The most pee ever.....

[KC CHICK]

Got report for one of my patient assignments (out of six) and was told this elderly male patient had been complaining of "feeling the need to urinate" and "not being able to urinate very much at a time". The complaints had started around 1700 that afternoon. The nurse reporting to me ASSUMED that he had a UTI and got an order for UA+. OK, fine.

About 30 minutes into my shift, the wife of said patient comes to the desk complaining that patient is in serious pain and no one is doing anything about it. I go assess....pt. had foley taken out day before, said his probs started at 1400 (not 1700)....severe pain, severe urgency, and very little out at a time but a few drops. Pt. had never heard of a "bladder scanner" when questioned.

Bladder scanner sees 600ML in the bladder. Get order for foley...then place....and get back 800ML!!! YIKES! No wonder the poor man was in pain.

BTW....UA was negative. duh.

QUESTION: What's the most urine that you have seen retained in a patient??....please share.

Anne:eek:

[NurseShell]

Hey Panda!! LOVE your avatar!!!

"I am NOT a pickle...I'm a cucumber!"

Larry the Cucumber

[Tookie]

Good thread - Shows that these things are common everywhere - My most would be a tiny 2000 approx cc - LOL -

But it makes me think that we as nurses can make such a real diffeence to a persons life just by hlping them to pee.

[SharkLPN]

>>Shark is now the PEE PEE Queen. "We're not worthy, We're not worthy!!!"

Ahhhh, thankyou,thankyouverymuch!!

I'm still stunned an amazed by that incident. He was a big guy, not obese, but there was room in his body for the bladder to get that big. We all wondered how long he'd been retaining urine for the blader to stretch like that without major discomfort, even though he was incontinent in his diaper when I went to place the foley.

Our hospital policy states to clamp the foley after the first 1000, then unclamp and reclamp as necessary. I believe the theory is to prevent shock from fluid loss, even though the fluid is already prepped to be dumped. His BP and HR stayed level through the whole incident as well, so who knows if the theory is valid.