Pt admitted on (b)(6) 2018 post stemi and cardiogenic shock requiring levophed, bumex, iabp and stents.Pt had generalized edema in lower extremities including perineum which was "severely edematous." foley was discontinued and removed on (b)(6) 2018 and replaced with an external female catheter to "catch incontinent urine." the external catheter was catching approx 50% of pt's urine.Due to incontinence and leaking around external catheter, frequent peri-care was being performed.During re-assessment of the labia area it was noted that external catheter had left "catheter impression" and "did not blanch in <3secs" (there was no skin breakdown in labia area that was noted).The external catheter was discontinued (on (b)(6) 2018) and replaced with an indwelling foley catheter.
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