BLADDER IRRIGATION

BLADDER IRRIGATION

Bladder irrigation or wash is defined as washing of the urinary bladder by directly a stream of solution into the bladder through the urinary meatus by means of a catheter tubing and funnel

Purpose

  • To cleanse the bladder from decomposed urine bacteria, excess mucus and pus
  • To medicate the lining of the bladder of antiseptic irrigation
  • To prepare the bladder for surgery as a preoperative measure
  • To promote healing
  • To relieve congestion and pain in case of inflammatory conditions of cystitis
  • To arrest bleeding and prevent clothing of blood

Solution Used

  • Normal saline 0.9%
  • Boric acid solution 2%
  • Sterile water
  • Acetic acid 1:4000 to treat pseudomonas infection
  • Sodium nitrate 1:8000 to prevent clot formation
  • KMO4 1:5000 – 1:10,000
  • Acriflavin 1:10,000
  • Silver nitrate 1:5,000
  • Mercury compounds in low concentration

General Instructions

  • The temperature of the solution needed for cleaning purpose body temperature in enough
  • The temperature of the solution needed for therapeutic purposes ranging from 100-110 degree F
  • The maximum amount of solution used for cleaning is 2 pints and also depends on the patient’s condition

Methods of Administration

  • Funnel and tubing method (open method)
  • Irrigation can, rubber tubing and Y connection
  • Asepto syringe (open method)

Preliminary Assessment

Check

  • Doctors order for specific precautions and instructions
  • General condition of the patient
  • Diagnosis of the patient
  • Self care ability of the patient
  • Mental status to follow instructions
  • Articles available in the unit

Preparation of the Patient and Environment

  • Explain the sequence of the procedure
  • Arrange the articles at the bed side
  • Provide privacy
  • Place the patient in comfortable position
  • Place the Mackintosh under the buttocks

Equipment

Sterile Catheterization Pack

A sterile tray containing:

  • Funnel, tubing 3 feet long which fits the connection screw clip and glass connection
  • A small mug or pint measures to pour solution
  • A sterile pint jug with required solution
  • Solution thermometer kept in antiseptic solution in a bottle if available
  • Medication if ordered
  • Bucket for emptying the return flow
  • Litmus paper

Procedure

  • Wash hands thoroughly
  • Wear gloves and empty the bladder keeping outlet of catheter uncontaminated
  • After urine withdrawal, attach glass, connection, tubing and funnel to the catheter
  • Place bucket or kidney tray conveniently near the meatus
  • Hold the funnel lowered with one hand and with other hand pour 75-100 ml of solution along sides of the funnel
  • Raise the tube and keep the funnel 30 cm above bed level
  • Never allow the funnel to be empty, lower the funnel and slowly invert in over the bucket
  • Repeat procedure until the return flow is clear
  • At the end of the procedure, clamp tubing disconnects glass connection, tubing and funnel, gently remove catheter and complete
  • In case of self-retaining catheter connect it to the drainage bag

After Care

  • Provide catheter care
  • Remove the Mackintosh and position the patient comfortably
  • Cover the patient with bed sheets
  • Replace the articles after cleaning
  • Wash hand thoroughly
  • Record the procedure and observations in the nurse’s record sheet
BLADDER IRRIGATION - Purpose, Solution, Instructions, Administration methods, Preliminary Assessments, Preparation of patient and environment, Equipment, Procedure, After care
BLADDER IRRIGATION – Purpose, Solution, Instructions, Administration methods, Preliminary Assessments, Preparation of patient and environment, Equipment, Procedure, After care

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