[Ms.RN]

I know this is a basic question, but what do you do if patient's bladder is very distended and full, but cant insert foley in male patient?

[hospitalstaph]

Two questions:

1. Why can the patient not urinate? (assuming this is the case since the bladder is distended)

2. Why could you not straight cath?

Need more info to answer the question

TL

[scrubsnhugsRN]

What do you mean can't insert a foley?

[scrmblr]

Originally Posted by WantobeRN

I know this is a basic question, but what do you do if patient's bladder is very distended and full, but cant insert foley in male patient?

Do you mean something is physically stopping the foley from advancing? Or you don't have an order to insert foley??

[whitedahlia]

can't answer your question hon, be more specific, or need a bit more of information about the problem...

[Ms.RN]

Patient have a prostate problem, and he has a foley catheter. His foley is not draining any urine and bladder is distended, and patient is complaining he have to urinate. I tried to flush his foley but still urine is not draining. Three different nurses tried to insert a new foley, but there must be some kind of blockage, and could not do it. So do you think I'll be able to drain his urine by straight cathering him? If I cant insert foley, i dont know if I'll be able to insert straight catheter. What do you do? Can his bladder rupture?

[emmycRN]

How about requesting a urology consult. Or if he already has one, call him/her. I have seen cases where only the urologist can attempt to insert the foley.

[Jennifer, RN]

In the ER I work at, the ER doc would call a urologist in and the urologist would try to insert a foley with all their special tools. If unable to get a foley cath in, they would then insert a suprapubic cathether. Yes, a bladder can rupture, eventually. And a distended bladder is very, very uncomfortable for the pt.

[CEN35]

call the urology group and get an acute urinary retention tray down there............

ever see it done?

EWWWWWWWWWWWWWWWWWWW!!!!!!!!!!!!!!!!!!!

Not me looks painful as He**

[Spidey's mom]

Suprapubic . . . .

A straight cath is no different than a cath intended to stay in . . you still have to get past the blockage and with an enlarged prostate, you may not be able to cath.

Definitely a case for a urologist or the ER doc or pt's doc to attempt.

steph