Bladder Irrigation

Subject: Medical and Surgical Nursing I (Theory)

Overview

By using a three-way irrigation closed system with a triple-lumen catheter, bladder irrigation is the continuous infusion of a sterile solution into the bladder. Urine is drained from one lumen, the catheter balloon is inflated from another, and the irrigation solution is transported through the last lumen. By continuously irrigating the bladder with normal saline, blood clots are prevented, free urine flow is allowed, and indwelling catheter (IDC) patency is maintained. Verify that the patient is using a three-way catheter for the urinary system; otherwise, a three-way catheter must be implanted. Different fluids must be able to travel through the set, which requires a three-way catheter. Document procedure done and include urine color, level of hematuria, urine output, and patient’s reaction. – Documentation is proof that procedure was done and to record the patient’s progress

By using a three-way irrigation closed system with a triple-lumen catheter, bladder irrigation is the continuous infusion of a sterile solution into the bladder. Urine is drained from one lumen, the catheter balloon is inflated from another, and the irrigation solution is transported through the last lumen.

Purpose:

  • To stop blood clots from forming, allow urine to flow freely, and maintain the patency of an indwelling catheter (IDC), continuously irrigate the bladder with regular saline.

Expected outcomes:

  • The urinary catheter remains patent, and the IDC allows for free urine drainage.
  • The patient's comfort is maintained.
  • Decreased or stopped the production of clots in the IDC or bladder.
  • Utilizing an aseptic procedure for connecting the bladder irrigation to the IDC lowers the chance of a urinary tract infection.

Equipments:

  • Non sterile gloves
  • Personal protective equipment (PPE)
  • 9% sodium Chloride irrigation bags as per facility policy
  • Chlorhexidine 0.5% with 70% alcohol wipes
  • Continuous bladder irrigation set, closed urinary drainage bag with anti-reflux valve.
  • 3-way catheter
  • Underpad
  • IV pole

Procedure and Rationale:

  • Give the patient privacy and describe the procedure. -This is done to maintain the patient's comfort and knowledge.
  • Position the patient so that it is simple to access the catheter while also retaining his comfort. -The patient will remain comfortable and time and effort will be saved.
  • Verify that the patient is using a three-way catheter for the urinary system; otherwise, a three-way catheter must be implanted. -Different fluids must be able to travel through the set, which requires a three-way catheter.
  • Place the irrigation flasks on the IV pole and turn on the irrigation set while maintaining asepsis. -To avoid infections and other problems.
  • When priming the irrigation set, make sure that only one of the irrigation flask clamps has been opened to prevent fluid from leaking from one flask to the next. After the irrigation set has beenprimed, make sure that every clamp on the irrigation set is closed.
  • Put on your protective clothing and goggles, and lay an underpad beneath the catheter connection. -To keep against contamination and to maintain sterility.
  • Put on non-sterile gloves after washing your hands. -To lessen the chance of contamination and the spread of pathogens.
  • Cleanse the catheter ports and IDC irrigation with chlorhexidine wipes, then allow to air dry.- In order to avoid contamination
  • Using sterile gauze, remove the valve from the catheter's irrigation lumen; discard valve.- The start of irrigation.
  • Connect the irrigation set to the catheter's irrigation lumen to ensure a clean procedure. -This reduces the risk of contamination and the spread of bacteria.
  • Utilizing sterile gauze, remove the valve or old drainage bag from the catheter lumen while keeping a clean technique. -Then, place the catheter drainage bag. to reduce the risk of contamination and the spread of microorganisms.
  • Make sure to wait until urine is freely discharging before beginning bladder irrigation.
  • Remove the roller clamp from the irrigation flask, which was used to set the irrigation set's rate of administration, and unclamp it. -To begin the treatment and accomplish its objectives.
  • Record the operation, along with the patient's reaction, the color of the urine, the amount of hematuria, and the discharge of the urine. -Documentation serves as evidence that a procedure was completed and as a progress log for patients.

