Bladder spasms

Boog'sCRRN246, RN · Oct 25, 2011

Docs where I work prescribe pyridium for bladder spasms, sometimes scheduled and PRN - seems to work very well from what I've seen.

JeneraterRN · Oct 25, 2011

Condom catheters seem to cause a mess you are trying to avoid, and have a high potential for skin breakdown on the member. B&O's are still made and we use them, but are not a good choice for long term management d/t the addictive potential. Has he seen a urologist? A specialist may be able to find the cause of spasms and manage it successfully. It's disturbing that the patient is being exposed to a higher risk of infection because of potential abuse. Do adult protective services need to be contacted? Wound healing is valid, has it been resolved?

Orange Tree · Oct 25, 2011

Do they still make B&O suppositories?

I've given plenty of them in the past few weeks, so yes!

FLArn · Oct 25, 2011

Levsin may also be helpful for bladder spasms. Also sometimes an overinflated balloon can cause spasms.

Vtachy1 · Oct 25, 2011

Condom catheters seem to cause a mess you are trying to avoid, and have a high potential for skin breakdown on the member. B&O's are still made and we use them, but are not a good choice for long term management d/t the addictive potential. Has he seen a urologist? A specialist may be able to find the cause of spasms and manage it successfully. It's disturbing that the patient is being exposed to a higher risk of infection because of potential abuse. Do adult protective services need to be contacted? Wound healing is valid, has it been resolved?

Wound has healed yes.

We have tried pyridium but the wife had a fit because it was such a ugly color:uhoh3: And it may have stained some of his clothing.

He wears depend undergarments because he is incontinent of stool also.

So if we restart the pyridium, can you take this long term?

JeneraterRN · Oct 25, 2011

What does the wife want, a magic wand?

Boog'sCRRN246, RN · Oct 25, 2011

Wound has healed yes.
We have tried pyridium but the wife had a fit because it was such a ugly color:uhoh3: And it may have stained some of his clothing.
He wears depend undergarments because he is incontinent of stool also.
So if we restart the pyridium, can you take this long term?

The longest I've given pyridium is TID for about three weeks. From what I've heard though, it seems to be okay to take for the long term.

The wife sounds like a "special" creature :rolleyes:

JeneraterRN · Oct 25, 2011

I found this, hope it helps:

http://www.globalrph.com/bladder_spasm.htm

xtxrn, ASN, RN · Oct 25, 2011

If the wound has healed, what is the diagnosis for the Foley? Anywhere I've worked required a medical diagnosis- not a dingy wife, to continue a catheter. Medicare is clamping down big time on UTIs. Maybe check this out, and then it's out of the wife's hands. ??? :twocents:

FLArn · Oct 25, 2011

To OP - In what type setting is the patient currently residing? Xtxrn is correct if the patient is in a facility (ALF, SNF) or hospital. This is not necessarily the case if the patient is at home or in an inpatient hospice setting as the guidelines are different there. In hospice foleys may be considered a comfort measure if it is painful to move the patient for transfers to BSC or frequent incontinence care plus in terminal patients there is little to no tissue growth (for wound healing) so prevention (or delay) of skin breakdown is paramount. Also if he is at home and the spouse is unable or unwilling to do frequent incontinence care, then it may be needed to prevent skin breakdown.

i agree the wife needs to have her issues addressed (if he is or has been at home she may be overwhelmed or burned out-it happens to families too). She may need more support either with caring for him or to come to terms with permanent placement in a facility. If she has promised never to "put him anywhere" there could be a lot of guilt in play.