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Medical Surgical Nursing: Gracious Colleg of Nursing Abhanpur Raipur (C.G.)

1. The document describes the procedure for bladder irrigation, which involves flushing the bladder with sterile fluid to prevent clot retention and restore patency of the catheter. 2. It provides details on the types and methods of bladder irrigation, including continuous and intermittent irrigation. Steps of the procedure and nursing responsibilities are also outlined. 3. Potential complications of bladder irrigation include bladder rupture and injury if not performed correctly.

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Topeshwar Tpk
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219 views9 pages

Medical Surgical Nursing: Gracious Colleg of Nursing Abhanpur Raipur (C.G.)

1. The document describes the procedure for bladder irrigation, which involves flushing the bladder with sterile fluid to prevent clot retention and restore patency of the catheter. 2. It provides details on the types and methods of bladder irrigation, including continuous and intermittent irrigation. Steps of the procedure and nursing responsibilities are also outlined. 3. Potential complications of bladder irrigation include bladder rupture and injury if not performed correctly.

Uploaded by

Topeshwar Tpk
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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GRACIOUS COLLEG OF NURSING

ABHANPUR RAIPUR(C.G.)
MEDICAL SURGICAL NURSING

DEMOSTRATION
ON
BLADDER IRRIGATION

SUBMITTED TO: SUBMITTED BY:


MISS .OSIN CHANDRAKAR MAM TOPESHWAR.KANWAR
DEMONSTRATOR (MSN) MSC.NURSING2ND YEAR
GRACIOUS COLLEGE OF GRACIOUS COLLEGE OF
NURSING ABHANPUR NURSING.ABANPUR.

BLADDER IRRIGATION
INTRODUCTION - irrigation is a procedure used to wash out bladder . the
bladder will be irrigated (flushed) with saline (salt water) to keep the urine
draining freely through the catheter and to keep the catheter from getting
plugged.
DEFINITION: - Bladder irrigation is a procedure in which sterile fluid is used to prevent
clot retention by continuously irrigating the bladder via a three-way catheter. 
(Gilbert and Gobbi, 1989).
Flushing out/washing out the urinary bladder with specified solution.
TYPES OF BLADDER IRRIGATION:-
1. Continuous irrigation
2. Intermittent irrigation
For continuous irrigation:-
1. Open the flow clamp on the urinary drainage tubing. This allows the irrigating
solution to flow out of the bladder continuously.
2. Open the regulating clamp on the irrigating tubing and adjust the flow rate as
prescribed by the primary care provider or 40-60 drops per minute if not specified.
3. Assess the drainage for amount, color and clarity. The amount of drainage should
equal the amount of irrigant entering the bladder plus expected urine output.
      For intermittent irrigation:-
1. Determine whether the solution is to remain in the bladder for a specified time.
2. If the solution is to remain in the bladder, apply flow clamp to the urinary drainage
tubing. Closing the flow clamp allows the solution to be retained in the bladder and in
contact with bladder walls.
3. If the solution is being instilled to irrigate the catheter, open the flow clamp, on the
urinary drainage tubing. Irrigating solution will flow through the urinary drainage port
and tubing, removing mucous shreds or clots.
4. Open the flow clamp on the irrigating tubing, allowing the specified amount of
solution to infuse. Clamp the tubing.
5. After specified period the solution is to retained, open the drainage tubing flow clamp
and allow the bladder to empty.
6. Assess the drainage for amount, color and clarity. The amount of drainage should
equal the amount of irrigant entering plus expected urine output.
7. Assess the client and the urinary output.- assess the client’s comfort.
8. Empty the drainage bag and measure the contents. Subtract the amount of irrigant
instilled from the total volume of drainage to obtain the volume of urine out put.9)
Document the procedure and results in the clients records. Use forms or checklists
supplemented by narrative notes when appropriate.
9. Note any abnormal constituents such as blood clots, pus or mucous shreds.

PURPOSES:-
1. To flush clots and debris out of the catheter and bladder.
2. To instil medication to bladder lining.
3. To restore patency of the catheter.

INDICATION:-
1. Urinary distension.
2. Hydronephrosis.
3. Chronic obstruction.
4. Blood clot.
5. Post TURP (Tran’s urethral resection of Prostate).
6. Post ESWL (Extracorporeal shockwave Lithotripsy).

