Urinary Elimination: Bladder Irrigation

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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




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notes.nursium.com: Urinary Elimination: Bladder Irrigation
Urinary Elimination: Bladder Irrigation
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