What would you have done? *urinary retention*

Nurses General Nursing

Published

  • Specializes in Cardiac Telemetry, Emergency, SAFE.

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SwansonRN

465 Posts

I don't get hypertensive when I have 300mL in my bladder. I don't know the patient's history, so I'm not saying they weren't related, but it's not a huge amount. If she refuses, just educate, do some great documentation, and continue to monitor.

Specializes in Pediatrics, Emergency, Trauma.

You did everything right; many posters gave excellent techniques; don't beat yourself up too much.

I wouldn't be concerned about the PVR; if I was coming on, I wouldn't be upset either; I would get parameters with the provider, check with the bladder scan and monitor the pt; you would be free to go home. ;)

ChipNurse

180 Posts

Did you rescan the bladder after the 2 hours? If the patient refuses, then you can't force the issue. Just tell the Dr. and document the refusal and the education that you provided to the patient.

wanderlust99

793 Posts

Specializes in ICU/PACU.

You did everything right. I palpate the bladder and often times pt will c/o of full bladder, strong urge to void but unable..this is when we must straight cath. Check pt's fluid status as well, how much did he get in. We have trouble with post op patients waiting to void in order to go home. OP said greater than 300mL, not just 300mL, so it was hard to tell the exact amount. Sometimes the bladder scanner will say the exact amount, like 750mL other times it'll be a greater than 300mL reading. We hate to see a patient go home without voiding and then end up in the ER next morning still unable to void, it does happen. I would rest easier knowing the patient said he felt comfortable. Document and let the MD know pt refused, try again after 11 hours, give more fluid if needed, stick his hand in water, etc..

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