external catheter indwelling precautions

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   Our user asked: "I would like to know how I can manage SCI patients with external catheter indwelling. They should take the catheter out?" 

Ask a PT Response: "After speaking with a colleague of mine who works in the rehab setting we both concluded that it should stay in place. You do not want to increase the risk for infection or increase the risk for autonomic dysreflexia (decrease HR, high BP, sweating, pass out, etc).  If you really need to remove the catheter because it is in the way of your treatment, it would definitely be a good idea to consult with the patient's doctor first."

Edited by Ask a PT - Jan 04 2012 at 4:49pm

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Ask a PT Members Profile Send Private Message Find Members Posts Add to Buddy List Senior Member Joined: Jul 07 2008 Status: Offline Points: 954	Post Options Post Reply Quote Ask a PT Report Post Thanks(0) Quote Reply Topic: external catheter indwelling precautions Posted: Aug 07 2009 at 8:03am
	Our user asked: "I would like to know how I can manage SCI patients with external catheter indwelling. They should take the catheter out?" Ask a PT Response: "After speaking with a colleague of mine who works in the rehab setting we both concluded that it should stay in place. You do not want to increase the risk for infection or increase the risk for autonomic dysreflexia (decrease HR, high BP, sweating, pass out, etc). If you really need to remove the catheter because it is in the way of your treatment, it would definitely be a good idea to consult with the patient's doctor first." Edited by Ask a PT - Jan 04 2012 at 4:49pm

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injyunPT Members Profile Send Private Message Find Members Posts Add to Buddy List Newbie Joined: Jan 02 2012 Status: Offline Points: 2	Post Options Post Reply Quote injyunPT Report Post Thanks(0) Quote Reply Posted: Jan 03 2012 at 12:28am
	Sorry, just had to correct your statement on AD. Autonomic Dysreflexia usually presents with increased BP and decreased HR/Bradycardia not the other way around. SCI above T6 level are prone to this, but can rarely occur in lower thoracic lesion presentations. And you should never place this patient in a supine position; SIT THEM UP!

Ask a PT Members Profile Send Private Message Find Members Posts Add to Buddy List Senior Member Joined: Jul 07 2008 Status: Offline Points: 954	Post Options Post Reply Quote Ask a PT Report Post Thanks(0) Quote Reply Posted: Jan 04 2012 at 4:51pm
	@InjyunPt - You are correct. Thanks for catching this.

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