tag:blogger.com,1999:blog-8005913307053669259.post3092524964734231700..comments2024-03-10T03:33:29.698-04:00Comments on Medicowesome: Urinary Catheterisation IkaN (Nakeya Dewaswala, M.D.)http://www.blogger.com/profile/03461017124502223040noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-8005913307053669259.post-71574151135535990652021-04-30T04:29:57.960-04:002021-04-30T04:29:57.960-04:001) its not just glans which is cleaned with povido...1) its not just glans which is cleaned with povidone ,its whole perineum ( though books say till mid thigh)<br />2) while holding the penis , hold in a c format ..dont hold the penis in a circle bcz corpora spongiosa containing the penile urethra is below (ventrally) and if we hold 360 degree the jelly wont go and come out <br />3) what to do if urine doesnt come out even after inserting it fully( aspirate with a 2 ml syringe ,only 2 ml.. if u use others ntg will come)<br />4) what if paraphimosis has happened ..mgt can be added<br />5) what if foleys isnt going further after 5-6 cm ? Stricture <br />6) what if foleys isnt gng further after 10-14 cm ...? Prostatic enlargement<br />7) "also read" ..sizes of foleys and color coding<br /> Types of foleys<br />Coaxial dilatation<br />Spc<br />8) jelly isnt put on palm ..its injected via 10 ml syringe<br />9) its not 5-10 ml normal saline its 10-30 ml (the volume is written over d catheter read and use) <br />10 its not ns its distilled water which is to be used bcz ns contains salt which can crystallise and then itll be difficult to remove<br />11 whats a three way foleys<br />12 where to fix the foleys ..in males its said to be in upward direction <br />In females it shud be fixed on thigh bcz upwards clitoris is there and the pipe will rub against it causing discomfort...<br /><br />7) Shivahttps://www.blogger.com/profile/15364899017930332873noreply@blogger.com