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Urinary Retention Protocol Algorithm Indications/Symptoms Bladder Palpable Discomfort/pain/feeling of fullness and/or Unable to void for 6 hours post-operatively Interventions Assist patient to void Check Post Void Residual PVR using bladder scanner YES Document above action and reassess as needed In and Out Cath 400 mls urine per Bladder per scan NO Symptomatic Patient is unable to void 6 hours after In and Out Cath. or has recurrance of sx. Repeat Bladder Scanner 400 mls or 400 mls with...
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How to fill out urinary retention protocol algorithm

01
Before filling out the urinary retention protocol algorithm, gather all relevant information about the patient's medical history, current medications, and any previous cases of urinary retention.
02
Start by documenting the patient's vital signs, including blood pressure, heart rate, and temperature. This information can provide insights into any potential underlying conditions that may be causing the urinary retention.
03
Conduct a physical examination to assess the patient's bladder size, abdominal tenderness, and any signs of urinary obstruction. Palpation and percussion techniques can be used to gather this information.
04
Perform a urine analysis to check for any signs of infection, such as the presence of bacteria or white blood cells. A urinalysis can also provide clues about the patient's kidney function.
05
Consider conducting additional tests, such as a bladder scan or ultrasound, to determine the bladder volume and rule out any structural abnormalities.
06
Consult with a urologist or specialist in urology to discuss the findings and obtain their expert opinion. They may recommend further tests, procedures, or treatment options based on the patient's condition.
07
Based on the gathered information and the urologist's recommendation, create a personalized urinary retention protocol algorithm. This algorithm should outline the step-by-step approach for managing urinary retention in this specific patient.
08
Make sure to include relevant details such as medication dosages and frequencies, possible referral to a specialist, and any required follow-up appointments.
09
It is important to regularly review and update the urinary retention protocol algorithm as necessary, especially if there are any changes in the patient's condition or new information becomes available.
Who needs urinary retention protocol algorithm?
01
Patients who present with symptoms of urinary retention, such as difficulty or inability to urinate, frequent urination, or a weak urine stream.
02
Individuals with a history of urinary retention or those at higher risk, such as older adults, individuals with neurological disorders, or those with an enlarged prostate.
03
Healthcare professionals involved in the management of urinary retention, including primary care physicians, urologists, nurses, and other medical personnel.
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People Also Ask about
What are the most common causes of urinary retention?
The most common cause of urinary retention is benign prostatic hyperplasia. Other common causes include prostatitis, cystitis, urethritis, and vulvovaginitis; receiving medications in the anticholinergic and alpha-adrenergic agonist classes; and cortical, spinal, or peripheral nerve lesions.
What is the protocol for acute urinary retention?
With acute urinary retention, a health care professional will immediately drain the urine from your bladder using a catheter. Removing the urine from the bladder eases your pain and helps prevent your bladder and kidneys from being damaged.
How do you know what causes urinary retention?
A health care professional may use urinary tract imaging tests such as an ultrasound, VCUG, MRI, or CT scan to find out what's causing your urinary retention.
How long should a Foley catheter be left in for urinary retention?
In general, the catheter stays in for 1-2 weeks. If the catheter is taken out early, the urethra will likely close again, you will be again unable to pee, and you will need to return to the ER to have another catheter inserted.
What is the mnemonic for retention of urine causes?
The potential causes of transient incontinence may be easily remembered by the mnemonic 'delirium, infection, atrophy, pharmaceuticals, excess urine output, restricted mobility, stool impaction' (DIAPERS).
What is the protocol for urinary catheter removal?
In most circumstances, there are four steps required for the removal of a urinary catheter3: 1) A physician recognises that a catheter is in place; 2) A physician recognises that a catheter is no longer needed; 3) A physician writes the order to remove the catheter; 4) A nurse removes the catheter.
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