Continuous Bladder Irrigation (CBI), AHII, Exam 3 – Flashcards
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=prevent blood clots in the urine -to keep urethra clear -post procedural
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What is the purpose of CBI?
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3 way catheter -balloon inflation (30 cc) -instill fluid -drain fluid
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What type of catheter is used for CBI? What are the functions of each lumen?
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-4 L bottles -what goes in MUST come out, plus some for urine output -make sure dr. keeps orders on the bottles/keep stocking (do not let them go dry, if found dry, hand irrigate and hang 2 new bottles) -titrate to clear
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How does the nurse manage CBI at the bedside?
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-Notify Dr -increase speed of irrigation -Ask pt if c/o pressure? -hand irrigate
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What should the nurse do if the patient's output turns bright red during CBI?
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- STOP infusing and clamp the side port - Disconnect and use the biggest port to irrigate 60 ccs sterile specimen cup, PUSH in then PULL out -hand irrigate, troubleshoot
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What should the nurse do if there is no output from the CBI?
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= through the biggest port - push in then pull out 60 cc sterile
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How is hand irrigation performed?
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What goes in must come out Total Output - input (infused) = urinary output keep chart of i&o on wall
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How does the nurse calculate urinary output with the CBI patient?
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-suddenly red/change in color (CALL) -won't irrigate (CALL) -won't come out (CALL) -may be a bladder spasm - call order for bladder spasms, describe color to physician
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When should the nurse notify the physician?
