Acute Care/Inpatient Rehab - external catheter indwelling precautions

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external catheter indwelling precautions

Printed From: CyberPT - Your Online Physical Therapy Resource
Category: Specialty Forum for PTs/Healthcare Professionals
Forum Name: Acute Care/Inpatient Rehab
Forum Description: Discussion on Acute Care/Inpatient Rehab
URL: http://www.cyberpt.com/ptforum/forum_posts.asp?TID=453
Printed Date: Nov 21 2024 at 10:31am
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Topic: external catheter indwelling precautions

Posted By: Ask a PT
Subject: external catheter indwelling precautions
Date 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."

Replies:

Posted By: injyunPT
Date 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!

Posted By: Ask a PT
Date Posted: Jan 04 2012 at 4:51pm

@InjyunPt - You are correct. Thanks for catching this.