Catheterization - Step-by-Step Process

Video Explanation 

Step-by-Step Process of Catheterization

Catheterization is a medical procedure in which a catheter (a thin, flexible tube) is inserted into the body to drain urine from the bladder. It is commonly performed in patients who have urinary retention, surgery, or mobility issues.

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Step 1: Preparation

1. Gather Supplies:

   • Sterile catheter kit (catheter, gloves, antiseptic wipes, lubricating gel, collection bag, syringe for balloon inflation in Foley catheter).
   • Sterile drapes and a container for waste disposal.

2. Patient Preparation:

   • Explain the procedure to the patient to reduce anxiety.
   • Position the patient:
     • Males: Supine position with legs extended.
     • Females: Supine position with legs apart and knees bent.
   • Provide privacy and maintain sterility.

3. Hand Hygiene & Gloves:

   • Wash hands thoroughly and wear sterile gloves.

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Step 2: Cleaning & Lubrication

1. Clean the Genital Area:

   • Males: Retract the foreskin (if uncircumcised) and clean the glans penis in a circular motion.
   • Females: Spread the labia and clean the urethral opening from front to back.

2. Lubricate the Catheter:

   • Apply sterile lubricating gel to ease insertion and prevent trauma.

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Step 3: Catheter Insertion

1. Insert the Catheter Slowly:

   • Hold the catheter about 2 inches from the tip.
   • Gently insert into the urethral opening while asking the patient to take deep breaths to relax.
   • Advance the catheter until urine starts flowing.

2. Balloon Inflation (For Foley Catheter):

   • If using a Foley catheter, inflate the retention balloon with sterile water (as per catheter size instructions).
   • Gently pull the catheter slightly to ensure proper placement.

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Step 4: Securing the Catheter

1. Connect to the Drainage Bag:

   • Ensure the catheter is properly connected to the urine collection bag.

2. Secure the Catheter:

   • Tape the catheter to the thigh (for females) or abdomen (for males) to prevent movement and irritation.

3. Adjust the Drainage Bag:

   • Keep the bag below bladder level to prevent backflow and infection.

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Step 5: Post-Procedure Care

1. Monitor Urine Output:

   • Observe urine color, consistency, and quantity.

2. Ensure Hygiene & Comfort:

   • Provide patient education on catheter care.
   • Perform regular perineal hygiene.

3. Document the Procedure:

   • Note the time, type of catheter, urine output, and any complications.

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Catheter Removal (If Needed)

1. Deflate the Balloon (for Foley Catheter):
   • Use a syringe to withdraw the sterile water.
2. Gently Remove the Catheter:
   • Ask the patient to take deep breaths while slowly pulling it out.
3. Post-Removal Care:
   • Monitor for urinary retention or infection symptoms.

This step-by-step process ensures safe and effective catheterization while minimizing complications.

RENAL SYSTEM (Urinary System)

Renal system Video

Renal System (Urinary System) – Detailed Explanation

The renal system, also known as the urinary system, plays a vital role in maintaining homeostasis by filtering waste from the blood, regulating fluid and electrolyte balance, and maintaining blood pressure. It consists of several organs working together to produce and eliminate urine.

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Components of the Renal System

1. Kidneys

• The kidneys are two bean-shaped organs located on either side of the spine, just below the ribcage.
• Their main function is to filter blood, remove waste, and regulate water, electrolytes, and pH levels.
• Each kidney contains approximately one million nephrons, which are the functional units responsible for filtering blood and forming urine.

Structure of the Kidney

• Renal Cortex: The outer layer containing nephrons.
• Renal Medulla: Inner part with cone-shaped structures called renal pyramids.
• Renal Pelvis: A funnel-like structure that collects urine before it enters the ureter.

Functions of the Kidney

• Filtration: The glomerulus filters waste from blood.
• Reabsorption: Useful substances like glucose, amino acids, and water are reabsorbed.
• Secretion: Unwanted substances like hydrogen ions and drugs are secreted into the filtrate.
• Excretion: Urine is formed and transported to the bladder for removal.

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2. Ureters

• Two thin, muscular tubes (about 25–30 cm long) that transport urine from the kidneys to the bladder.
• Urine moves through peristaltic contractions of the ureter walls.

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3. Urinary Bladder

• A hollow, muscular organ that stores urine until it is expelled.
• The bladder can hold approximately 400-600 mL of urine before signaling the urge to urinate.
• The detrusor muscle in the bladder wall contracts to release urine.

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4. Urethra

• A tube that carries urine from the bladder out of the body.
• In males, it is longer (20 cm) and also carries semen; in females, it is shorter (4 cm) and carries only urine.
• The internal and external sphincters control urine flow.

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Urine Formation Process

The process of urine formation occurs in three main steps:

1. Glomerular Filtration:

   • Blood enters the nephron, and the glomerulus filters out waste, water, salts, and small molecules.

2. Tubular Reabsorption:

   • The nephron reabsorbs essential substances like glucose, water, and sodium back into the bloodstream.

3. Tubular Secretion:

   • Unwanted substances like hydrogen ions, ammonia, and drugs are added to the urine.

The final urine flows into the renal pelvis → ureters → bladder → urethra, where it is excreted.

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Functions of the Renal System

1. Excretion of Waste: Eliminates urea, creatinine, and toxins from the body.
2. Regulation of Water Balance: Prevents dehydration or excess water retention.
3. Electrolyte Balance: Maintains levels of sodium, potassium, calcium, etc.
4. Acid-Base Balance: Keeps blood pH within a normal range.
5. Blood Pressure Regulation: The kidneys release renin, which helps control blood pressure.
6. Red Blood Cell Production: Produces erythropoietin (EPO), a hormone that stimulates red blood cell formation.
7. Vitamin D Activation: Helps convert vitamin D into its active form for calcium absorption.

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Common Renal System Disorders

1. Kidney Stones – Hard deposits of minerals and salts causing severe pain.
2. Urinary Tract Infections (UTIs) – Bacterial infections affecting the urinary system.
3. Chronic Kidney Disease (CKD) – Gradual loss of kidney function.
4. Acute Kidney Injury (AKI) – Sudden decline in kidney function.
5. Polycystic Kidney Disease (PKD) – Genetic disorder causing fluid-filled cysts in the kidneys.

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Conclusion

The renal system is essential for filtering waste, regulating body fluids, and maintaining balance in the body. Any dysfunction can lead to severe health complications, so maintaining hydration, a balanced diet, and regular check-ups is important for kidney health.

VIDEO EXPLANATION