Is it possible.....

[Charon G]

Is it possible to get 2L of urine from a patient at one time after inserting a foley? A nurse inserted a foley and said 2L of urine was collected. Right away I became very confuse thinking, can the bladder even hold that much urine.

[brillohead, ADN, RN]

I almost overflowed the hat in my commode the morning after my c-section.

[canned_bread]

I've also seen it before, they come in saying they haven't been able to pee. Almost always male, usually prostate related.

Last time, I got 1600 out, dark cloudy urine, and then it turned to thick brown pus draining out. He had only been passing the overflow for so long it literally grew pus inside the bladder at the bottom level. Can we say, IV antibiotics stat?

Wow! I would have LOVED to see that!! Didn't even know that could happen!!

[canned_bread]

Just curious... I'm a recent grad awaiting my NCLEX date... I answered a practice question incorrectly and part of the rationale was- you should clamp an cath after 400mL of urine because rapid decompression of the bladder can cause it to tear, or rupture. Any one ever hear or experience this? This post made me think of that!

I have certainly never heard of that. I just googled it and read several relatively reputable websites (emedicine etc) and they say it was a past falsehood.

[tyvin, BSN, RN]

Had an elderly gentlemen whose abd was severely distended, sweating profusely, a look of fear on his face I can't describe; that's how I found him prior to this.

I was charge and a nurse comes a running to the nurse's station with an open foley kit the tubes hanging with what looked like water downed blood in them all of this as she waves it with her right arm; she urgently tells me "I've been trying for a half hour and I can't cath this guy"...I'm thinking "was I ever that naive," anyway we go a running to the man's room and there he is with that look of unexplainible fright on his face.

He doesn't speak English; he speaks Japanese. Luckily the wife is there to help. The first thing I do is stop the feeding (guys on continuous feedings). I think that later I will discuss critical thinking skills with this nurse.

I give inserting the foley a very gentle try and the tubing was coiling when I went inside.. That means to me that he's got an enlarged prostate. I get the guy transferred to the ER.

I have visions of the ER nurses laughing as the EMTs wheel this guy in joking at how incompetent LTC nurses are (my girlfriend works there). Long story short, after 3 RNs each gave it a try the ER doctor finally ended up putting a Coude in the guy (Look it up) getting 1800 cc. The Coude Foley's tip will aid in negotiating the curve of the prostate.

I found out later that the nurse at my place who was inserting the foley initially didn't want to come to me because she was an experienced RN and I was 1 year home (it was the BSN that got me hired...anyway) RN. We worked through that, all learned a lesson and now that establishment has a supply of Coude tipped foleys in their dry supply.

[CompleteUnknown]

I've seen this several times too. It's really not that unusual.

I voided over 2 litres about six hours after I had my first child (lady partsl delivery). I didn't feel I even needed to go; it's only that they said 'if you don't go soon we're going to have to put in a catheter' and it sounded like they meant it. Lol.

[DizzyLizzyNurse]

Today I put in a foley in a lady who came in with really bad pressure ulcers. I had to do care on her beforehand because she had been incontinent. She drained 1700 cc's of urine almost immediently. Her tummy was soft and she denied abd pain.