The most pee ever..... - page 4

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... Read More

  1. by   RN2B2005
    Man, anyone who thinks the nursing shortage--or the unwillingness of hospitals to pay for RN/LPN staff--should read this thread.

    After having my son (vaginal delivery, no meds, IV fluids, lots o' tearing) at 2020, I hadn't peed at 0200 d/t fainting every time I tried to stand up to stagger to the bathroom--and being a noncompliant patient, I had tried to walk myself to the potty, ended up with a forehead laceration from THAT brilliant idea.

    Still, the sweet overworked CNA kept asking me if I wanted to pee. I really couldn't feel ANYTHING...just a big ball of pain south of the navel, but I did want to go clean myself up. Finally a nurse shows up, glares at me, tells me that either I pee in a bed pan or she is going to cath me and--she actually says this--it's going to hurt if she caths me. Fabulous. Long story short, she places a Foley. 1200 cc! Still a ball of pain below the navel, but not quite as bad as before.

    The kicker was that the nurse didn't document the Foley placement, so I ended up having a very bizarre argument with another nurse the next morning, telling her I had a cath in place and she--without looking--insisting that I didn't have one. Dood! It may be hamburger down there, but I know if there's a garden hose hooked up to the tap or not!
  2. by   SmilingBluEyes
    Originally posted by RN2B2005
    Man, anyone who thinks the nursing shortage--or the unwillingness of hospitals to pay for RN/LPN staff--should read this thread.

    After having my son (vaginal delivery, no meds, IV fluids, lots o' tearing) at 2020, I hadn't peed at 0200 d/t fainting every time I tried to stand up to stagger to the bathroom--and being a noncompliant patient, I had tried to walk myself to the potty, ended up with a forehead laceration from THAT brilliant idea.

    Still, the sweet overworked CNA kept asking me if I wanted to pee. I really couldn't feel ANYTHING...just a big ball of pain south of the navel, but I did want to go clean myself up. Finally a nurse shows up, glares at me, tells me that either I pee in a bed pan or she is going to cath me and--she actually says this--it's going to hurt if she caths me. Fabulous. Long story short, she places a Foley. 1200 cc! Still a ball of pain below the navel, but not quite as bad as before.

    The kicker was that the nurse didn't document the Foley placement, so I ended up having a very bizarre argument with another nurse the next morning, telling her I had a cath in place and she--without looking--insisting that I didn't have one. Dood! It may be hamburger down there, but I know if there's a garden hose hooked up to the tap or not!
    Oh good grief, I can only thank the Stars above I don't work with some of these useless nurses! There is a lot of malpractice out there, as anyone can see here.:zzzzz
  3. by   Tweety
    1800 is my record. They patient was very restless, needless to say slept like a baby afterwards.
  4. by   Jay-Jay
    Had a patient when I was in pre-grad who we thought was going to code. I don't recall the dx, just that he was either a para- or a quad, and was having a lot of difficulty breathing. They had him on really high flow O2, and his sats were still pretty poor.

    The doc. told me to hang 80 of Lasix. His bag had been emptied at change of shift. At 10 AM another nurse came to me and said his bag looked about ready to burst. I think I got 1900 cc's out of it.

    The Lasix did the trick, and by that afternoon, he was sitting up chatting with a friend.
  5. by   Stargazer
    6800 cc's? I'm impressed. And having sympathy pains. Oy.

    My biggest "yield" was 3800 cc's--from a guy who hadn't peed in 5 days. He was so distended, I couldn't pass a cath for love nor money, and neither could the doc. The doc finally had to do a suprapubic tap just to get 300 cc's or so off, then we were able to get a cath in. You've never seen someone so grateful in all your life.
  6. by   Coldfoot
    Many moons ago got 1800 off a lil old gentleman that hated coming to the hospital. I was teching at the time and was told (after the fact) the old 1L and wait rule. (BTW Yes, I was told to clamp, wait approx. 15 min and resume) I have since worked with some VERY experianced and compitent nurses, all of whom have told me they have never had a patient complain of a spasm regardless of how much fluid they pulled. So, is this just a legend or possibly something we can on inflict upon our selves, or has anyone experianced this with a cath patient?
    And just a thought, most straight cath trays hold what, 1000cc's? Anyone else imadgining draining and draining and starting to look at things within arms length (water pitcher, coffe cup, flower vase) to put the rest into?:roll
  7. by   P_RN
    My daughter had a lap choley last fall. She was in the OR for nearly 4 hours because of so many stones. By the time we got to see her in PACU she'd had 3400cc in. and NO urine out. She was there 3 hours before they let us in

    PACU nurse tried to tell me it was because she hadn't had anything to drink. I usually keep quiet about my being a nurse...you know just listen.......BUT this idiot wasn't going to treat my daughter like that.

    I told her to get her up to the BR........grudgingly they did.......me following. I told them to put a witches hat in the toilet.....nurse wouldn't because she said she won't go because she didn't have that much in..............grrrrr

    Well I ran the warm water over her hand, had her visualize our favorite waterfall and guess what....the hat wouldn't have held it anyway. Had to be nearly at if not over 2000cc.

    Then the same PACU nurse told me there was a glitch in the computer screen and she had 3400 cc in.....duh.....I had SEEN the numbers myself first thing......I didn't fall off Dees turnip truck either....by now I'm thinking how many other people has she tortured like this........

    I wanted to throw the postop instructions back in her face.....and I REALLY wanted to call the HN in the morning and report this......but I didn't. I doubt that many in the PACU didn't hear MY instructions about the importance of I & O.
  8. by   NurseShell
    I've read all the posts - so please, explain to me why in our postop lecture today we were told to NEVER EVER drain more than 800cc's MAX at a time (earlier in this thread I read 1000)?????? I understand the whole bladder spasm thing BUT...if I'm retaining upwards of 2000cc's taking a mere 800 off isn't going to make me feel better....what's up with this?
  9. by   panda_181
    Yeah...at my hospital I have heard the nurses talk about this legend as well and the biggest census is that you can drain as much as you want...that it's all a myth. I don't know myself...I haven't run into any of these situations yet in my 9 months of nursing...but I'm sure I will! And I hope I don't have to drain 6800...that's just way too crazy!

    Amanda
  10. by   NurseShell
    Hey Panda!! LOVE your avatar!!!

    "I am NOT a pickle...I'm a cucumber!"
    Larry the Cucumber
  11. by   Tookie
    Good thread - Shows that these things are common everywhere - My most would be a tiny 2000 approx cc - LOL -
    But it makes me think that we as nurses can make such a real diffeence to a persons life just by hlping them to pee.
  12. by   SharkLPN
    >>Shark is now the PEE PEE Queen. "We're not worthy, We're not worthy!!!"<<

    Ahhhh, thankyou,thankyouverymuch!!

    I'm still stunned an amazed by that incident. He was a big guy, not obese, but there was room in his body for the bladder to get that big. We all wondered how long he'd been retaining urine for the blader to stretch like that without major discomfort, even though he was incontinent in his diaper when I went to place the foley.

    Our hospital policy states to clamp the foley after the first 1000, then unclamp and reclamp as necessary. I believe the theory is to prevent shock from fluid loss, even though the fluid is already prepped to be dumped. His BP and HR stayed level through the whole incident as well, so who knows if the theory is valid.

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