Description:: Materials/ Equipment Needed

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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.
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.
CYSTOCLYSIS

1. What is the other name for cystoclysis?

a. IDC irrigation c. catheter

b. bladder irrigation d. foley catheter

2. What is the usual solution used in cystoclysis ?

a.NSS c.D5LR

b.0.9 nacl d. D5NM

3. Purposes of cystoclysis includethe ff. except?

a. used to instill medications c. allow free flow of urine and maintain IDC patency

b. prevent or treat clot formation d. to treat UTI

4. what is your initial intervention in doing these ?

a. position the patient c. ensure patient privacy

b. explain the procedure d. hang irrigation flasks on IV pole

5. what is the aim of the bladder irrigation?

a. to keep urine green coloured and free from clots

b. to keep urine orange coloured and free from clots

c. to keep urine yellow coloured and free from clots

d. to keep urine rose coloured and free from clots

6. continuation of irrigation depends on ?

a. urine output c. weight

b.patients comfort d. hematuria

7.the ff. are indication of cystoclysis.except?

a.urinary tract infection c.prostatic hematuria

b. post-genitourinary surgery d.traumatic injury


8. The ff. are contraindication of cystoclysis. Except?

a. hypersensitivity to the solution c. not for long term treatment

b. defects in the bladder d. bladder surgery

9.catheter related infections can be prevented through?

a. regular catheter care c. monitoring urine

b. continuity of care d. administering antibiotic

10. why is it that NSS is the solution used for irrigating the bladder?

a.

b.

c.

d.
CYSTOCLYSIS

answers:

1. What is the other name for cystoclysis?

a. IDC irrigation c. catheter

b. bladder irrigation d. foley catheter

2. What is the usual solution used in cystoclysis ?

a.NSS c.D5LR

b.0.9 nacl d. D5NM

3. Purposes of cystoclysis includethe ff. except?

a. used to instill medications c. allow free flow of urine and maintain IDC patency

b. prevent or treat clot formation d. to treat UTI

4. what is your initial intervention in doing these ?

a. position the patient c. ensure patient privacy

b. explain the procedure d. hang irrigation flasks on IV pole

5. what is the aim of the bladder irrigation?

a. to keep urine green coloured and free from clots

b. to keep urine orange coloured and free from clots

c. to keep urine yellow coloured and free from clots

d. to keep urine rose coloured and free from clots

6. continuation of irrigation depends on ?

a. urine output c. weight

b.patients comfort d. hematuria

7.the ff. are indication of cystoclysis.except?

a.urinary tract infection c.prostatic hematuria

b. post-genitourinary surgery d.traumatic injury


8. The ff. are contraindication of cystoclysis. Except?

a. hypersensitivity to the solution c. not for long term treatment

b. defects in the bladder d. bladder surgery

9.catheter related infections can be prevented through?

a. regular catheter care c. monitoring urine

b. continuity of care d. administering antibiotic

10. why is it that NSS is the solution used for irrigating the bladder?

a.

b.

c.

d.

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