The document describes the procedure for flushing out or irrigating the urinary bladder. It discusses: 1) The purpose of bladder irrigation is to flush out clots and debris, instill medications, and restore patency of the catheter. 2) The necessary equipment includes gloves, towels, a three-way catheter, tubing, antiseptic swabs, solution, and an IV pole. 3) The procedure involves connecting the irrigation tubing to the solution, catheter, and drainage bag before slowly irrigating the bladder and monitoring output.

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…
