Nasal/ear/bladder/ Bowel irrigation

9. Flushing out / washing out the urinary
bladder with specific solution.
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10. Toflush clots & debris out of the catheter &
bladder.
Toinstill medication to bladder lining
Torestore patency of the catheter.
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11.  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 4/28/2013
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12. 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 urinebag
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13. 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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14. Irrigate the bladder
a. Continuous irrigation
 Open the flow clamp on the urinary drainage tubing (if
present)
 Open the regulating clamp on theirrigating
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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15. 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 periodof time, open the
drainage tubing flow clamp & allow the bladder to empty
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16. 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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17. Colonic Irrigation

18. Definition
• Colonic Irrigation or enteroclysis or bowel wash
refers to the treatment of washing out the colon
with large quantities of a solution in order to
clear the colon of faeces

19. Purposes
• To clean the colon of faeces , gas , excess mucus ,
barium etc .
• To dilute & remove any of the toxic agents that may be
present in the large intestine
• To keep the individual clean in faecal incontinence and
to check the diarrhoea
• To supply heat to the colon or to the pelvic &
abdominal organs surrounding the large intestine to (to
relieve pain & bring about circulatory changes in these
organs )

20. Purposes
• To reduce temperature in hyperpyrexia & heat
stroke
• To apply medications locally
• To supply the body with fluid & electrolytes that
are absorbed from the intestine
• As a preparation for diagnostic examinations &
certain surgeries to cleanse the bowel

21. Solutions used
• Plain water
• Cold water
• Normal saline
• Sodium bi-carbonate solution 1 to 2 %
• Antiseptic solution such as silver nitrate 1 : 5000 ;
potassium permanganate solutions 1 : 5000 ; thymol 1
: 100 ; alum 1 : 100 ; boric solution 1 to 2 %

22. •Amount of solution used :
•2 to 3 liter or till the return flow is clear
•Temperature of the solution :
•For cleansing purpose 104 ºF ( 40 º C )
•For thermal effect 110 to 115 ºF ( 43.3 to 46
ºC)
•For reducing temperature 80 to 90 ºF ( 27 to 32
ºC )

23. General Instruction
• A cleansing enema should be given 1 hour before the
colon irrigation is started , so that the rectum will be
free of faecal matter
• The bladder should be emptied before a colonic
irrigation to reduce the intra-abdominal pressure
• The temperature of the solution be kept constant
throughout the procedure
• Do not allow the air to enter into the intestine by :
• Expelling the air from the tube
• Not letting the fluid into to run in completely from the tube

24. • Make sure that the return flow is not blocked
• Stop the procedure temporarily if the client complaints
of pain
• Use a smooth & flexible rectal tube & lubricate it well to
prevent damage to the rectal mucosa
• Listen to the complaints of the client should not ignore
any discomfort however small they may be
• Stop the treatment if the client shows the signs of
fatigue & collapse

25. • Allow only 200 to 300 ml of fluid to run into the rectum
at a time
• Then it should be drained out completely before
introducing the fluid 2nd time
• Regulate the flow of fluid . Do not have the ingoing
tube higher than 45 to 60 cm above the bed level & do
not have the outgoing tube more than 30 cm below the
bed

26. By using
funnel & catheter

28. Thank you…
