hj mohd hanif b adam

Mstr Occup Health Safety & Risk Management(OUM)

Bsc(hons) Nr Pract Development (UK)
Dip Pemb Perubatan
Pos Basik Kecemasan & Trauma
Pos Basik renal
Sijil BLS/ACLS/PALS/MTLS

10.2 mans 1213

bladder irrigation

definasi
Pengepamam

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 solution

anatomy

tujuan
Mengeluarkan

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
kateter

alat-alatan prosidur
Disposable

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 specimen
Sterile irrigating solution warmed or at room temperature
Normal saline
Distilled water
Solution as prescribe by physician

Infusion
IV

tubing

pole
Kidney basin

indikasi
Benign

Prostate Hypertrophy
Obstrution to urethra, ureter, bladder
Antibiotic eg; flagyl,
For flush/wash out. Eg; distiled water, NaCl
Urine Culture and Sensitivity. Eg; midstream
Urine for Full Examination and Microscopic Examination
Bladder drainage
Acute urinary retention
Residual volume bladder drainage
Bladder irrigation following surgery
Urodynamic flow rate studies
Accurate fluid balance
Instillation of drugs

prosedur
1.

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 perawatan
Irrigate

the bladder.
Continuous irrigation
Open 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 &clarity
Intermittent 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 empty

cont
If

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