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					<h2 class="elementor-heading-title elementor-size-default">Cateterismo vesical</h2>				</div>
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									<p>La sonda vesical, conocida también como <strong>cateterismo vesical</strong>, es una técnica que consiste en introducir <a href="https://prevencionsaludproactiv.com/2021/04/04/sondas-y-cateterismo-vesical/">un catéter</a> por la uretra hasta la vejiga, de modo que permita la salida de la orina en personas que no consiguen controlar este acto, debido a obstrucciones como hipertrofia de próstata, dilatación uretral o incluso en casos en que se pretende realizar exámenes en orina estéril o preparar a la persona para una cirugía, por ejemplo.</p><p> </p><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-4254951495333536" 
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									<h2><a id="para-que-sirve"></a>Para qué sirve </h2><p>Debido a los riesgos de la técnica, la colocación de la sonda vesical sólo debe ser realizado, en caso de ser necesario, en las siguientes situaciones:</p><ul><li>Alivio de la retención urinaria aguda o crónica.</li><li>Control de la producción de orina por el riñón.</li><li>Insuficiencia post-renal, por obstrucción infravesical.</li><li>Pérdida de sangre por la orina.</li><li>Recolección de orina estéril para análisis.</li><li>Medición del volumen residual.</li><li>Control de incontinencia urinaria.</li><li>Dilatación ureteral.</li><li>Evaluación de la dinámica del aparato urinario inferior.</li><li>Vaciamiento de la vejiga antes, durante y después de cirugías y análisis. </li></ul><p>Además de esto, el cateterismo vesical, también puede ser usado para realizar la administración de medicamentos directamente en la vejiga, en casos de infecciones graves, por ejemplo.</p>								</div>
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									<h3><span id="Objetivos">Objetivos</span></h3><ul><li>Acceder a la vejiga del paciente para facilitar la salida de orina al exterior, de manera permanente o intermitente.</li><li>Controlar la diuresis.</li></ul><h3><span id="Personal">Personal</span></h3><ul><li>Enfermera.</li><li>Técnico en Enfermería.</li></ul><h3><span id="Material">Material</span></h3><ul><li><a href="https://prevencionsaludproactiv.com/2021/04/04/sondas-y-cateterismo-vesical/">Sonda vesical de calibre, tipo y material adecuados.</a></li><li>Sistema colector y soporte de cama (si el sondaje es permanente).</li><li>Guantes estériles y no estériles.</li><li>Gasas estériles.</li><li>Campo estéril.</li><li>Lubricante urológico.</li><li>Pinzas Kocher.</li><li>Solución Antiséptica diluida.</li><li>Jeringas.</li><li>Suero fisiológico.</li><li>Cinta adhesiva hipoalergénica.</li><li>Bolsa para residuos.</li><li>pañal o sábana.</li></ul>								</div>
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									<h3><span id="Ejecucioacuten">Ejecución</span></h3><h4>Personal</h4><p>Enfermera y TENS</p><div> <span style="color: #030303; font-family: Montserrat; font-size: 22px; font-weight: 600; letter-spacing: 0px;">Preparación del personal</span></div><ul><li>Asegurar que todo el material necesario esté a mano.</li><li>Higiene de manos.</li><li>Colocación de guantes.</li><li>Tomar las medidas necesarias para prevenir riesgos laborales del profesional ligadas a seguridad, higiene y ergonomía.</li></ul><h4><strong>Preparación del paciente</strong></h4><ul><li>Identificación del paciente.</li><li>Informar al paciente y la familia del procedimiento a realizar.</li><li>Preservar la intimidad y confidencialidad.</li><li>Ayudarle a adoptar la posición correcta, en decúbito supino y con las piernas flexionadas si es mujer.</li><li>Realizar lavado de genitales y zona perianal.</li></ul><h3><span id="Procedimiento">Procedimiento</span></h3><h4>Sondaje permanente</h4><ul><li>Colocarse guantes no estériles.</li><li>Desinfectar la zona con gasas y antiséptico diluido.</li><li>Retirar guantes no estériles.</li><li>Higiene de manos.</li><li>Colocar el campo estéril y depositar material estéril sobre el mismo.</li><li>Colocarse los guantes estériles.</li><li>Comprobar el correcto inflado del balón de la sonda.</li><li>Cargar una jeringa con 10 ml de suero fisiológico.</li><li>Lubricar el extremo distal de la sonda, y en los hombres la primera porción del meato con lubricante urológico.</li><li>Mantener la sonda lubricada con la mano dominante.</li><li>Introducir la sonda suavemente en el meato sin forzar:</li></ul><p><strong>Hombres</strong>: Mantener el pene del paciente en ángulo recto y con el prepucio retraído. Tras introducir 10 ml, colocar el pene a 60º con respecto al cuerpo e introducir hasta los 20-25 ml en total.</p><p><a href="https://prevencionsaludproactiv.com/descarga-9/" rel="attachment wp-att-28308"><img class="size-full wp-image-28308 aligncenter" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/descarga.jpg?resize=241%2C209&#038;ssl=1" alt="" width="241" height="209" /></a></p><p><strong>Mujeres</strong>: Separar los labios mayores y menores con la mano no dominante, e introducir de 5 a 10 ml.</p><p><a href="https://prevencionsaludproactiv.com/cateterismo-vesical-en-mujer/" rel="attachment wp-att-28309"><img class="size-full wp-image-28309 aligncenter" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2022/08/Cateterismo-vesical-en-mujer.jpg?resize=259%2C194&#038;ssl=1" alt="" width="259" height="194" /></a></p>								</div>
