bladder irrigation


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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 ?
All patients were 18 years or older at the time of treatment and had failed initial measures, including indwelling catheter (n=8), continuous normal saline bladder irrigation (n=8), and intravesical therapy with agents such as alum (n=6), silver nitrate (n=4), and aminocaproic acid (n=2).
The method of STR administration at the only site reporting TTP/HUS differs from that used at the other major phase I/II site and from the current phase III protocol in the following respects: 1) the drug was infused more rapidly; 2) the calculated dose to be received by patients was somewhat higher; and, 3) the patients did not receive bladder irrigation during the procedure.
Sugino and colleagues from Japan hypothesized that continuous saline bladder irrigation (CSBI) following transurethral resection of the bladder (TURB) might be an alternative option for preventing early recurrence by preventing free tumour cells from implanting in the bladder wall.
However, it has a number of disadvantages, including a high transfusion rate, long bladder irrigation time, and prolonged postoperative hospitalization--these have left urologists wanting for newer technologies.
Continuous saline bladder irrigation after transurethral resection is a prophylactic treatment choice for non-muscle invasive bladder tumor.
9) In addition, it was reported that the bladder irrigation with sterile water after transurethral resection reduced recurrence rates of non-muscle-invasive bladder cancer.
Occasionally, intermittent bladder irrigation with neomycin/polymyxin has been used, but the evidence to support this practice is weak.
Hematuria continued requiring intermittent bladder irrigation and supplemental blood transfusions.
Safety of gentamicin bladder irrigations in complex urological cases.
One of my students was caring for a patient with bladder cancer who needed frequent bladder irrigations to remove clots via his Foley catheter.
10,26) Following bladder augmentation, patients must catheterize regularly and perform bladder irrigations with water to minimize infection risk and prevent bladder stone formation.