2. Flushing out / washing out the
urinary bladder with specific
solution.
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3. To flush clots & debris out of the
catheter & bladder.
To instill medication to bladder
lining
To restore patency of the catheter.
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4. Disposable gloves
Disposable, water resistant, sterile towel/mackintosh
Threeway retention catheter
Strile drainage tubing & bag in place
Sterile antiseptic swab
Sterile receptable
Sterile irrigating solution warmed or at room temperature
• Normal saline
• Distilled water
• Solution as prescribe by physician
Infusion tubing
IV pole
Kidney basin
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5. Check physician's order & nursing care plan
for type, amount & strength of irrigation fluid
& reason for irrigation.
Prepare the patient
a. Explain the procedure & purpose to the
patient
b. Provide for privacy & drape the patient
c. Empty, measure & record the amount &
appearance of urine present in the urine bag
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6. Prepare the equipment
a. Wash hand
b. Connect the irrigation infusion tubing to the
irrigating solution & flush the tubing with
solution
c. Connect the irrigation tubing to the input
port of the 3-way catheter. Connect the
drainage bag & tubing to the urinary
drainage port if not already in place
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7. Irrigate the bladder
a. 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.
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8. b. Intermittent Irrigation
I. 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 &
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9. II. 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
Record procedure in nurse’s record.
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