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									<ul>
<li>Cuando salga orina, introducir 2-3 ml más, pinzar el extremo de la sonda, conectar la jeringa a la luz del balón de la sonda, despinzar e inflar el balón con 8 – 10ml del contenido de la jeringa.</li>
<li>Deslizar suavemente la sonda hacia el exterior hasta notar una ligera resistencia.</li>
<li>Conectar la sonda al sistema de recogida y sujetarlo al soporte en la cama del paciente, por debajo del nivel de la vejiga<strong>.</strong></li>
<li>Fijar el catéter a la parte interna del muslo, evitando angulaciones.</li>
<li>Asegurar que el paciente esté lo más cómodo posible.</li>
<li>Retirar el material en los contenedores adecuados.</li>
<li>Retirar guantes.</li>
<li>Higiene de manos.</li>
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									<h4>Sondaje intermitente</h4><ul><li>El procedimiento de introducción es el mismo que en el sondaje permanente, sin necesidad de inflar el balón posteriormente.</li><li>Retirar la sonda una vez evacuada la orina.</li></ul>								</div>
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									<h3><span id="Cuidados_de_Enfermeriacutea">Cuidados de Enfermería</span></h3><p>En los <a href="https://prevencionsaludproactiv.com/2023/05/11/cuidados-de-enfermeria-en-cateterismo-vesical/">cuidados de la sonda vesical</a> se consideran los siguientes aspectos:</p><ul><li>Observar periódicamente la permeabilidad de la sonda.</li><li>Fijar el tubo de drenaje a la pierna del paciente calculando la movilidad de la misma para evitar tirones.</li><li>Lavar la zona con agua y jabón una vez al día y aclarar con suero fisiológico.</li><li>Lavar bien los restos acumulados en el catéter cerca del meato urinario, girar este sobre su eje longitudinal para evitar adherencias (nunca introducir el catéter ni tirar de él).</li><li>Evitar desconexiones de la sonda innecesarias siempre que se puedan utilizar sistemas cerrados de drenaje.</li><li>Excepto que esté contraindicado (pacientes con fallo renal o cardiaco) estimular el aporte de líquidos de dos a tres litros por día, para aumentar el flujo urinario y evitar el riesgo de infección.</li><li>Limpieza de la zona perineal exhaustivamente cada 12 horas.</li><li>Valorar los indicadores de infección.<br />urinaria (aumento de la temperatura, escalofríos, dolor en flanco suprapúbico, orina turbia o mal olor, hematuria).</li><li>Valorar la aparición de infección uretral, comprobando que no hay secreción alrededor de la sonda, en caso de que ésta existiera, tomar una muestra para cultivo.</li><li>Cuando haya que pinzar la sonda, hacerlo siempre en el tubo de drenaje de la sonda, nunca en el catéter.</li><li>Valorar la aparición de infección uretral, comprobando que no hay secreción alrededor de la sonda, en caso de que ésta existiera, tomar una muestra para cultivo.</li><li>Cuando haya que pinzar la sonda, hacerlo siempre en el tubo de drenaje de la sonda, nunca en el catéter.</li></ul>								</div>
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									<h3><span id="Retirada_de_la_sonda">Retirada de la sonda</span></h3><ul><li>Igual preparación del personal y del paciente que para la inserción del catéter.</li><li>Colocar la empapadera deslizándola bajo los glúteos del paciente.</li><li>Colocación de guantes.</li><li>Extraer mediante la jeringa el contenido del globo de la sonda vesical.</li><li>Sujetar la sonda con una gasa y retirarla suavemente, depositándola en la bolsa para residuos.</li><li>Ofrecer la botella o la cuña al paciente si precisa.</li><li>Comprobar que el volumen de orina en cada micción es adecuado tras la retirada de la sonda. Si el paciente no ha orinado entre 6 y 8 horas después, valorar los signos de retención urinaria y comunicarlo al médico.</li><li>Asegurar que el paciente esté lo más cómodo posible.</li><li>Retirar el material en los contenedores adecuados.</li><li>Retirar los guantes.</li><li>Higiene de manos.</li></ul>								</div>
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									<h3><span id="Consideraciones_especiales">Consideraciones especiales</span></h3><ul><li>Es importante conocer la historia clínica del paciente y considerar aspectos de la misma que puedan condicionar el procedimiento:</li><li>Existencia de adenopatía de próstata.</li><li>Estenosis de uretra.</li><li>Cateterismos traumáticos previos.</li><li>Existencia de hematuria con coágulos.</li><li>Ansiedad/temor relacionado con el sondaje que pueda provocar rigidez y dificulte el procedimiento.</li><li>No forzar la entrada de la sonda si encontramos resistencia, ya que podríamos producir daño.</li><li>Colocar la bolsa en el soporte y ponerla por debajo del nivel de la vejiga del paciente.</li><li>Realizar pinzamientos intermitentes cada 300ml en caso de que el paciente presente retención de orina. No vaciar la vejiga bruscamente.</li><li>Evitar tirones y el excesivo llenado de la bolsa que puedan provocar traumatismos o desconexiones accidentales del sistema.</li><li>Tener en cuenta los cambios periódicos recomendados para cada tipo de sonda.</li></ul>								</div>
