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Old 11-06-2012
tyagee's Avatar
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Question Foley catheter question

A 69-year-old man is admitted to the cardiac intensive care unit
with an exacerbation of heart failure.
Notable clinical findings include elevated central venous
pressure, an S3, pulmonary crackles, and pedal edema.
Intravenous furosemide and lisinopril are initiated, and a urinary
catheter is placed to measure urine output.
In addition to meticulous hand hygiene, which of thefollowing measures is most effective in preventing a
catheter-associated urinary tract infection?
(A) Antibiotic prophylaxis
(B) Changing the urinary catheter every 72 hours
(C) Minimizing manipulation and irrigation of the catheter
(D) Promptly discontinuing urinary catheter use
(E) Using silver impregnated urinary catheters

ans is d, i agree but does nt this patient need catheter ? why not c?
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Old 11-06-2012
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I believe its D because you put the catheter but only for temporary measurement of Urinary Output... when catheters are left for a long time the risk of getting an UTI and Hence in a patient like this Sepsis is way to high... the incidence of catheter related infection is related to the length or amount of time the catheter was left in place... I think thats the most common risk factor for an infection.
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