Question

Bladder Scan: Description of Procedure, Indications, Interpretation of Findings, CONSIDERATIONS, Nursing Interventions (pre, intra, post), Potential Complications, Client Education, Nursing Interventions.

Answer 1

A bladder scan is a non-invasive portable procedure for diagnosing,managing,and treating urinary outflow dysfunction .

INDICATION-----1. To assess for urinary retention.

2. Suspected voiding dysfunction.

3. Recurrent urinary tract infection .

4. To assess the ability to void following a trial without catheter.

5. To monitor residual urine in patients with neurological conditions.

6. To confirm catheter blockage.

CONTRAINDICATION-------1.pregnancy

2. Renal calculi

3. An enlarged prostate

4. Spinal cord injuries.

PROCEDURE-----

REQUIREMENTS---Bladder scanner,ultrasound transmission gel,disposable apron,cotton ball,disposable bag,NHS Lothian approved cleanser .

PROCEDURE--- Explain to the procedure

Obtain informed consent and document

If post void resisual scan ask pt to empty bladder and measure volume passed.

Place the position in supine position to the patient witha abdominal muscle relaxed.

Provide privacy.

Wash hands

Turn on scanner .

Expose area above pubic bone and place towel.

Palpate sympthysis pubis.

Apply small amount of hell directly onto scanner head.

Place the scanner head approximately 3 cm above symphysis pubis and aim at a downward angle towards the bladder.

Press the button on the scan head holding down the scan head stedy at all times and wait for the reading to display.

Verify the probe.

When most accurate reading obtained ,press done button and print if required.

Use cotton to wipe the gel.

Replace the article.

Record the document.

POTENTIAL COMPLICATIONS-----false readings may be caused by volumes over 1000mls, abdominal scars,ovarian cysts,obesity and constipation,intravesical causes include bladder cancer,stones,clots,indewelling catheter in situ.

INTERPRETATION OF FINDING----IF PVR volume is less than 50 ml is considered adequate bladder emptying;in the elderly,between 50 to 100ml is considered normal. If PVR volume is greater than 200 ml is considered abnormal and could be due to incomplete bladder emptying or bladdr outlet obstruction.

NURSING INTERVENTIONS----ask the patient to empty bladder and measure volume passed.

Ensure the pt in supine position with abdominal relax.

Monitar vital signs.

Wash hand at all times.

Check the scanner site....

PARIENT EDUCATION----lifestyle changes reducing take coffee stoping smoking and losing weight.

Provide Pelvic floor muscle training

Treatment for stress incontinence.

Takeedication properly.

Hand hygiene and privacy cleaned Properly.

Drink more water.