpful 3 Helpful Robert Dhir, MD. First, detach the drainage bag and tubing from the actual catheter.
Attach a 60cc catheter-tipped syringe "Toomey syringe" to the catheter and pull back to see if you can suction out sediment or clots.
Next, fill the bladder slowly with 60cc of sterile water or normal saline via the syringe. Pull back on the syringe and all or most of the fluid should be drained. If the catheter does not irrigate properly, seek medical attention immediately. Not Helpful 0 Helpful 7. Include your email address to get a message when this question is answered. Do not attempt to force saline into the catheter if it resists. Helpful 0 Not Helpful 0.
If you are unable to irrigate the catheter, call your doctor for help. Related wikiHows How to. How to. Expert Interview. More References 6.
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