d. Assess for circulatory overload to avoid damage to the heart and lungs.
Distended neck veins.
2-38. BLADDER TRAUMA
a. Trauma to the bladder includes contusions, rupture, or urethral injuries.
b. Causes include blunt trauma and penetrating injuries to the lower abdomen,
fractures of the pelvis or symphysis pubis, and "seatbelt" rupture. (A full bladder can be
ruptured by the force of impact in a collision when the seatbelt is worn snugly.)
c. Signs and symptoms of an injured or ruptured bladder include:
Blood at the urinary meatus.
Failure to void.
d. Nursing implications.
Treat shock and hemorrhage.
Maintain strict I & O.
Catheterize as ordered.
Prepare for surgical repair of the bladder if indicated.