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    CYSTOCLYSIS

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    Beverly
    Bladder irrigation involves flushing the bladder with saline through a catheter to prevent blood clot formation and treat infections. It maintains flow of urine and keeps the catheter open. A special three-way catheter is used to continuously irrigate the bladder with saline from bags hung on an IV pole. Nurses are responsible for setting the irrigation rate, monitoring urine output and color, and documenting catheter care including patient comfort. The goal is to keep urine rose-colored and free of clots.

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    CYSTOCLYSIS

    Uploaded by

    Beverly
    143 views2 pages
    Bladder irrigation involves flushing the bladder with saline through a catheter to prevent blood clot formation and treat infections. It maintains flow of urine and keeps the catheter open. A special three-way catheter is used to continuously irrigate the bladder with saline from bags hung on an IV pole. Nurses are responsible for setting the irrigation rate, monitoring urine output and color, and documenting catheter care including patient comfort. The goal is to keep urine rose-colored and free of clots.

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    Bladder irrigation involves flushing the bladder with saline through a catheter to prevent blood clot formation and treat infections. It maintains flow of urine and keeps the catheter open. A special three-way catheter is used to continuously irrigate the bladder with saline from bags hung on an IV pole. Nurses are responsible for setting the irrigation rate, monitoring urine output and color, and documenting catheter care including patient comfort. The goal is to keep urine rose-colored and free of clots.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    143 views2 pages

    CYSTOCLYSIS

    Uploaded by

    Beverly
    Bladder irrigation involves flushing the bladder with saline through a catheter to prevent blood clot formation and treat infections. It maintains flow of urine and keeps the catheter open. A special three-way catheter is used to continuously irrigate the bladder with saline from bags hung on an IV pole. Nurses are responsible for setting the irrigation rate, monitoring urine output and color, and documenting catheter care including patient comfort. The goal is to keep urine rose-colored and free of clots.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
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    CYSTOCLYSIS

    Description:
    Bladder irrigation is the process of flushing the bladder with normal
    saline to prevent or treat clot formation. Bladder irrigation may also be used
    to instill medications such as antibiotics for treating bladder infections. This
    is done over a period of time, and runs continuously. A special catheter is
    used for the above procedure.
    Purpose:
    To prevent blood clot formation, allow free flow of urine and maintain
    IDC patency, by continuously irrigating the bladder with Normal Saline.
    Materials/ Equipment Needed:
    3 way catheter
    0.9% sodium chloride irrigation bags as per facility policy
    continous bladder irrigation set and closed urinary drainage bag with anti-reflux valve.
    Chlorhexidane 0.5% with 70% alcohol wipes
    Non sterile gloves
    Personal protective equipment
    Underpad (bluey)
    IV pole
    Procedure:
    1. Explain procedure to the patient and ensure patient privacy
    2. Position the patient for easy access to the catheter whilst maintaining patient
    comfort
    3. Ensure that the patient has a three-way urinary catheter. If not, a three-way
    catheter needs to be inserted
    4. Hang irrigation flasks on IV pole and prime irrigation set maintaining asepsis of
    irrigation set.
    Note: Only one of the irrigation flask clamps should be open when priming the
    irrigation set otherwise the fluid can run from one flask to another. After priming the
    irrigation set ensure that all clamps on the irrigation set are closed.
    5. Don goggles and impervious gown , place underpad underneath catheter
    connection
    6. Attend hand wash and don non sterile gloves
    7. Swab IDC irrigation and catheter ports with chlorhexidine swabs and allow drying

    8. Remove the spigot from the irrigation lumen of the catheter using sterile gauze
    and discard
    spigot
    9. Connect the irrigation set to the irrigation lumen of the catheter, maintaining
    clean procedure
    10. Remove spigot or old drainage bag from the catheter lumen using sterile gauze
    and apply catheter drainage bag maintaining clean procedure.
    Note: Do not commence Bladder Irrigation until urine is draining freely
    11. Unclamp the irrigation flask that was used to prime the irrigation set and set the
    rate of administration by adjusting the roller clamp
    Note: The aim of the bladder irrigation is to keep the urine rose coloured and free
    from clots.

    Diagram/ Illustrations:

    Nursing Responsibilities:
    Saline flasks for bladder irrigation do not need to be ordered by a Medical Officer
    Continue irrigation as necessary depending on the degree of hematuria (ensure
    adequate supply of irrigant nearby)
    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 minimise the risk of catheter related
    urinary tract infection
    Catheter care provided should be documented in the progress notes and nursing
    care plan including patient comfort, urine colour/degree of hematuria and urine
    output. Also presence of clots if any and if manual bladder washout was necessary.
    References:
    http://www.utmb.edu/erc/facts/Bladder%20Irrigation,%20Continuous.pdf
    http://www.sh.lsuhsc.edu/policies/policy_manuals_via_ms_word/Nursing/G-13.pdf

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