ARTICLES:-
1. Disposable gloves.
2. Disposable, water resistant, sterile towel/ mackintosh.
3. Three way retention catheter in situ.
4. Sterile drainage tubing and bag in place.
5. Sterile antiseptics swab.
6. Sterile receptacle.
7. Sterile irrigating solution warmed or at room temperature.
a) Normal saline.
b) Distilled water.
c) Solution as prescribed by physician.

8. Infusion tubing.
9. I/V pole.
10. Kidney basin.

PROCEDURE:-

S.NO NURSING ACTION RATIONALE


.
1. Check physician’s order and nursing
care plan for type, amount and
strength of irrigating fluid and
reason for irrigation.
2. Prepare the patient
a) Explain the procedure and its Clear explanation reduces anxiety.
purpose to the patient.
b) Provide for privacy and
drape the patient.
c) Empty, measure and record Emptying the bag allows for more
the amount and appearance accurate measurement of urinary output
of urine present in the urine after irrigation.
bag. Assessment of character of urine helps in
obtaining a baseline assessment data for
letter comparison.
3. Prepare the equipment
a) Wash hand. Reduces transmission of microorganism.

b) Connect the irrigation Flushing the tubing removes air and


infusion tubing to the prevents it from being instilled into the
irrigating solution and flush bladder.
the tubing with solution.
c) Connect the irrigation tubing
to the input port of the 3-
way catheter. Connect the
drainage bag and tubing to
the urinary drainage port if
not already in place.
4. Irrigate bladder
a) Intermittent irrigation
 Instil the prescribed The bladder normally feels full when it
amount of irrigant. If contains 300ml of urine.
specific amount is not
ordered, fill up to 150ml of
irrigant. Prevents further instillation of irrigant.
 Clamp the irrigant tubing. Some irrigation solution contain
 If the physician has medication and are meant to remain in
ordered the irrigant to contact with the bladder wall the for a
remain in the bladder, for a prescribed length of time.
measured length of time,
clamp the drainage tube
and wait for the prescribed Assesses the drainage for volume, color,
length of time. clarity and the presence of any clots or
 Open the drainage tube debris.
(the clamp) and monitor
the drainage as it flows
into the drainage bag.
b) Continuous bladder Regulates the amount of irrigant flowing
irrigation. in and out of the bladder to prevent
 Adjust the clamp on the distension or damage to any surgical site.
irrigation tubing to allow
the prescribed rate of
irrigant to flow into the Assesses for bleeding, clotting, and
catheter and bladder. blockage of urine drainage or other
 Monitor color, clarity, complications.
debris and volume as it
flows back into the
drainage bag.
5. Tape the catheter securely to the Prevents the catheter from dislodging.
thigh.
6. Assess the patient’s condition and
tolerance of procedure.
7. Discard all used disposable article,
clean and replace reusable articles.
8. Wash hands. Prevents spread of micro-organisms.
9. Record procedure in nurse’s record.
Nursing responsibility

 Saline flask for bladder irrigation do be ordered by a medical officer


 Continue irrigation as necessary depending on the degree of hematuria
-(ensure adequate supply of irrigant near by)
 After each flask is complete
-empty urine drainage bag and record urine output on the fluid balance chart, prior
to commencement of the next irrigation flask
 Regular catheter care is required in order to minimize the risk of catheter related
urinary tract infection
 Catheter care provide should be documented in the progress notes
 Also the nursing care plan including
-patient comfort
Urine colour/degree of hematuria
Urine output
Also presence of clots if any and if manual bladder washout necessary

COMPLICATIONS
 Bladder rupture
 Bladder injury
CONCLUSION
 Bladder irrigation is a flushing or washing out with a specified solution, usually to
wash out the bladder and sometimes to apply a medication to the bladder lining.
BIBLIOGRAPHY
1. POTTER & PERRY’S Text book of ‘‘FUNDAMENTAL OF NURSING”
South Asian Edition. PUBLISHED BY: - Elsevier publication. PAGE NO:-751-
752.
2. WILKINSON M. JUDITH “FUNDAMENTAL OF NURSING’’
EDITION:- 2ND Edition . PUBLISHED BY:- F.A. Davis. PAGE NO:- 296-297.
3. LIPPINCOTT’S ‘‘NURSING PROCEDURES”
EDITION:- 5TH Edition . PUBLISHED BY: - Jaypee brothers. PAGE NO:- 60-
63.
4. JACOB ANNAMMA ‘‘CLINICAL NURSING PROCEDURES’’
EDITION: - 1ST Edition. PUBLISHED BY:- Wolter kluwer. PAGE NO.-133.
INTERNET
1. www.wikipedia.com.

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