Purpose of bladder irrigation

The purpose of bladder irrigation is to eliminate inflammation, so that the patient can urinate without obstacles, and to remove some blood clots, bacteria or adhesions in the bladder. It can play a certain therapeutic effect on cystitis and bladder tumors. When performing bladder irrigation, you must understand some precautions and strictly follow the strict aseptic conditions to prevent medical infections.

Purpose of bladder irrigation

1. For patients with indwelling urinary catheters, maintain unobstructed urine drainage. 2. Remove blood clots, mucus, bacteria and other foreign objects in the bladder. 3. Treat certain bladder diseases, such as cystitis and bladder tumors.

Precautions

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.

Key points of nursing implementation

1. Assess the patient: (1) Ask questions about the patient’s condition, understand the condition, explain the condition to the patient, and obtain cooperation. (2) Understand the characteristics of the patient's urine, whether the patient has frequent urination, urgency, pain when urinating, a feeling of bladder retention, whether the urine has been completely emptied, and the patency of the urinary catheter. 2. Operation points: (1) Check and be prepared. (2) Wash your hands and wear a mask. (3) Hang the bladder flushing fluid on the infusion stand, connect the flushing tube to the flushing fluid, connect one end of the Y-shaped tube to the flushing tube, and connect the other two ends to the catheter and urine bag respectively. Disinfect each connection before connecting. (4) Open the flushing tube, clamp the urine bag, and adjust the flushing speed according to the doctor's instructions. (5) Clamp the flushing tube, open the urine bag, and drain the flushing fluid. Repeat this process. (6) During the continuous flushing process, observe the patient's reaction and the amount and color of the flushing solution. Assess the amount of flushing fluid in and out and whether there is a feeling of bladder fullness. (7) After flushing, remove the flushing tube, disinfect the catheter opening, connect it to the urine bag, and secure it properly, positioning it below the bladder to facilitate drainage of urine. (8) Assist the patient to assume a comfortable lying position.