Education Career Articles

Connect Facebook Connect Twitter Connect Google+ Connect Pinterest Connect Stumbleupon

What a Nurse Should Know About Continuous Bladder Irrigation

Higher Education Articles September 9, 2013

Continuous bladder irrigation (CBI) is typically used following surgery, to insure that the patient’s bladder remains clear of all sediment and potential blood clots. While it is not overly complicated to set up, it is also not quite as simple as a standard catheter setup. On top of that, there are complications that can arise in even the best of circumstances.

Continuous Bladder Irrigation: The Basics

CBI typically uses a 3-way Foley catheter in order to:

•Drain urine
•Inflate catheter balloon
•Provide irrigation solution

Depending on many things concerning the patient’s situation, the catheter may need to be drained and irrigated every 20 minutes to every several hours.

Why Constant Care is Needed?

Most Continuous bladder irrigation treatments are prescribed immediately following surgery, and most post-operative care specialists see this as a necessary safety procedure. CBIs are especially good at handling the kind of clot retention that may pop up after transurethral prostatectomy surgery, where it is an all-too-common complication.

Of course, this isn’t the only case where a CBI may be used. It may be used in many cases in order to avoid hypotonic bladder problems (such as failure to void) after surgery and post-op bleeding, clotting, and clot retention.

This requires special vigilance on the part of the nursing team to ensure that the irrigation constantly flushes out any clots or other sediment or debris in the patient’s bladder.

The catheter must be drained and irrigated at intervals provided by the surgeon or post operative care specialist. But, it is also important for all nursing personnel involved with the patient to check the catheter and the patient’s vitals on a more frequent basis, in order to avoid complications with the irrigation.

CBI Complications

One reason to constantly monitor the patient is because their bladder may be working overtime to clear the body of excess elements (such as potassium and sodium), especially in the case of men after a prostate procedure. This can require more flushing than usual.

The outpour may seem blood-red at first, but this is often only at first. While it is never a bad idea to call on a doctor when this happens, keep in mind that it is not uncommon and not any reason to panic!

It’s also important to make sure that the patient stays irrigated, and his or her catheter stays drained. One key to this is seeing to it that the outpour of the catheter remains unblocked from any clots or other sediment that may have found their way through.

Failure to do so can have very negative consequences for the patient. One recent mistake in a hospital that will go unnamed, lead to the patient’s catheter backing up, which lead to the patient coding more quickly than the staff would have thought possible!

The patient was cold to the touch and, while he ultimately ended up okay, the story might not have had a happy ending in other circumstances. At the very least, that kind of rapid change and danger can put a patient’s heart at risk, now and in the future. Simply make sure that your patient’s continuous bladder irrigation is consistently monitored and cared for at all times, and everything should be fine!

Searching Searching ...

