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Discussion

Coude

Good Morning. Just a quick question.

is it EVER ok to use a coude cath on a female PT? Why or why not? Is there any benefit in a difficult angle or placement of the urethral opening?

Thanks.

BaldyRN

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    • Featured Replies

    I have never seen or heard of using one in a female pt. If you have a female that is that difficult to get a foley in it is time to get urology involved

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    I agree call urology. Even for males the thought of using a coude makes me shutter. O_o

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    • Experts

    The Coude has no real indication for a female unless there is an obstruction like a tumor. Try placing the patient on an upside down bedpan and backwards (narrow towards the head) this will angle the pelvis better for you. Have the patient cough after a liberal application of cleaner/betadine and the meatus will "wink" at you

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    I don't remember the circumstance, but the one and only time I've seen a coude cath used on a female was during my L&D rotation during nursing school.

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    I have! The angle helps when you have a urethra hidden in a lady parts. Put patient on and upside down bedpan betadine everything, slide in coude bend pointing upwards and cath slides right in.

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    • Experts
    I have! The angle helps when you have a urethra hidden in a lady parts. Put patient on and upside down bedpan betadine everything, slide in coude bend pointing upwards and cath slides right in.
    I agree. I've used the coude on 90+ year-old little old ladies whose urethras are hidden in a hot mess of droopy lady partsl rugae, and the upward angle of the tip made it in easily.
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    I agree. I've used the coude on 90+ year-old little old ladies whose urethras are hidden in a hot mess of droopy lady partsl rugae, and the upward angle of the tip made it in easily.

    This made me spew coffee all over my computer screen.

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    I've had female patients who are chronically cath'd who use coude tips.

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    • Author

    Thank you all for your responses!

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