BLADDER IRRIGATION
Ø It
is the flushing or washing out, of bladder with a specified solution
Ø Bladder
irrigation can help in preventing urinary tract obstruction by flushing out
small blood clots, that form post prostate or bladder surgery.
Ø It
may also be used to treat an irritated, inflamed, or infected bladder lining.
Ø It
also helps to maintain the patency of the catheter.
Purposes
·
To cleanse the bladder
from decomposed urine, bacteria, excess of mucus
·
To relieve congestion
& pain in case of inflammation by heat application.
·
To promote healing.
·
To prevent clot
formations.
·
To prevent or treat
infections.
·
To arrest bleeding.
·
To maintain the
catheter patency.
Solutions used
v Distilled
water.
v Normal
saline.
v Glucose
5%.
v Boric
acid 2 0/0.
v KMN04
1 in 100000.
v Acriflavin
1 in 10000.
v AgN03
1 in 5000.
v Acetic
acid I in 499.
Types of irrigation
1.
Open
method:
Here the closed drainage must be opened to the
environment to do the irrigation.
Done to:-
·
To restore catheter
patency.
·
Risk of UTI is more
·
Double lumen catheter
is used
2.
Closed
method:
It is of two types :
1.
Continuous
2.
Intermittent
CLOSED METHOD
Preliminary assessment
Determine the client's current urinary drainage system
Assess the client n for any discomfort, bladder spasm,
or distended bladder
Articles required are:-
·
Sterile irrigation
solution at room temperature
·
Irrigation tubing and
clamping.
·
IV pole.( to hang the
irrigating solution)
·
Retention catheter in
place
·
Antiseptic swab (to
clean the lumen of the catheter.)
·
Clean gloves
·
Bath blanket.
·
Drainage tubing clamp
(to clamp the catheter)
Steps
OPEN METHOD
Article needed:
·
Sterile irrigation set
with tray, sterile collection basin,
·
Bulb syringe or 60ml
piston type syringe to instill the solution
·
Waterproof drape/
Mackintosh
·
Antiseptic swabs.( to
clean the port) Sterile gloves.
·
Irrigation solution at
room temperature.
·
Tape or elastic
bandage to rescuer the catheter
·
Bath blanket.
Steps
COMMENTS