Enuresis Protocols and Fluid Restriction

[ambi1234RN]

I have a patient that has nocturnal enuresis. We are told that to restrict his fluid to none after 6pm except a small amount with medications. I am postive that to withhold fluids or restrict the amount that I have to have a psychians order.

Anyone know if I am right or if there are PA guidelines on this?

[dankimal]

I believe that a fluid restriction of that nature would require a physicians order.

[xtxrn, ASN, RN]

I have a patient that has nocturnal enuresis. We are told that to restrict his fluid to none after 6pm except a small amount with medications. I am postive that to withhold fluids or restrict the amount that I have to have a psychians order.

Anyone know if I am right or if there are PA guidelines on this?

Would need to know age, diagnosis, meds, overall fluid status, IVs, and what the doc ordered. Also, type of facility. I would not withhold fluids without a doc's order. I don't care if they had to sleep in a canoe. :) Concentrated urine from restricting liquids can irritate the bladder and cause more bedwetting.

I don't have a PA guideline publication here, but maybe you could find what's there??

:)

[MunoRN, RN]

I'm not sure it really matters much if there is an order present, since either way it's basically just a suggestion. If it's for the purpose of treating a condition, patients are free to refuse a fluid restriction and if they want water, they can have it, it's no different than refusing a medication, surgery, etc.

[xtxrn, ASN, RN]

I'm not sure it really matters much if there is an order present, since either way it's basically just a suggestion. If it's for the purpose of treating a condition, patients are free to refuse a fluid restriction and if they want water, they can have it, it's no different than refusing a medication, surgery, etc.

True. But it would cover withholding if that's the actual preferred intervention :)