Bladder Cocktails?

Specialties Emergency

Published

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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Specializes in ER.

no clue.... never heard of it.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

You put a Foley in and drain the bladder....you insert the med with a Toomey/cath tip syringe/asepto syringe and clamp the tubing for 15 min then drain. It is a sulfur based drug and stinks like rotten eggs. But effective.

Drug: Dimethyl Sulfoxide -  Rimso-50®Â   Oncology - Intravenous Dilution Data

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
http://www.ichelp.org/document.doc?id=204
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Esme12..knew you'd nail it haha thanks. .is it a good immediate intervention thought or is it more long term?

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Specializes in ER.

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

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Specializes in Emergency & Trauma/Adult ICU.

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?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
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.
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Specializes in Emergency/Trauma/Critical Care Nursing.

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

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

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

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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.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
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
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