. A reference hand-book of gynecology for nurses . curved course of the urethra around the sym-physis; for this reason the catheter must be intro-duced with the concavity of this curve upward;it will be found to follow, of itself, a slightly curvingdirection around the symphysis. After the catheter has been inserted about twoinches, remove your thumb from the open end andlet the urine flow into the pus pan. As the flowdiminishes make gentle pressure above the sym- 122 GYNECOLOGY FOR NURSES physis until the last few drops have been your thumb to the end of the catheter, topreven
. A reference hand-book of gynecology for nurses . curved course of the urethra around the sym-physis; for this reason the catheter must be intro-duced with the concavity of this curve upward;it will be found to follow, of itself, a slightly curvingdirection around the symphysis. After the catheter has been inserted about twoinches, remove your thumb from the open end andlet the urine flow into the pus pan. As the flowdiminishes make gentle pressure above the sym- 122 GYNECOLOGY FOR NURSES physis until the last few drops have been your thumb to the end of the catheter, toprevent dripping of urine; withdraw the instru-ment gently and return it to the instrument frequently make the mistake of in-serting the catheter into the vagina instead ofinto the urethra. A thorough knowledge of theanatomy of the vulva will prevent this it should occur, the catheter must be reboiledbefore being inserted in the proper place. Nevercatheterize a patient unless the parts are fullyexposed and under a good Fig. 55-—Catheterization of the bladder. Washing Out the Bladder.—Vesical irrigationis the approved treatment for subacute or chronicdiffuse cystitis. This procedure is usually carriedout by the nurse, and the same precautions mustbe observed as in catheterizing. In fact, cathe-terization is the first step in giving a bladder-wash. The apparatus required consists of a one-quartenameled ware pitcher, a glass catheter with sixinches of thin rubber tubing attached, a glassfunnel about three inches in diameter, to whichare attached four feet of rubber tubing and a glassirrigating nozzle with a point sufficiently fine to fitinto the rubber tubing on the catheter (Fig. 56). THE URINARY ORGANS OF WOMEN 123 Preparation.—Arrange on a small table the dis-infecting outfit, as described under catheteriza-tion. Boil the above-mentioned apparatus in sodasolution for five minutes. After boiling, lift outthe pitcher and fill it with the prescri
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