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									<h3><span id="Registro">Registro</span></h3><ul><li>Anotar en el registro correspondiente:</li><li>Procedimiento realizado y motivo del <strong>sondaje vesical.</strong></li><li>Firma, fecha y hora de realización.</li><li>Tipo y calibre de la sonda.</li><li>Observaciones de interés a destacar durante el procedimiento.</li><li>Respuesta del paciente al procedimiento realizado, si procede.</li></ul>								</div>
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							<h4>Prevención en Salud Proactiva</h4> 
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							<p>Nuestra misión es proteger la vida y la salud de las personas, con enfoque en el entorno laboral. A través de programas especializados en primeros auxilios y maniobras críticas (RCP, DEA, SVB y Heimlich), educamos y capacitamos a personas y equipos para responder con seguridad ante emergencias. Además, garantizamos la continuidad y el bienestar organizacional mediante una gestión de riesgos alineada con la Ley 16.744 y los más altos estándares ISO.</p><div class="fa2752738c61f2593e5755f4d15b4d9c" data-index="2" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2025/10/29/guias-aha-2025-para-rcp-y-ace-actualizaciones/" class="_blank" target="_blank" >Guías AHA 2025 para RCP y ACE Actualizaciones</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/05/12/rcp-en-tiempos-de-covid-19/" class="_blank" target="_blank" >RCP en Tiempos de COVID-19</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/02/01/fractura/" class="_blank" target="_blank" >Fracturas</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/27/fleboclisis/" class="_blank" target="_blank" >Fleboclisis</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/17/paciente-con-acv-isquemico/" class="_blank" target="_blank" >Paciente con ACV Isquémico</a></h4>
<div class="pt-cv-content">ACV ISQUÉMICO El accidente cerebrovascular ACV isquémico generalmente se produce por la obstrucción de una arteria que va al cerebro; ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/04/17/paciente-con-acv-isquemico/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/07/caso-clinico-pae/" class="_blank" target="_blank" >Caso Clínico PAE</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/03/importancia-de-los-electrolitos/" class="_blank" target="_blank" >Importancia de los Electrolitos</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2019/08/25/matematicas-para-enfermeria/" class="_blank" target="_blank" >Matemáticas para Enfermería</a></h4>
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<div class="monsterinsights-widget-popular-posts monsterinsights-widget-popular-posts-alpha monsterinsights-popular-posts-styled monsterinsights-widget-popular-posts-columns-3"><h2 class="monsterinsights-widget-popular-posts-widget-title">Entradas Populares</h2><ul class="monsterinsights-widget-popular-posts-list"><li ><a href="https://prevencionsaludproactiv.com/2021/04/08/respuesta-pupilar-en-valoracion-neurologica/"><div class="monsterinsights-widget-popular-posts-text"><span class="monsterinsights-widget-popular-posts-title" >Respuesta Pupilar en Valoración Neurológica</span></div></a></li><li ><a href="https://prevencionsaludproactiv.com/2023/07/19/higiene-industrial-y-factores-que-producen-enfermedades-profesionales/"><div class="monsterinsights-widget-popular-posts-text"><span class="monsterinsights-widget-popular-posts-title" >Higiene Industrial y Factores que Producen Enfermedades Profesionales</span></div></a></li><li ><a href="https://prevencionsaludproactiv.com/2022/09/28/consideraciones-en-postura-de-guantes-esteriles/"><div class="monsterinsights-widget-popular-posts-text"><span class="monsterinsights-widget-popular-posts-title" >Consideraciones en Postura de Guantes Estériles</span></div></a></li><li ><a href="https://prevencionsaludproactiv.com/2020/09/13/principales-arterias-para-controlar-el-pulso/"><div class="monsterinsights-widget-popular-posts-text"><span class="monsterinsights-widget-popular-posts-title" >Principales Arterias Para Controlar el Pulso</span></div></a></li><li ><a href="https://prevencionsaludproactiv.com/2021/03/27/shock-hipovolemico-hemorragico/"><div class="monsterinsights-widget-popular-posts-text"><span class="monsterinsights-widget-popular-posts-title" >Shock Hipovolémico Hemorrágico</span></div></a></li><li ><a href="https://prevencionsaludproactiv.com/2022/12/18/intoxicacion/"><div class="monsterinsights-widget-popular-posts-text"><span class="monsterinsights-widget-popular-posts-title" >Intoxicación</span></div></a></li></ul></div><p></p>
Cateterismo Vesical
