Removing Foley. Inhale or exhale?

[Woman_in_love]

Hi nurses!

I always forget/get confused what to tell patient when i remove Foley-to deep inhale or exhale when i pull it out, so that patient will experience less discomfort.

So what is right thing to tell?

Thanks a lot

[MIKelly]

Hi nurses!

I always forget/get confused what to tell patient when i remove Foley-to deep inhale or exhale when i pull it out, so that patient will experience less discomfort.

So what is right thing to tell?

Thanks a lot

I'm going to say inhale. That's what I was told to do when I got my navel pierced

[CritterLover, BSN, RN]

to have them relax, tell them to take a big deep in and blow it out. then remove the foley while they are at the end of their exhale.

try it -- inhaling tends to make you tense, while exhaling relaxes your muscles.

(i do the same thing when i am starting ivs, especially if the pt has many valves. i have them take in a deep breath, and then stick as they are exhaling.)

[Woman_in_love]

Thanks a lot:)

[MIKelly]

The urethra isn't a muscle, is it? So it doesn't matter if you are "relaxing" while it's removed, does it?

[Tweety, BSN, RN]

Both. I usually have them take a deep inhalation because that triggers relaxation and gives them something to do, but I don't have them hold it.

[CritterLover, BSN, RN]

the urethra isn't a muscle, is it? so it doesn't matter if you are "relaxing" while it's removed, does it?

no, the urethra isn't a muscle, but the bladder sphincter is. (it is the muscle that you tense when you have to "go" but need to "hold it.") so yes, relaxing will help some (though the really important thing is not tensing up.)

[sirI, MSN, APRN, NP]

Well, actually........

The female urethra contains 2 layers of smooth muscle--the inner longitudinal layer and the outer circular-oblique layer. The inner longitudinal smooth muscle layer is thicker and continues from the bladder neck to the external meatus. The outer circular-oblique smooth muscle layer encases the longitudinal fibers throughout the length of the urethra.

The female bladder neck functions as an internal sphincter, but it possesses little adrenergic innervation and has limited sphincteric action. The striated urethral sphincter is composed of slow- (type I) and fast-twitch (type II) muscle fibers that form a complete ring around the proximal urethra. The striated urethral sphincter receives dual somatic innervation from the pudendal and pelvic somatic nerves to provide a normal resting urethral closure pressure.

Little sympathetic innervation is found in the female urethra, but parasympathetic cholinergic fibers are found throughout the smooth muscle fibers. Activation of the parasympathetic fibers causes the inner longitudinal smooth muscle of the urethra to contract synchronously with the detrusor. Contraction of the longitudinal fibers shortens and widens the urethra to allow normal urination.

http://www.emedicine.com/med/topic2877.htm

[mnwhaley]

We were taught in school to tell them to take a deep breath.

[Otessa, BSN, RN]

inhale is not relaxing(try it)

exhaling is relaxing(try it)

I always tell my patients to inhale and then exhale and I pull it out on exhale.......

[snowfreeze, BSN, RN]

My urethra dosen't breath, I chat with my patients. I tell them that it might feel like a bit of pressure coming out but most people dont complain as I am pulling it out. Most patients don't even realize it is out. Distraction chat works better for me than the concentrate on inhale, exhale etc.

[Otessa, BSN, RN]

My urethra dosen't breath

your lungs do @@

your lady parts doesn't breathe either but they ask you to inhale and exhale to relax........