Childr Health Information

Catheterization: Home Intermittent (Girl)

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Topic: Tests & Procedures


This handout was written to answer some of the questions most often asked about intermittent catheterization. Feel free to ask your doctor or nurse to go over any information you do not understand.

WHAT IS INTERMITTENT CATHETERIZATION?
It is the process of draining the bladder of urine at regular times using a catheter (small tube):
1. To drain the bladder of urine.
2. To prevent leakage and dribbling of urine.
3. To prevent repeated bladder and kidney infections. (Infections may cause permanent kidney damage.)
4. To prevent reflux (backflow) of urine from the bladder to the kidneys (reflux can also cause permanent kidney damage.)

WHEN SHOULD I DO THE CATHETERIZATIONS?
The schedule is usually four times a day or every four hours, while awake. Your schedule is as follows:
____________________ ____________________ ____________________
____________________ ____________________ ____________________
At school you will need to catheterize:
_______________________________ _______________________________
Note: Do not stop catheterization even if you think it is not working and your child is leaking urine between catheterizations. Sometimes medication is needed to help your child stay dry longer. Please inform your doctor.

WHAT EQUIPMENT WILL I NEED FOR INTERMITTENT CATHETERIZATION?
1. Catheter _______________________________________________
2. Solution to clean genital area ______________________________
3. Cotton balls or towelettes _________________________________
4. Water soluble lubricant ___________________________________
5. Container to put urine in.
6. Chart for recording (see sample)

HOW SHOULD I CLEAN AND CATHETERIZE MYSELF?
1. Gather equipment
2. Wash hands with soap and water.
3. Open equipment; lubricate catheter tip with water-soluble lubricant.
4. Spread legs apart (if able).
5. Spread the inner lip apart with one hand. Dip a cotton ball in the cleaning solution and use your other hand to start from the front and wipe down to the back on each side and the middle. Use new cotton ball dipped in cleaning solution on each side until you get it clean.

YOU ARE NOW READY TO INSERT THE CATHETER
1. Spread inner lips apart and place a finger on the clitoris. (See picture)
2. With the catheter in the other hand and holding upward work down from the clitoris to the urethra. The catheter will ease itself into the first opening, the urethra.
3. Insert the catheter gently into the urethra until urine starts to flow (1/2 inch).
4. Let the urine drain into the ______________________________.
5. When urine stops flowing, gently remove the catheter.
6. Wipe genital area clean.
7. Clean catheter. (See below)
8. Wash hands with soap and water and put supplies away.
9. Measure the amount of urine and record on a chart.

HOW SHOULD I CLEAN MY CATHETERS?
1. Wash catheters with warm soap and water.
2. Dry well with a clean paper or cloth towel.
3. Store the catheter in anything clean and dry. Plastic food bags are useful because a clean one could be used every day.
4. Every few days you may flush the catheter inside and out with a full strength distilled white vinegar to decrease crystal build up.
5. Catheters can be reused until they are too limp or too brittle to handle. Note: In the hospital (as an inpatient), a new catheter will be used each time the catheterization is done. Keep the used catheters and take them home. Clean the tubes before using. (If the nurse does the catheterization, she will wear gloves. This is for your child’s protection.)

WHY SHOULD I KEEP A RECORD?
1. The record helps your urologist, (doctor that takes care of the kidneys) or thenurse decide if the intermittent catheterization is working. Be sure to keep good records.
2. Bring the record with you when you come to the clinic.

WHAT ARE SOME SIGNS OF INFECTION?
1. Fever
2. Chills
3. Back pain
4. Stomach aches
5. Dark colored, bloody or cloudy urine
6. Foul smelling urine
7. Need to urinate more often
8. Not staying dry in between catheterizations. (Remember this may happen even if you do not have an infection.)
The only way we can tell if there is an infection, is by testing the urine. The test results take two to three days.

WHAT SHOULD I DO IF I HAVE ANY OF THESE SIGNS?
1. Contact: ____________________________________________
2. You may be instructed to bring in a catheterized specimen (sample) to the clinic or lab.
3. If you are taking an antibiotic, report the name of the antibiotic to the lab or clinic.
4. Make sure you use a new catheter and put the urine in a sterile (clean) container.
5. Collect the specimen right before you come into the clinic.

PDF: Child Health Information - CATHETERIZATION: HOME INTERMITTENT (GIRL)

Derechos de autor(c) de The Children's Medical Center, ano 1999. Este material unicamente tiene fines educativos. No puede ser reproducido, distribuido ni modificado sin previa autorizacion de The Children's Medical Center of Dayton, One Children's Plaza, Dayton, Ohio, 45404-1815. Llame al 937-641-3666 para solicitar autorizacion o para obtener un juego maestro para copias. Para obtener mas informacion puede visitar www.childrensdayton.org (consulte la seccion de informacion legal).

La informacion contenida en este material es unicamente informacion de tipo general. No debe considerarse como completa. Para obtener mas informacion acerca de los complementos para leche materna, por favor pidala a su doctor.
Corregido: 1992, 1994, 2000, 2002

The information contained in this handout is for general information only and should not be considered complete. For specific information about bathing your baby, please ask your doctor or nurse practitioner.

Additional information may be located in the Family Resource Center, 2nd floor, near the Outpatient Surgery Center. Hours of the center vary; please contact the Family Resource Center at 937-641-3700.

Copyright(c) The Children's Medical Center of Dayton. This material is for educational purposes only. It cannot be reproduced or distributed without permission from Dayton Children's.
Revised: 1992, 1994, 2000, 2002

 

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