bladder irrigation


Also found in: Dictionary, Thesaurus, Legal, Encyclopedia, Wikipedia.
Related to bladder irrigation: Continuous Bladder Irrigation

irrigation

 [ir″ĭ-ga´shun]
1. washing of a body cavity or wound by a stream of water or other fluid. A steady, gentle stream is used; pressure should be sufficient to reach the desired area, but not enough to force the fluid beyond the area to be irrigated. Pressure may be applied manually, such as with a bulb syringe or mechanical device, or by gravity. The greater the height of the container of solution, the greater will be the pressure exerted by the stream of solution. There are also specially designed irrigating units that deliver a pulsed flow of fluid. Return flow of solution must always be allowed for. Directions about the type of solution to be used, the strength desired, and correct temperature should be followed carefully. Aseptic technique must be observed if sterile irrigation is ordered.
Irrigation of the ears. From Lammon et al., 1996.
2. a liquid used for such washing.
bladder irrigation in the nursing interventions classification, a nursing intervention defined as instillation of a solution into the bladder to provide cleansing or medication.
bowel irrigation in the nursing interventions classification, a nursing intervention defined as instillation of a substance into the lower gastrointestinal tract.
wound irrigation in the nursing interventions classification, a nursing intervention defined as flushing of an open wound to cleanse and remove debris and excessive drainage.

bladder irrigation1

Etymology: AS, blaedre + L, irrigare, to conduct water
the washing out of the bladder by a continuous or intermittent flow of saline or a medicated solution. The bladder also may be irrigated by an oral intake of fluid.

bladder irrigation2

a nursing intervention from the Nursing Interventions Classification (NIC) defined as instillation of a solution into the bladder to provide cleansing or medication. See also Nursing Interventions Classification.

bladder irrigation

Washing out the bladder to treat inflammation or infection or to keep a urinary catheter flowing. The irrigation may be intermittent or continuous. Normal saline is commonly used.

Patient care

The necessary sterile equipment and the prescribed irrigant are assembled. The patient is covered with draping to preserve privacy and maintain antisepsis, and provided with information about how the procedure is done and what sensations will be experienced. A triple-lumen indwelling catheter is inserted into the urinary bladder via the urethra; placement is confirmed by the flow of urine, and the anchoring balloon inflated via its lumen. The prescribed volume of irrigant is instilled via the irrigation lumen; the catheter is clamped to allow the solution to remain in the bladder for the prescribed period of time; then the catheter is unclamped to allow the irrigant to flow out of the bladder via the drainage lumen by gravity into a collecting basin or closed drainage system. The irrigation is repeated the prescribed number of times. The character of the irrigation solution returned and the presence of any mucus, blood, or other material visible in the drainage is noted. The catheter is removed as per practitioner order. The time of the procedure, the type and volume of irrigant instilled, the type and volume of return, and the patient's response to the procedure are documented. If intermittent or continuous bladder irrigation is required, the catheter remains in place. Two large bags of irrigating fluid on a Y tubing are hung for continuous irrigation, with flow-rate controlled to maintain clear drainage. Urine output is determined by subtracting the amount of irrigant instilled from the total drainage obtained.

CAUTION!

Patients who receive high volumes of dilute fluids may absorb these irrigants and develop fluid overload or hyponatremia. To ensure patient safety, careful measurement of inputs and outputs and regular assessments of electrolytes, BUN, Cr, and oxygenation should be performed.
See also: irrigation
References in periodicals archive ?
He required intensive albumin, packed red blood cells and daily platelet infusions along with vigorous bladder irrigations to maintain hemodynamics and urine outflow.
Pelvic ultrasonographic examination is also performed in those patients to determine any obstruction in the vesicle and, if present, continuous bladder irrigation at 6-7 L/day through a tri-lumen irrigation catheter is also started.
Bladder Irrigation Box 3000 Ml X5 Pvc Bag Easy Open, Sterilization And Double Standard Box.
Bladder irrigation with antimicrobial-drug solutions has not only shown no benefit for prevention but has been associated with a strikingly increased proportion of CAUTIs caused by microorganisms resistant to the drugs in the irrigating solution (37).
All of these cases occurred in patients who did not have continuous bladder irrigation as part of their STR treatment.