The most pee ever.....

Nurses General Nursing

Published

Got report for one of my patient assignments (out of six) and was told this elderly male patient had been complaining of "feeling the need to urinate" and "not being able to urinate very much at a time". The complaints had started around 1700 that afternoon. The nurse reporting to me ASSUMED that he had a UTI and got an order for UA+. OK, fine.

About 30 minutes into my shift, the wife of said patient comes to the desk complaining that patient is in serious pain and no one is doing anything about it. I go assess....pt. had foley taken out day before, said his probs started at 1400 (not 1700)....severe pain, severe urgency, and very little out at a time but a few drops. Pt. had never heard of a "bladder scanner" when questioned.

Bladder scanner sees 600ML in the bladder. Get order for foley...then place....and get back 800ML!!! YIKES! No wonder the poor man was in pain.

BTW....UA was negative. duh.

QUESTION: What's the most urine that you have seen retained in a patient??....please share.

Anne:eek: :D

Originally posted by Nurse Ratched

Male pt - 5500 cc. Admitting dx: "severe constipation"

Some kind of bathroom phobia???? :chuckle

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Specializes in Geriatrics/Oncology/Psych/College Health.
Originally posted by OBNURSEHEATHER

Some kind of bathroom phobia???? :chuckle

As I recall, it was that, and his occupation was something that promoted retention - truck driver or somthing along those lines.

Amazed he didn't float away lol.

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1600 cc. Dementia patient in nursing home. Extreme agitation and c/o flank pain. I remember yelling for somebody to come help as the little plastic pan kept filling and filling and filling...

After I was all done I remembered that little caveat from nursing school about not removing more than 1000 cc's at a time, but then wondered...and still do...what else are you supposed to do? Clamp them back off for 1/2 hour and then let the rest go? Leave them in pain and discomfort all that time ?

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Originally posted by Nurse Ratched

Male pt - 5500 cc. Admitting dx: "severe constipation" (and OCD.) If I hadn't seen it with my own eyes.....

He wound up with a suprapubic cath because years of purposely retaining his urine had completely destroyed his bladder tone, among other problems.

:eek: :eek: :eek:

He needs a urinal in his truck, doesn't he?????

Mmmmmm. Wonder why he was constipated. As a friend of mine says "Ya gotta clear the tracks before the train can go through.".;) That bladder of his certainly wasn't getting out of the way.

Yet another reason to take pee pee breaks at work.

Anne

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Specializes in Geriatrics, LTC.

At our facility we have standing orders for st cath after 8 hours with no urination. I think the most I have ever got out was 1800cc from a gentleman and he did not want me to stop at the 1000 mark, he had been complaining all day about not being able to go, it took until I got in at 6pm before anyone followed up on it. I believe he had also had a foley removed the day before.

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Pleasantly confused male pt, direct admit from an ECF. Diagnosis - ARF and possible UTI. First thing I noticed as the EMT's brought him up on the cart was his big ol' firm Budda belly.

Order for foley is written, and the NA and I go in to do the deed. Found the pt was incontinent of urine in his ECF diaper. Passed the foley with little difficulty (I hate when the lube gets all over your glove and the cath gets slippery!) Got an immediate return of 1000 cc's. Clamped, returned a hour later to unclamp.

Got another 1000 cc's.... So I clamped again.

Unclamp, drain 1000 cc's, repeat.

All said and done, this fella had 6800 cc's of urine.

:eek: :eek: :eek: :eek: :eek: :eek:

The last 800 was the yuckiest gunk I'd ever seen come out of a foley. Looked like grainy vanilla Boost.

Had I not been there, I wouldn't have believed it. Surprizingly, the urology residents didn't give us too much grief as to whether or not our I&O's were really accurate that night!

Turns out the fella had prostate problems. Ya think??

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Specializes in Geriatrics, LTC.
Originally posted by SharkLPN

Pleasantly confused male pt, direct admit from an ECF. Diagnosis - ARF and possible UTI. First thing I noticed as the EMT's brought him up on the cart was his big ol' firm Budda belly.

Order for foley is written, and the NA and I go in to do the deed. Found the pt was incontinent of urine in his ECF diaper. Passed the foley with little difficulty (I hate when the lube gets all over your glove and the cath gets slippery!) Got an immediate return of 1000 cc's. Clamped, returned a hour later to unclamp.

Got another 1000 cc's.... So I clamped again.

Unclamp, drain 1000 cc's, repeat.

All said and done, this fella had 6800 cc's of urine.

The last 800 was the yuckiest gunk I'd ever seen come out of a foley. Looked like grainy vanilla Boost.

Had I not been there, I wouldn't have believed it. Surprizingly, the urology residents didn't give us too much grief as to whether or not our I&O's were really accurate that night!

Turns out the fella had prostate problems. Ya think??

You win! :eek:

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Yes, the torch has definately been passed from Nurse Rached to Shark!!!!! Unbelievable.

Now, the 800cc doesn't seem so bad. Way to put things in perspective.:D

Shark is now the PEE PEE Queen. "We're not worthy, We're not worthy!!!"

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Specializes in Interventional Pain Mgmt NP; Prior ICU and L/D RN.

Had a paitent going through DT's and was on an Ativan gtt infusing at 30mg/hr (1-1 mix) and primary fluids. He didn't have a foley, but had been dumping over 1000cc q4h via a condom cath (he had a hypospadius) his abdomen kept getting distended and firm. They sent him for a U/S and came running back to the floor with him saying his bladder was "about to explode". We inserted a foley and dumped just under 3L total!! Only thing is that we had him gorked and he never felt any pain from it......but darn, it had to have hurt...i would have been dying!!!

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OK...Now I have to"go".

-R

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Me too!

(but I'm sure mine is related more to the post-menstrual diuresis)

Heather

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Originally posted by OBNURSEHEATHER

Me too!

(but I'm sure mine is related more to the post-menstrual diuresis)

Heather

Thanks so much for the info, Heather. ;)

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