Matching School Ads
1 Program(s) Found
South University , Glen Allen
  • Several nursing programs are available at the bachelor's, post-graduate, master's, and doctoral levels.
  • Graduate-level specialization options include Nurse Educator, Family Nurse Practitioner, Nurse Administrator, and more.
  • Nursing programs are available at many of the 11 campus locations across the United States.
Good for Working Adults
  • Flexible Scheduling
  • Financial Aid
5 Program(s) Found
  • Why Earn Your Degree from GCU?
  • Options: Choose from a variety of undergraduate and graduate degree programs in Business, Nursing, Psychology, Education & more!
  • Convenience: Complete courses online, on campus, or a combination of both!
  • Earlier Graduation: Our 4-credit courses allow you to complete your degree program in less time.
  • Transfer Friendly: We will request your transcripts, evaluate your graduate coursework, and determine your anticipated graduation date within 24 hours.
  • Quality: Grand Canyon University was founded in 1949 and is regionally accredited. Learn more today!
Good for Working Adults
  • Accredited
  • Online Courses
  • Flexible Scheduling
  • Accelerated Programs
  • Financial Aid
  • Transferable Credits
5 Program(s) Found
  • Online Bachelor's programs include BBA, Criminal Justice, Psychology, IT, Healthcare Management & Public Health
  • Over 115 years of delivering quality education and personalized attention to students
  • Provide a range of campus experiences and services online including advising, tutoring, student community, and career services
  • Give students and alumni access to career assistants who help with resumes, cover letters, job hunting, and more.
Good for Working Adults
  • Online Courses
  • Flexible Scheduling
  • Financial Aid
  • Transferable Credits
1 Program(s) Found
  • Recognized as a Top 20 Best Online Bachelor’s Program by U.S. News & World Report in 2016.
  • Online, campus-based, and evening courses offered in 95 areas of study, including Business, Nursing, Psychology, & more.
  • Endorsed by G.I. Jobs and Military Advanced Education magazine as a Military Friendly School in 2015.
  • Features small class sizes, with a student-to-faculty ratio of 23 to 1.
  • 88% of Regent University students receive financial aid, with $18 million awarded in institutional scholarships & aid each year.
  • Online Courses
1 Program(s) Found
  • Ranked among the Best National Universities in 2015 by U.S. News and World Report.
  • Ranked 8th among the Best Online Graduate Education Programs in 2015 by U.S. News and World Report.
  • A private, co-ed college founded in 1821 and located in downtown Washington, D.C.
  • Its student-faculty ratio is 13:1, and 55.1% of classes have fewer than 20 students.
  • Has distinguished alumni including Senator Harry Reid, former U.S. Secretary of State Colin Powell, and actress Courtney Cox.
Show more [+]
  • Accredited
  • Online Courses
  • Accelerated Programs
  • Financial Aid
  • Transferable Credits

Searching Searching ...

Matching School Ads
5 Program(s) Found
  • There's still time to apply to Grand Canyon University and pursue your education. Learn more today!
  • Study on your schedule - GCU offers many programs 100% online to fit your busy lifestyle.
  • GCU offers a variety of opportunities to reduce the cost of furthering your education. Campus students may qualify for scholarships, while online students can take part in limited special offers.
  • A regionally accredited university, GCU also holds specialized accreditations and approvals for some of our core program offerings.
  • Degrees in business, education, nursing, humanities and social sciences, theology and more. Find the degree that fits you.
  • Talk to us today to learn more about financial aid and start dates!
Good for Working Adults
  • Accredited
  • Online Courses
  • Flexible Scheduling
  • Accelerated Programs
  • Financial Aid
  • Transferable Credits
5 Program(s) Found
  • Online bachelor's programs include BBA, Criminal Justice, IT, Healthcare Management, Pscyhology & Public Health
  • Over 115 years of delivering quality education and personalized attention to students
Good for Working Adults
  • Online Courses
  • Flexible Scheduling
  • Financial Aid
  • Transferable Credits
1 Program(s) Found
  • Recognized as a Top 20 Best Online Bachelor’s Program by U.S. News & World Report in 2016.
  • Online, campus-based, and evening courses offered in 95 areas of study, including Business, Nursing, Psychology, & more.
  • Endorsed by G.I. Jobs and Military Advanced Education magazine as a Military Friendly School in 2015.
  • Features small class sizes, with a student-to-faculty ratio of 23 to 1.
  • 88% of Regent University students receive financial aid, with $18 million awarded in institutional scholarships & aid each year.
  • Online Courses
1 Program(s) Found
  • Ranked among the Best National Universities in 2015 by U.S. News and World Report.
  • Ranked 8th among the Best Online Graduate Education Programs in 2015 by U.S. News and World Report.
  • A private, co-ed college founded in 1821 and located in downtown Washington, D.C.
  • Its student-faculty ratio is 13:1, and 55.1% of classes have fewer than 20 students.
  • Has distinguished alumni including Senator Harry Reid, former U.S. Secretary of State Colin Powell, and actress Courtney Cox.
Show more [+]
  • Accredited
  • Online Courses
  • Accelerated Programs
  • Financial Aid
  • Transferable Credits

Login to your account

Can't remember your Password ?

Register for this site!