Precautions for bladder irrigation

Bladder irrigation is a common method for treating bladder inflammation. It helps to remove inflammation and promote smooth urine flow. You must be aware of some precautions when doing bladder irrigation. First of all, you must operate under sterile conditions and strictly follow the operating specifications. In addition, the water temperature should be maintained between 35 and 37 degrees. Flush 2 to 3 times a day. Let's learn about this aspect below.

Precautions for bladder irrigation

1. Make good preparations for sterile protection and strictly follow the steps and procedures of bladder irrigation. Pay attention to disinfecting all connecting parts before connecting the flushing tube and flushing fluid, as well as the catheter and urine bag.

2. 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.

3. During flushing, the liquid level in the flushing liquid bottle should be about 60 cm away from the bed surface in order to generate a certain pressure to facilitate the inflow of liquid. The flushing speed is adjusted according to the color of the outflowing liquid, generally 80-100 drops/minute; if the medicine is dripped, it must be retained in the bladder for 15-30 minutes before being drained out of the body, or the retention time can be extended as needed.

4. During the flushing process, pay attention to whether the drainage tube is unobstructed.

Common methods

(1) Closed flushing method: that is, flushing the infusion bottle. The medicine solution is flushed or placed in the infusion bottle and hung on the infusion stand beside the bed. The bottle is about 1 meter above the patient's pelvis. The infusion tube is connected to a tee and then connected to the urinary catheter and drainage tube respectively. The height of the tee is slightly lower than the pubic symphysis plane 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 flusher or a large syringe. Separate the connector 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. After disinfecting the end of the urinary catheter or cystostomy catheter, support it with sterile gauze. Connect the flusher 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.