Removing a Foley catheter (DC Foley) aims to restore normal bladder function and prevent catheter-associated urinary tract infections (CAUTIs). The decision to remove the catheter should be based on the patient’s clinical status and response to treatment. For instance, if a patient on Lasix 40mg IVP BID shows improved diuresis and has no contraindications, removal becomes a priority.
Assessing Readiness for Catheter Removal
Before removal, assess several factors: Adequate urine output, absence of urinary retention (confirmed by bladder scan), stable hemodynamics, and the patient’s ability to void normally. Proper patient education on post-removal expectations is crucial, including signs of infection (fever, chills, cloudy urine) and urinary retention (bladder distension, discomfort). Document these assessments meticulously in the patient’s chart.
Procedure for Catheter Removal
Aseptic technique is paramount. Before removal, ensure proper hand hygiene. Gently deflate the balloon using a syringe, and slowly withdraw the catheter while maintaining sterile conditions. After removal, monitor urine output closely, checking for signs of retention and infection. Depending on hospital policy, a post-void residual (PVR) measurement may be necessary. Encourage patients to increase fluid intake to aid bladder function and prevent dehydration. Any complications must be reported immediately.
Post-Removal Care and Follow-up
Frequent monitoring of urine output is critical. Provide thorough patient education regarding signs and symptoms of infection and retention. Schedule follow-up appointments as needed, to assess bladder function and address any concerns. If significant issues arise–such as retention, recurrent infections, or continued Lasix dependence–prompt medical attention is necessary.
