Continuous Bladder irrigation n102 E1 Q2 vince notes.

What is the purpose of bladder irrigations To irrigate, flush, or wash out the bladder To maintain catheter patency Bladder and Catheter Irrigations may be: intermittent or continuous closed or open CBI Purpose maintain catheter patency. Remove blood clots or debris from bladder What are the reasons for a CBI TURP - Transurethral resection of prostate Hemorrhagic cystitis Any obstructive process in the bladder Used to decrease formation of clots in the bladder Can provide pressure in the bladder CBI Assessment should include urine flow from bladder, is patient able to void? color of urine, presence of clots, mucous shreds Calculate I & O Assess for distension or urine leakage around catheter * Abdominal pain, spasms or sensation of bladder fullness* Patient knowledge of procedure How much NS is used for irrigation 2-3k ml what is the size of the drainage bag 5000 ml What determines the drip rate of the irrigating solution urine color Infuse continuously to keep the urine pink What are some expected outcomes for a CBI Blood clots are removed from bladder No bladder/ abdominal pain, fever Urine is clear, no clots Output is greater than input When administering a CBI, what is very important and why. I/O is extremely important!!! Monitor urine output at least every hour to observe patency of system. What is the purpose of intermittent catheter irrigations to maintain the patency of an indwelling catheter Expected outcome of intermittent irrigation to open a plugged catheter so urine can drain from the bladder Assessment prior to catheter irrigation should include urine flow from the catheter color of urine, presence of clots, mucous shreds, sediment Calculate I & O Assess the bladder for distension or urine leakage around catheter Abdominal pain, spasms or sensation of bladder fullness What is the difference between a closed irrigation and open irrigation system ... syringe? open intermittent catheter uses a Piston syringe and it is fitted directly into the end of the catheter closed system: irrigation kit: sterile container with sterile drape irrigation solution luer lock syringe (w/o needle) uses a clean technique, but do not disrupt sterile connection between the catheter and drainage system What should be documented Character of urine Type of dressing change Assessment of insertion site Patient's comfort level with the catheter Teaching done only catheter care