Bladder irrigation (12 questions and answers)

Purpose of bladder irrigation To irrigate flush or wash out the bladder to maintain catheter patency Continuous bladder irrigation CBI Maintain catheter patency remove blood clots or debris from bladder Reasons for a CBI Transurethral resection of prostate, hemorrhagic cystitis, obstruction, used to decrease formation of clots, can provide pressure to stop or slow bleeding Maintaining a CBI Adjust drip rate according to urine color continuously Infuse into pink per MD order check for distention monitor I&O every hour to observe for patency of system subtract amount of irrigation infused from the amount of fluid in drainage bag Assessment prior to setting up CBI Urine flow, color of urine, presence of clot or mus us shreds, claculate I&O, abdominal pain or spasms or sensation of fullness, patience knowledge Equipment for CBI MD order, 2-3L NS, irrigation tubing, always have two bags hung process is very rapid empty drainage bag often CBI patient teaching Bladder will spasm it's normal but if it starts getting hard or more distended OR if it goes from light to dark and drainage bag let me know Purpose of intermittent catheter irrigation To maintain patency of indwelling catheter to unplug catheter so drainage conflow Closed intermittent catheter irrigation Luer lock saline syringe into port flush 30 milliliters or more rigorous 60 milliliters to dislodge clots Open intermittent catheter irrigation Remove drainage tube and insert syringe piston directly into catheter flush rigorously then reattach drainage tube Documentation I&O, color, presence of mucus, class or sediment, patience tolerance of irrigation procedure B&O suppository may be instilled to decrease bladder spasms Suprapubic catheter Follow irrigation guidelines additional assessment of dressing change and