10.2 mans 1213 bladder irrigation

10.2 mans 1213bladder irrigationhj mohd hanif b adamMstr Occup Health Safety & Risk Management(OUM)Bsc(hons) Nr Pract Development (UK)Dip Pemb PerubatanPos Basik Kecemasan & TraumaPos Basik renalSijil BLS/ACLS/PALS/MTLS

definasiPengepamam keluar atau membersih keluar air kencing daripada pundi kencing melalui cecair yang mengikut kesesuaian penggunaannya. Eg; normal saline, distilled water, mannitol intravena. Flushing out / washing out the urinary bladder with specific solutionanatomy

tujuanMengeluarkan bahan kumuh (urea/toxin/calculus) tersekat diantara laluan dalam lumen pundi kencing Memasukkan sebarang ubatan yang perlu bagi melarutkan bahan kumuh atau anibiotik jika perlu melalui kateteralat-alatan prosidurDisposable gloves Disposable, water resistant, sterile towel/mackintosh Threeway retention catheter (foley catheter) size 16-20 Fg(adult)Strile drainage tubing & bag in place Sterile antiseptic swab Sterile receptable (kidney dish) for urine midstream specimenSterile irrigating solution warmed or at room temperature Normal saline Distilled water Solution as prescribe by physician Infusion tubing IV pole Kidney basin

indikasiBenign Prostate HypertrophyObstrution to urethra, ureter, bladderAntibiotic eg; flagyl, For flush/wash out. Eg; distiled water, NaClUrine Culture and Sensitivity. Eg; midstreamUrine for Full Examination and Microscopic ExaminationBladder drainageAcute urinary retentionResidual volume bladder drainageBladder irrigation following surgeryUrodynamic flow rate studies Accurate fluid balance Instillation of drugsprosedur1. lihat nota arahan Dr. Beri salam dan terang prosedur. 2. Berikan privasi. 3. Asses keadaan pesakit. 4. Sediakan pesakit. 5. Cuci tangan asepsis medical. 6. Sediakan peralatan. 7. Gantung botol larutan irigasi. 8. Dedahkan bahagian hujung sambungan kateter pesakit. 9. Cuci tangan secara surgical. 10. Pakai sarung tangan steril. 11. Sediakan swab dan goz. 12. Sambungkan set irigasi pada botol larutan irigasi. 13. Keluarkan udara, klam & letakkan didalam kidney dish. 14. Bersihkan kateter 3 lumen. 15. Letakkan kateter yang telah dibersihkan di atas goz. 16. Dekatkan kidney dish yang mengandungi set irigasi ke pesakit. 17. Buka penutup kateter dengan menggunakan goz. 18. Sambungkan set irigasi kepada bahagian penyambung 3 lumen & buka klam. 19. Alirkan cecair irigasi mengikut kesesuaian. 20. Selesakan pesakit & kemaskan peralatan.

tindakan perawatanIrrigate the bladder. Continuous irrigationOpen the flow clamp on the urinary drainage tubing (if present)Open the regulating clamp on the irrigating tubing & adjust the flow rate as prescribed by the physician or to 40- 60 drops/minute if not specified Assess the drainage for amount, colour &clarityIntermittent Irrigation. Determine whether the solution is to remain in the bladder for a specified time. If solution is to remain in the bladder during a bladder irrigation or instillation close the flow clamp on the urinary drainage tubing. Open the flow clamp on the irrigation tubing, allowing the specified amount of solution(75-100 ml) to infuse & then clamp the tubing After retaining the solution for specific period of time, open the drainage tubing flow clamp &allow the bladder to emptycontIf the solution being instilled is to irrigate the catheter, open the flow clamp on the urinary drainage tubing. Assess the patient condition, urinary output, color, odour & clarity of drainage. Discard all used disposable articles, clean &replace reusable articles. Wash hands Record procedure in nurses record