foley irrigation

CaLLaCoDe, BSN, RN · May 16, 2010

Perhaps it's calcification of the foley catheter tip and may require removal and re catheterization of your patient. Just a thought. Has this patient suffered any neurological trauma? Neurologically traumatized patients have high amounts of calcium in their urine.

Could also be possibly caused by infiltration from pathological organisms in the urethra, since urine flowing through the urethra pushes out harmful pathogens. A patient with a foley does not have urine flowing through the urethra on a daily basis.

Perhaps a U/A and urine culture is in order? Does your patient show signs of infection?

shiccy · May 16, 2010

I was thinking infection, too ... I'd see if you could get a UA, possible ATB if it's +, and then recath after a few doses of ATB

care&share · May 16, 2010

Perhaps it's calcification of the foley catheter tip and may require removal and re catheterization of your patient. Just a thought. Has this patient suffered any neurological trauma? Neurologically traumatized patients have high amounts of calcium in their urine.
Could also be possibly caused by infiltration from pathological organisms in the urethra, since urine flowing through the urethra pushes out harmful pathogens. A patient with a foley does not have urine flowing through the urethra on a daily basis.
Perhaps a U/A and urine culture is in order? Does your patient show signs of infection?

Thanks for your info. There is some sediment in the urine. Patient has a neurogenic bladder. Seems like we're going to start antibiotic therapy and re-catheterize.

ktwlpn, LPN · May 17, 2010

I have an MS resident with a foley due to neurogenic bladder-we had to go from daily to q shift flushes to maintain patency.