References

  • documents.mx › Documents
  • google.ch/patents/US20120157975
  • Mandal, G. (August 2013). A Textbook of Adult Health Nursing (2nd ed.). Dilllibazar kathmandu: Makalu publication house. Retrieved August 2013
  • nursingcrib.com/demo-checklist/continuous-bladder-irrigation/
  • nursing-the-nurse.blogspot.com/2010/03/cystoclysis.html
  • opentextbc.ca/clinicalskills/chapter/10-3-urinary-catheters/
  • prezi.com/4dbncerpbcph/continuous-bladder-irrigation/
  • quizlet.com/29319773/lap-101-18-101-19-flash-cards/
     
Things to remember
  • Bladder irrigation is an ongoing infusion of a sterile solution into the bladder
  • To prevent the formation of blood clot, permit urine free flow of urine and sustain patency of indwelling catheter (IDC) 
  • The urinary catheter stays patent and urine is drained freely through the IDC 
  • Make sure that you do not start bladder irrigation until urine is freely draining. 
  • Document procedure done and include urine color, level of hematuria, urine output, and patient’s reaction
Questions and Answers

By using a three-way irrigation closed system with a triple-lumen catheter, bladder irrigation is the continuous infusion of a sterile solution into the bladder. Urine is drained from one lumen, the catheter balloon is inflated from another, and the irrigation solution is transported through the last lumen.

Purpose:

To stop blood clots from forming, allow urine to flow freely, and maintain the patency of an indwelling catheter (IDC), continuously irrigate the bladder with regular saline.

By using a three-way irrigation closed system with a triple-lumen catheter, bladder irrigation is the continuous infusion of a sterile solution into the bladder. Urine is drained from one lumen, the catheter balloon is inflated from another, and the irrigation solution is transported through the final lumen.

Purpose:

To stop blood clots from forming, allow urine to flow freely, and maintain the patency of an indwelling catheter (IDC), continuously irrigate the bladder with regular saline.

Expected Outcomes:

  • The urinary catheter remains patent, and the IDC allows for free urine drainage.
  • Keeping the patient's comfort in mind
  • Decreased or prevented clot formation in the IDC or bladder
  • Utilizing an aseptic technique, connecting the bladder irrigation to the IDC lowers the risk of urinary tract infection

Equipment:

  • Non sterile gloves
  • Personal protective equipment (PPE)
  • 9% sodium Chloride irrigation bags as per facility policy
  • Chlorhexidine 0.5% with 70% alcohol wipes
  • Set for continuous bladder irrigation; anti-reflux valve-equipped closed urine drainage bag.
  • 3-way catheter
  • Underpad
  • IV pole

Procedure – Rationale:

  • Give the patient privacy and describe the procedure. This serves to keep the patient informed and at ease.
  • Position the patient so that it is simple to access the catheter while also retaining his comfort. The patient will remain comfortable and time and effort will be saved.
  • Verify that the patient is using a three-way catheter for the urinary system; otherwise, a three-way catheter must be inserted. Different fluids must be able to pass through the set, which requires a three-way catheter.
  • Place the irrigation flasks on the IV pole and turn on the irrigation set while maintaining asepsis. to avoid infections and other problems.
  • When priming the irrigation set, make sure that just one of the irrigation flask clamps has been opened to prevent fluid from leaking from one flask to the next. Make sure that each clamp is closed on the irrigation set after it has been primed.
  • Put on your protective clothing and goggles, and lay an underpad beneath the catheter connection. to keep against contamination and to maintain sterility.
  • Put on non-sterile gloves after washing your hands. – to lessen the chance of contamination and the spread of pathogens.
  • Cleanse the catheter ports and IDC irrigation with chlorhexidine wipes, then allow to air dry. – in order to avoid contamination
  • Utilizing sterile gauze, remove the valve from the catheter's irrigation lumen. Discard the valve at the start of irrigation.
  • To prevent fluid from spilling from one irrigation flask to the next, just one of the irrigation flask clamps should be opened when priming the irrigation set. After the irrigation set has been primed, make sure each clamp is closed.
  • Lay an underpad beneath the catheter connection and don your safety gear, including goggles. to maintain sterility and guard against contamination.
  • After cleaning your hands, put on non-sterile gloves. - to reduce the possibility of pathogen contamination and transmission.
  • Use chlorhexidine wipes to clean the catheter ports and IDC irrigation, and then let everything air dry to prevent contamination.
  • Remove the valve from the irrigation lumen of the catheter using sterile gauze. Start the irrigation after discarding the valve.
  • Include the procedure's completion, the patient's response, and details such as the color of the urine and the degree of hematuria. – Documentation serves as evidence that a procedure was carried out and as a progress log for patients.

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