Continuous bladder irrigation exam| 61 questions and answers

immediately post op it is unlikely the colour of drainage in the tubing would be completely clear and this may indicate a? problem bladder spasms may present as? urge to void urge to have BM lower abdominal pressure penile burning/urethral discomfort with bladder spasms the nurse may observe? fluid bypassing around the catheter spasms felt as pulsing in the drainage tubing bladder spasm treatments include? irrigation B+O supp to relax bladder wall analgesic toileting when irrigating, always instillation _______ml solution as a cushion before withdrawing solution to prevent damage to the bladder wall. draw up another ______ml of solution instill it and then withdraw ______ml of solution continue this until satisfied clots are removed and retruns are clear or pending patient level of comfort 60x3 if you have a transurethral resection of bladder tumor patient always check with the urologist prior to hand irrigation due to the risk of ? bladder perforation ______________ is a bacterial infection in the urinary tract that has become? systemic common risk factors for urosepsis include? urinary tract sugery untreated urinary tract infection indwelling catheters immunosuppresion therapy signs and symptoms of urosepsis? unexplained chill altered mentaion confusion agitaition increase in BP fever decreased in BP increase in pulse hyperventilation oliguria cellular metabolism becomes anaerobic and lactic acidosis develops urosepsis treatment? notify urologist immediatly anticipate urine and blood cultues IV abx bolus of IV fluids frequent VS TUR syndrome is the? absorption of excessive irritation fluid by venous complexes in the prostate during resection TUR syndrome is characterized by? hyponatremia confusion hypervolemia hemolysis acute renal failure visual disturabnce agiation acute delirium bradycardia tachypnea emesis what are some risk factors for TUR syndrome surgery time longer than 60 min peroration of the prostate capsule large prostate size (30g) excessive height of the irrigation bags (no more than 3 feet above patients abdomen) amount of irrigation used during surgery shouldn't exceed 10 bags (30L) if returns are slow such as not at rate equal to irrigation rate then you need to assess for? bladder distention ________________ is a complication associated with transurethral resection of prostate proceudre TUR syndrome t or f with TUR syndrome is it estimated that 10-30ml of irrigating fluid could be absorbed pre min with this syrndome true early signs of TUR syndrome late signs uneasiness confusion disorentaion hedache dizzy n+v abd distention bradycardia hypertension lethargic tachycardia hypotension angina blindness arrthymias neuromuscluar disturbances cerebral edema coma over diestntion of the bladder can cause a secondary hemorrhage in male clients who have had a _______________ and this is because the coagulated besieges in the prostate capsule become ___________ and bleed TURP overstretched your client has a CBI running post TURP and you notice the drainage has been changing from a dark reddish yellow to a pinky yellow, is this normal? yes and bleeding is slowing down your client has had TURP surgery and has a 3 way Foley catheter insitu. they complain their abdomen is swollen what is this most likely due to? catheter blockage TUR syndome: with it the patient becomes _____________ and ______________ and could develop ______________ possible effects could be cerebral edema and seizures with a low serum __________ level hyponatremic hypovolemic hyperammonemia sodium TUR syndrome can become apparent when absorption of chemicals and water found in the irrigation occurs through the open ___________ left by the surgery. when great volumes are absorbed, there are fluid imbalances that take place wound indications for CBI -prevent formation and to remove blood clots in patients bladder -instill meds -prevent venous hemorrhage following genitourinary surgery CBI is primarily used following genitourinary surgery to keep the bladder free and clear of? blood clots sediment CBI can help prevent urinary tract obstrcution by flushing out small clots that form after prostate or bladder ______________ surgery t or f CBI may be used for severe bladder infection and to install and antibiotic solution true continuous flow of irrigating solution through the bladder also creates a mild tamponade that may help prevent ? venous hemorrhage when the urine is _________ color, the CBI may be d/c with an order rose ____________ bleeding is bright red and has increased viscosity and can have many clots. __________ bleeding is darker in color and less viscous arteial venous assess drainage system every _________ min until flow is consistently pink to clear in color then every _______ Horus for duration of CBI 30min 4 hours returns minus irritant used=? urinary output assess bladder for distention every _____-_____ horus 1-2 hours