How to flush your bladder

Bladder irrigation is a relatively common treatment method. It can eliminate inflammation and remove some impurities in the bladder. It has a good therapeutic effect on cystitis or urinary system inflammation. There are two main methods of bladder irrigation. One is a closed flushing method and the other is an open flushing method. When performing bladder irrigation, you should be aware of some precautions.

How to flush your bladder

(1) Closed flushing method:

That is, flush the infusion bottle, flush the medicine or put it in the infusion bottle, and hang it on the infusion stand beside the bed. The bottle is about 1 meter high from the patient's pelvis. The infusion tube is connected to the tee below, and then connected to the urinary catheter and drainage tube respectively. The height of the tee is slightly lower than the plane of the pubic symphysis to facilitate the emptying of the liquid in the bladder. When flushing, first clamp the drainage tube and infuse the flushing solution at a rate of 60 drops/minute. After injecting 100ml each time, clamp the infusion tube and open the drainage tube to allow the flushing solution to flow out. Repeat this process 3-4 times each time.

(2) Open flushing method:

Use a bladder irrigator or large syringe. Separate the connectors of the indwelling urinary catheter or cystostomy tube each time you flush. Wrap the distal drainage tube connector with sterile gauze and set it aside. Disinfect the end of the urinary catheter or cystostomy catheter and support it with sterile gauze. Connect the irrigator filled with flushing fluid to the end of the catheter, slowly inject the flushing fluid, and then let it flow out naturally or slowly suck it out. Repeat this process until the outflowing liquid becomes clear. After flushing, flush the distal drainage tube once, then connect the urinary catheter or cystostomy to continue drainage.

Precautions for bladder irrigation

Commonly used flushing solutions include 0.02% furacilin, 0.02% rafoinol, 3% boric acid and isotonic saline. The water temperature is 35℃-37℃. Use cold flushing solution for bladder bleeding. Flush 2-3 times a day, 50-100ml of solution each time. The amount of flushing solution after bladder surgery should not exceed 50ml. Observe the patient's reaction during flushing. Stop flushing if there is abnormal situation such as bleeding, severe pain, or reflux volume less than the infusion volume.