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.
HLR...It's just amazing what gets left in our laps sometimes, isn't it??? I'm usually start becoming concerned if they don't urinate 4hrs after foley dc'd.
Kelly, my patient had urinated...although VERY little at a time...100-200cc. The severe pain is what clued me in. I love bladder scanners. Gives me an idea of what's there and I don't end up straight cathing someone that doesn't need it.
You're absolutely right...I can't believe how much urine you got...1800!!!! Geeeesh. I hope I NEVER hold that much in my bladder.
Last edit by KC CHICK on Feb 6, '03
Feb 6, '03
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.
Last edit by Nurse Ratched on Feb 6, '03