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SaraO'Hara

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All Content by SaraO'Hara

  1. Today, I had a patient retaining urine - over 1500cc out with straight cath. An experienced coworker insists that one must either remove or clamp the straight cath after 1000cc output, lest the patient descend into a hypovolemic state. Based on her statements, I monitored the pt's BP and HR for the rest of the shift - no significant change. I have been scouring my nursing textbooks and searching online - I can't find any evidence for the need to clamp off and wait after 1000cc out. I have a few basic problems with the idea: 1. Risk of bladder damage, hydroureter, pyelonephritis, etc. 2. The bladder is just plain not part of the circulatory system. 3. Why don't I get hypovolemic letting a liter off at the end of a busy shift? Thanks, everybody!

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