Continuous Bladder Irrigation

Continuous Bladder Irrigation 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