Question

Q 1. An elderly man with a urinary problem has been admitted into the male ward and is to undergo bladder lavage. A. What are the indications for bladder lavage? B. Describe how the procedure will be carried out. (7MARKS) C. What nursing care does the patient need during the procedure?

Answer 1

ANSWER :

A)Indications of bladder lavage :

• Hygienic care of bed ridden patients
• Bladder spasm , infections and bleeding
• Acute urinary retention
• Mucous and debris in bladder
• Intermittent compression of neurogenic bladder
• Hydronephrosis in chronic obstruction

B)Procedure :

• A catheter is introduced into the bladder
• 50 to 60 ml of saline is pushed by a syringe into the bladder through the catheter
• Then the saline is removed by pulling back with the syringe
• Continue the irrigation of bladder until the saline comes out clearly or without any mucous or debris

C)Nursing care during the procedure:

• Procedure done under strict aseptic conditions
• Hands should be washed thoroughly and wear gloves
• The saline should be pushed gently into the bladder
• Don't overpull or pull back the saline forcefully
• After completing the procedure wash hands thoroughly