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Discussion

Bladder Cocktails?

Last week one of these had to be given in the ED. So many confused looks on even veteran nurses as we tried to figure out this stuff. We were told it is basically like a strong cleaner, pretty potent. So is there a great way of applying this stuff? It was tried with a CBI tubing. However airflow was not able to allow the tubing to breathe..so to speak. Tried looking this up but curious of anyone else's experience with this...it was Rimso 50.

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no clue.... never heard of it.

  • Author

Esme12..knew you'd nail it haha thanks. .is it a good immediate intervention thought or is it more long term?

Hmmm interesting. Wonder why it's not done more often....

Well, I just learned something new ... I had never heard of this.

OP - I hope that there was some discussion/clarification/education about this order from the physician, before you performed an invasive procedure on the patient. The picture I'm getting from your post is that the order was received, no one really had a clue how to perform it ... but it was done anyway. Can you clarify?

  • Expert
Esme12..knew you'd nail it haha thanks. .is it a good immediate intervention thought or is it more long term?
It is more of a long term thing but yes...it provides some immediate relief. If anything they "feel" like SOMETHING is being done. It needs to be repeated every few weeks. But most do not see any real difference until the 3rd-4th treatment. I have seen it in the ED with oncology patients with hemorrhagic cystitis who have no med or supplies at home need it on holidays or weekends.

Could this be instilled every few days in pts with permanent or long term catheters to help prevent CAUTIs?

It is a sulfur based drug and stinks like rotten eggs.

Great. Ever spray yourself with mucomyst? Now there's a special experience.

  • Author

I didnt go in alone. Pharmacist came down explained it. There was an order set. Physician explained it but no one was clear on a good way to get it in. I figure a syringe of some sort may have been easier. I was just curious if anyone had here had the experience.

  • Expert
Could this be instilled every few days in pts with permanent or long term catheters to help prevent CAUTIs?
I haven't see this particular drug used that way....it's for cyctitis. I have seen antibiotics instilled this way for those patients....however it is not that common
  • Expert
Great. Ever spray yourself with mucomyst? Now there's a special experience.
I've had it spit and thrown at me....LOLOL Gotta love the ED.

These patients will smell of it even after the treatment is done. Their breath will even smell like bad garlic....they speak of a bad taste in their mouths for a few days.

Shudder.

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