continuous bladder irrigation exam |15 questions and answers

What is urinary retention blockage streess battle spasmisim What would be some S/S urinary retention inability to void - painful extreme discomfort and pressure bladder distention - abdomen becomes hard weak urine stream and breakthrough dribbling ( extend full of urine in the blatter ) What is bladder scan ? a non invasive method to measure the volume of urine in the bladder uses ultra sound imaging commonly used to measure the post -void residual= the volume of the urine in the bladder after a normal voiding what equipment is used for a bladder scan? - the bladder scan - ultra sound conducting gel - cleansing agent for scanner head what position do you put the patient for a bladder scan ? in a supine position What is bladder irrigation ? is a procedure in which sterile fluid is used to prevent clot retention by continuously irrigating the bladder via a three-way cathete how do you open a catheter irrigation this procedure should be advised unless irrigation is needed to prevent relieve or obstruction - never open up catheter irrigation before trying other producers first -strict aseptic technique to minimize risk of urinary tract infection nursing interventions for catheter irrigation report if patient complains of any pain, discomfort monitor intake and out put - immeditaly report if any decrease in urine - note if any colour , especially blood What is a triple- lumen catheter one to inflate the bulb inside the bladder one to connect to the irrigation solution one to drain the bladder what are the items that need to be ready at the bedside or in the patient bathroom 2 urine measuring containers gloves blue pads intake and outsheet iv pole to hang irrigation extra bags of iirrigatiom saline ready at all times CBI expected outcomes Urine output is greater than volume of irrigation fluid instilled What is the bladder spasm managed with antispasmodic medications ordered should you report bright red bleeding immediately yes cause it could hemmorage intake and outtake document each time you empty from the mexicans gate see if CBI continous bladder interrogation