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Bladder Irrigation & Installation

This document discusses bladder irrigation and installation procedures. It describes the closed and open methods of bladder irrigation, with the closed method being preferred. It outlines the purposes, assessment, planning, equipment, and steps for performing bladder irrigation and installation, including explaining the procedure to the client, preparing sterile equipment and solutions, inserting the irrigation into the catheter port, allowing drainage, and assessing the output. The goal is to maintain catheter and bladder patency or relieve infection and pain.

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Sui Narcan
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828 views12 pages

Bladder Irrigation & Installation

This document discusses bladder irrigation and installation procedures. It describes the closed and open methods of bladder irrigation, with the closed method being preferred. It outlines the purposes, assessment, planning, equipment, and steps for performing bladder irrigation and installation, including explaining the procedure to the client, preparing sterile equipment and solutions, inserting the irrigation into the catheter port, allowing drainage, and assessing the output. The goal is to maintain catheter and bladder patency or relieve infection and pain.

Uploaded by

Sui Narcan
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Bladder Irrigation & Installation

Urinary irrigation
Is a flushing/washing out with a specified solution. Catheter irrigations may be performed to maintain or restore the patency of a catheter.

Types of bladder irrigation


1. Closed method
Preferred technique for catheter or bladder irrigation. May either be continuous or intermittent. A 3-way or triple lumen catheter is generally used.

2. Open method
There is an increased risk of injecting microorganism into the urinary tract. It is performed with double-lumen indwelling catheter. Strict precautions should be employed to maintain sterility of the drainage tubing connector & interior of indwelling catheter.

Purposes in performing bladder irrigation:


To maintain the patency of a urinary catheter & tubing (continuous irrigation)
To free a blockage in a urinary catheter or tubing (intermittent irrigation)

Assessment:
Determine the clients current urinary drainage system. Review the client record for recent intake & output and any difficulties the client has been experiencing with the system. Review the previous irrigations. Assess the client for any discomfort, bladder spasm, or distended bladder.

Planning:
Before irrigating the catheter or bladder check:
a. The reason for the irrigation b. The order authorizing the continuous or intermittent irrigation c. Type of sterile solution, the amount & strength to be used & the rate (continuous) d. Type of catheter in place

1. Assemble the equipment


Clean gloves

Disposable water resistant towel


Sterile irrigating solution Sterile basin Sterile 30-50ml syringe with a # 18 or # 19gauge needle Antiseptic swabs

Procedure:
2. Explain the procedure to the client

3. Wash hands & observe appropriate infection control procedure.


4. Provide for client privacy.

5. Apply clean gloves.


6. Empty, measure & record the amount & appearance of urine present in the drainage bag.

7. Prepare the equipment.


Wash hands & don gloves Place the disposable water-resistant towel under the catheter. Clamp the drainage tubing distal to the injection port on the tubing or catheter. Using aseptic technique open supplies & pour the irrigating solution into the sterile basin/receptacle. Remove the cap from the needle and draw the prescribed amount of irrigating solution into the syringe maintaining the sterility of the syringe & the solution.

8. Irrigate the bladder

Insert the needle into the port. Gently inject solution into the catheter. In adults, about 30 to 40ml generally is instilled for catheter irrigations; 100 to 200 ml may be instilled for bladder irrigation/instillation. For catheter irrigation, open the drainage tubing clamp to allow the irrigant to flow back through the catheter. When the total amount to be instilled has been injected, remove the needle from the port & discard appropriately. Remove gloves & wash hands After the prescribed dwelling time for bladder irrigation, remove the clamp from the drainage tubing & allow the urine & the irrigating solution to drain into the drainage bag.

The drainage for amount, color, & clarity. The amount of drainage should equal the amount of irrigant entering the bladder plus expected urine output. 5. Assess the client and the urinary output and document the procedure.

Bladder Instillation
Purpose:
To instill medication into the bladder. To check infection and relieve pain in cystitis.

Materials:
Catheterization tray Asepto syringe without bulb, or funnel Medication ordered Medicine glass 10-20 cc. syringe.

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