Skilled nurse assess patient for S/S of com
plication related to diagnostic.
Instructed caregiver about your Foley catheter daily Care: Keep the skin and catheter
clean. Clean the skin around your catheter at least once each day. Clean the skin area and
catheter after every bowel m
ovem
ent. Call the patient M
D if: you cannot get the catheter to
drain urine into the bag, the catheter com
es out or it is leaking, the urine is thick and
cloudy. Your urine has m
ucus, red specks, or blood in it. Urine with blood in it m
ay appear
pink or red. the urine has a strong (bad) sm
ell, No urine has drained from
the catheter in 6 to
8 hours, have pain
or burning in your urethra, bladder, abdom
en, or lower back, have shaking
chills or your tem
perature is over 101° F (38.3° C).
Patient with biliary catheter SN instructed patient when to call the doctor or go to em
ergency: Active bleeding at the drain site that does not stop after you put finger, pressure on it, m
ore pain
or swelling at or around the drain site, your tem
perature is greater than 101 degrees fahrenheit, with or without chills
Instructed patient a secure, clean and intact dressing is essential to prevent catheter m
igration and infection. Never pull on the catheter. Protect the lum
en so they do not inadvertently get caught or tugged on. Call your nurse right away if you have any of the following: Pain
in your shoulder, chest, back, arm
, or leg, fever of 100.4°F or higher, chills.
Instructed patient call your nurse right away if you have any of the following: Signs of infection at the catheter site (pain
, redness, drainage, burning, or stinging) Coughing, wheezing, or shortness of breath, a racing or irregular heartbeat. Call your nurse right away if you have any of the following: M
uscle stiffness or trouble m
oving, gurgling noises com
ing from
the catheter, the catheter falls out, breaks, cracks, leaks, or has other dam
age.