Continuous bladder irrigation exam| 13 questions and answers

What are indications for use? Administer medications Prevent clot formations within bladder Prevent hemorrhage following sx Describe TURP Entire prostate was removed (sometimes only part of the prostate is removed with a TURP) and a hollow area remains. Arterial bleeding requires surgery Venous bleeding is ok What would be included in a doctors order for CBI - type of fluid to be used for instillation - colour of desired output - rate of irrigation Assessment of CBI Assess drainage system q30 minutes until flow is consistently pink to clear in color, then q4H for duration of CBI V/S q4H Assess abd/palpate bladder q 1-2H Assess urinary & irrigant output q 1-2h When should you assess drainage? - Every 30 minutes until flow is consistently pink to clear in colour, than q4 hour for duration What are potentials problems? - urine distension - bleeding / hemorrhage - pain - infection - TUR syndrome What is TUR syndrome caused by? prolonged resection time, inc volume of irrigation fluid, larger resected amount of prostatic tissue, and elevation of irrigation bag what are S/S of TUR syndrome? uneasy / vague, headache, dizzy, abdominal distension, hypertension, bradycardia, lethargic, etc. When should you report urine output? if less than 30ml/ 2 hours How do you know ins / outs for irrigation? urinary return - irrigant = output When discontinue a CBI? Drainage is light pink to clear on a slow drip of CBI Physician may order to clamp for 1 hour. After 1 hour, open clamp and if drainage light pink, D/C the CBI and attach the catheter to straight drainage bag. If drainage darkens to moderate sanguineous tinge, recommence CBI and clamp again in 1 hour. When the CBI bags are removed the inlet lumen is plugged with a sterile catheter plug Nursing management of Pain D/T CBI