difficult inserting foley

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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????:nurse:

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Specializes in Travel Nursing, ICU, tele, etc.

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!!:confused:

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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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Specializes in Hospital Education Coordinator.

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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Specializes in med/surg/tele/neuro/rehab/corrections.

MickeyMouse pls post back to let us know the outcome :)

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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 lady parts. It was a nightmare.

~ BlueBug

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Specializes in pcu/stepdown/telemetry.

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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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 lady partsl 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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