EMILIO AGUINALDO COLLEGE School of Nursing and Midwifery

STANDARDS ON CYSTOCLYSIS CARE Definition: A continuous infusion of a sterile solution into the bladder, usually using 3 way irrigation closed system with triple lumen catheter. Purpose: To keep the bladder clear and free of blood clots or sediments usually after genitourinary surgery. Goal: After a lecture-demonstration, the students will develop the skills needed in performing continuous bladder irrigation. Time Management: 30 mins. Equipment: Irrigation solution 3 way catheter Urine bag Clean glove Assessment: Diagnosis: IV pole

Assess for the blood stagnation and possible pus formation. Risk for infection Alteration in comfort, pain related to the insertion of catheter secondary to cystoclysis care To prevent possible infection due to genitourinary surgery. Procedural Flow

Planning:

1. PREPARE TO CARRY OUT THE PROCEDURE. Check the doctors order, its frequency, and skin to be punctured. Check readiness of the client. Explain the procedure. Prepare and Gather the equipment. Wash hands. Instruct the client to wash hands with soap and warm water.

2. PERFORM THE ACTUAL PROCEDURE. Hang bag on IV pole. Using aseptic technique, insert tip of sterile irrigation tubing into the bag containing irrigation solution Close clamp on tubing and fill the drip chamber one half-full by squeezing the chamber. Open the clamp to completely fill the tubing and remove air. Close the clamp. Using aseptic technique, wipe off irrigation port of triple lumen catheter with antiseptic swab and connect to irrigating tubing. Calculate drip rate, and adjust rate at roller clamp. If urine is bright red and has clots, increase irrigation rate until drainage appears pink. Replace bag of irrigation solution as needed. Empty catheter drainage bag as needed. Compare urine output with infusion of irrigation solution every hour. 3. AFTER CARE PROCEDURE Wash hands. Wash equipment and dry. Record the cystoclysis care.
/Charlemagnegbelingon/n100RLE/March22,2009/