when male patient pulls his foley out - page 3
by Ms.RN | 9,168 Views | 26 Comments
what do you guys usually do when a male patient pulls his foley out and he is bleeding where the foley is inserted?... Read More
- 0Oct 26, '07 by Ms.RNi'm asking this question because one of my male patient's foley was accidently pulled out and i reinstered foley immediately and irrigated it and called doc. but other nurse who i work with said i shouldnt have reinsterted foley and should have waited few days to reinsert the foley. but i have gotten a lot of responses here to reinsert the foley immediately. was i wrong, or what i did was okay? its been three days since his foley was pulled out and his foley is still draining blood and his foley is not draining too well of urine. can a patient vomit blood because of this?Last edit by Ms.RN on Oct 26, '07
- 0Oct 26, '07 by Emmanuel GoldsteinQuote from graduatenursehuh?can a patient vomit blood because of this?
no, you wouldn't expect a patient to vomit blood because he'd pulled out a foley. two separate systems.
what is his platelet count? coags? liver function? is he on steroids, nsaids, anticoagulants?Last edit by Emmanuel Goldstein on Oct 26, '07
- 0Oct 26, '07 by StNeotserQuote from PRESLAOuchy ouch! Seen it done with a 10cc intact, but never something that big.Had a TURP pt pull his 30 cc foley out balloon intact MD had me reinsert and ask family to sit at bedside. A lot of bloody fluid pt he did okay.
I had to reinsert too, as MD said that if I left it out for any length of time the swelling might inhibit putting it back in and then he'd be in real trouble. He did OK too.
- 0Oct 26, '07 by Emmanuel GoldsteinQuote from graduatenursea fistula tract between the esophagus and trach would explain that, however blood from the urethra/bladder is not going to be vomited up. i'm racking my brain to think of a scenario where it could happen, and i can't come up with anything...my patient didnt have any urine output because of bleeding, and all of a sudden patient had coffee ground emesis. i'm asking this because i've heard of patient vomitting feces and bm coming out of patient's tracheostomy. :uhoh21:
just out of curiosity, what is the patient's diagnosis and co-morbidities? does this patient happen to have a history of etoh?Last edit by Emmanuel Goldstein on Oct 26, '07
- 0Oct 26, '07 by vamedic4Quote from graduatenurseone of my first patients in my clinical rotations years ago in the icu did just that, and yes, the balloon was still inflated. i reached between my legs...let out a moan...ugh...and proceeded to reinsert another catheter...all the while thinking "omg, this poor man!"...what do you guys usually do when a male patient pulls his foley out and he is bleeding where the foley is inserted?
i pray that never happens to me. bad enough a few years ago when i had my surgery (vp shunt replacement) they gave me morphine for pain...so of course i couldn't "go"...and they decide to do an i/o cath...no problem, right? that was until i saw the size of the catheter...i'd swear it was the size of my garden hose!!
needless to say, being cathed was no fun, but i was very glad to be relieved of 1600cc of urine.
- 1Oct 26, '07 by ValandaWhen I was in Texas and we had male patients (generally only the confused ones) who regularly pulled out their foleys we used a method similar to a Texas cath. Foley inserted through small hole in tip of condom, foley inserted into male patient's bladder, (no balloon inflation), condom in place over penis, condom taped to foley at tip, spiraled 1/2 inch tape up the outside of the condom. It seemed to work really well. We resolved the problem of foley's coming out with the ballon intact. I have not seen this done since I left TX nearly 12 years ago, but the urologist in Houston was adamant about being sure we all knew how to do this "just right" to prevent circulation problems yet keep the catheter in place.