no more a loser
Forum Guru
Topics: 140
Posts: 580
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60 yr old after a lower abdominal surgery has suprapubic discomfort and feels the need to void but cant do so, u put a catheter in the bladder, now 6 hrs later pt still has not voided, whats the next step?
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| galadusmle
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mechanical obstruction is the cause of this urinary retention. Do IVP
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| Delusional
Forum Elite
Topics: 41
Posts: 226
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Well insert a catheter and leave it inside......
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| no more a loser
Forum Guru
Topics: 140
Posts: 580
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yes if pt has post op urinary retention , u pt a urinary catheter n leave it in n pt doesnt void, take it out n put another catheter
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| Delusional
Forum Elite
Topics: 41
Posts: 226
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 thanx
nice one though
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| Delusional
Forum Elite
Topics: 41
Posts: 226
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thanx
nice one though
question is what do u do if he doesn't show much improvement anyways....
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| shatal
Forum Newbie
Topics: 0
Posts: 3
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check that the bladder is distended, check that the catheter is patent, if so, then give iv fluids 300 cc of ns over 2-3 min
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| Someone..
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If some crucial info is not in the question stem, then its as good as anyone's speculation.
What happened after initial catheterization is not given. So can we assume that the patient voided then?
If so, was the catheter taken out after first time?..
If the catheter is still in there, then its obvious that a mechanical blockage is present in catheter.
If the catheter was taken out, then a repeat and in situ catheter for 2 to 3 days may be kept as the pt improves (than doing repeated in and out cath)
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| Someone again...
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If the patient has urge to void and has suprapubic discomfort from not being able to do so..his kidneys are working fine so far..I guess..
why do we need an IV saline challenge anyway?
...
never mind..just for the arguments sake of the question...
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Do KUB, try flushing the bladder w/ 3 way catheter & ns. Monitor renal fx.
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