CAUTION: Improper or incompetent catheterization technique could result in stylet perforation of the urethra or bladder.
APPARATUS NEEDED:- BPC-4L Bladder Pressure Catheter
- FC-10D Filling Catheter
- Catheterization Tray
- 10cc Syringe
- Sterile H2O
- 1" Paper Tape
CAUTION:
Patients with known neuropathy - particularly upper spinal lesions - observe constantly and carefully for autonomic dysreflexia. If the patient exhibits any signs of this condition, immediately discontinue the procedure and drain the bladder.
Patients with known or suspected urinary tract infection should not have this test while infection is present. The rationale for excluding these patients is two-fold. First, if infection is present in the bladder, bladder infusion could facilitate the movement of bacteria further up the urinary tract, spreading the infection. Second, the relevance of data obtained from a test on an infected bladder (inflamed and irritated) would be questionable.
PATIENT INSTRUCTION AND PREPARATION:
1. Explain the procedure to the patient.
2. Have the patient void before getting on the table (preferably obtaining a flow rate). Place the patient in the lithotomy position.
3. Drape and prepare the patient for catheterization.
4. Remove the BPC-4L Bladder Pressure Catheter and the FC-10D Pilling Catheter from the packaging and adjust the ball tip of the stylet to expose approximately 2cm of styles
5. Insert the exposed styles into the eye of the FC-10D Filling Catheter. (CAUTION: Do not insert BPC-4L into the FC-10D. Insert only the stylet.)
6. With only the stylet inserted into the catheter tip, and holding the two catheters together, carefully catheterize the patient.
7. Holding the Bladder Pressure Catheter Luer Connector, advance the stylet approximately 1cm effecting a withdrawal of the Bladder Pressure Catheter from the eye of the Filling Catheter.
8. Withdraw the stylet 3cm, disengaging the Bladder Pressure Catheter from the Filling Catheter.
9. Holding the exposed end of the stylet, advance approximately 16cm of the Bladder Pressure Catheter into the bladder by sliding the catheter off the stylet. Then, remove the stylet by sliding it from the Bladder Pressure Catheter.
10. Drain the bladder with the Filling Catheter, and advance the catheter as much as possible into the bladder.
11. Measure and record any residual urine. The urine should be checked for U.T.I if a previous urinalysis has not been performed.
12. Forcefully inject 10cc of sterile H2O through the Bladder Pressure Catheter to clear all ports of lubricant.
13. Cap the Luer Connector of the Bladder Pressure Catheter.
14. Cap the Luer Connector of the Filling Catheter.
15. Female: Tape the BPC-4L Bladder Pressure Catheter to the suprapubic area.
Male: Tape the BPC-4L Bladder Pressure Catheter above and onto penis. Wrap tape at least 1 1/2 times around penis (so tape sticks to tape).
16. Female: Tape the FC-10D Filling Catheter loosely to the suprapubic area.
Male: Tape the FC-10D Filling Catheter loosely to the penis.
