(a) To help prevent urinary tract obstruction by flushing out small blood
clots that form after prostate or bladder surgery.
To create mild tamponade that may help prevent venous
To treat an irritated, inflamed, or infected bladder lining.
(2) Check the patient's medication history for hypersensitivity to antibiotics,
and report significant findings to professional nurse.
Wash your hands.
Collect the equipment needed.
(a) Two containers of irrigating solution (usually 1,000 ml containers of
normal saline or prescribed amount of antibiotic solution).
(b) Y-type IV tubing.
Sterile alcohol or povidone-iodine sponge.
(d) Catheter kit with a triple lumen catheter.
A three-way or triple lumen catheter has three separate openings. One
lumen inflates the balloon holding the catheter in place. The second lumen
allows for the outflow of urine and the outflow of drainage solution. The third
lumen allows for the inflow of irrigating solution (antibacterial rinse) into the
bladder (figure 2-4).
Closed drainage system.
Approach and identify the patient and explain the procedure.
b. Performance Phase.
(1) Attach catheter to the drainage apparatus before inserting the catheter
into the urethra. Catheterize the patient according to the steps previously mentioned.
(2) To prevent the introduction of organisms where the catheter enters the
urethral meatus, apply an antimicrobial ointment.
Provide for privacy and drape as necessary.
(b) Insert one spike of the Y-type tubing into each container of irrigating
Squeeze the drip chamber on each spike of the tubing.
(d) Open the flow clamps to remove air from the tubing. Close them
when the fluid reaches the end of the tubing.