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NURS 3715- Clinical Integration III- Week 5 Exam
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NURS 3715- Clinical Integration III- Week 5 Exam...
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NURS 3715- Clinical Integration III- Week 5 ExamWhat is the purpose of urinary irrigations?
- irrigate the bladder
- apply medication to the bladder lining
- maintain latency of the catheter ie// remove blood clots, mucous fragments, pus
blocking the catheter
What are the different types of urinary irrigations?
- closed method (preferred method because there is lower risk for UTI)
- open method
What type of timing is closed irrigation given over?
Can be continuous or intermittent. If continuous, the drip rate is adjusted as per order)
and if closed intermittent, install irrigation fluid with slow even pressure.
In closed irrigation, what catheter is used?
A three way or triple lumen catheter.
What is the irrigating solution used with closed irrigation?
The irrigating solution ie// 0.9% NS flows into the bladder through the irrigation port and
flows out through the urine drainage lumen.
For what conditions are open irrigations used?
Only if necessary to restore catheter patency ie// blood clots, mucous fragments
occluding the catheter.
, What type of catheter is used with open irrigation?
A double- lumen indwelling catheter.
What is a risk for open irrigation?
Must use strict sterile technique because there is an increased risk for infection
because the connection between the indwelling catheter and drainage tube is broken.
What volumes are used for open irrigation in the catheter and bladder?
Catheter is 30-40 mL( as ordered) to irrigate in an adult. Bladder is 100-200 mL( as
ordered) to irrigate in an adult.
When Open irrigating what pressure is used with the solutions?
Gentile instillation because this decreases the incidence of trauma to the bladder
mucous membrane and bladder spasms.
What is the nursing management for urinary irrigation?
- drainage- the amount, colour, clarity
- amount of drainage
- client comfort
- drainage for abnormal constituents (ie// blood clots, mucous shreds, pus)
- documentation[((draft
pink drainage with urinary irrigation Is this normal?
Yes, normal expectation with continous irrigation post TURP
When irrigating the urinary tract, how much drainage should one expect to see?
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