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difficult inserting foley



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Oct 21, 2008 04:08 PM

difficult inserting foley


I tried and tried, until I ran out of catheters to insert a foley into a female client. I had no trouble finding the meatus, however the tubing would not advance very far, I could feel the tubing above her pubic bone, so I put my hand on top of the pubic bone and the tube would go to the left or right. I tried tilting her pelvic upwards... I ran out of ideas and options. Any suggestions or ideas????


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7 Comments
No. 1
from deeDawntee
Old Oct 21, 2008, 04:28 PM

Default Re: difficult inserting foley
Wow, that is very strange. I don't have any suggestions for you, except that I would suspect that your pt just had some strange anatomical anomaly. What did you end up doing? It almost sounds like one would need a Urology consult for that one. The only other possibility is to use a smaller gage catheter?

I stumped!!
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No. 2
Old Oct 21, 2008, 04:44 PM

Default Re: difficult inserting foley
I work in a specialized home for mentally challanged, and she has down syndrome, however, I have never ran into this problem before with others with down syndrome. I am currently looking up any abnomilities in this area with down syndrome. I will try again tomorrow, if not I will have to call in her Doctor, who will probably call in someone else and then who knows.
It is a strange one.
Just had a thought, I will post this message on the specialty site for the Developmentally Delayed site.
Thanks
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No. 3
Old Oct 23, 2008, 06:29 PM

Default Re: difficult inserting foley
This needs to be reported to the MD as there may be an anatomy issue. No need to put the patient (and nurse!) thru that trauma again.
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No. 4
from Faeriewand
Old Oct 25, 2008, 12:21 AM

Default Re: difficult inserting foley
MickeyMouse pls post back to let us know the outcome
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No. 5
from BlueBug
Old Nov 16, 2008, 03:31 PM

Default Re: difficult inserting foley
Let us know what happened...

When I was a student we ran into an elderly lady who had 2 meatus, and unfortunatly the first one was just a blind pouch to no where. The 2nd one was located further up and on the anterior wall of her vagina. It was a nightmare.

~ BlueBug
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No. 6
Old Mar 09, 2009, 02:34 PM

Default Re: difficult inserting foley
I used to work in a home for mentally retarded, cerebral palsy, down's. I can tell you that there are rare anomolies such as a pt having 2 uteruses. you may need to have the MD or urology do it
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No. 7
from raemon
Old Apr 10, 2009, 08:52 AM

Default Re: difficult inserting foley
when im in college i had a former classmate who got pregnant and eventually when she delivered her baby we found out that she got 2 vaginal canal which are tight, not enought for the baby to pass by,, so the option is to do cs...

how fortunate was the guy with her... ehehe
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