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Urine output is the difference between the two. Waste products (urea, ammonia, creatinine), Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman, Constituio da Republica Federativa do Brasi. 3.1.12.2 The irrigation solution bags to be labeled unless additives are being Otherwise, it doesn't matter how you do it as long as you know accurately how much went in from the irrigation bag and how much came out from the foley. Intake is the amount of irrigation solution allowed into the bladder. How to Calculate Continuous Bladder Irrigation CBI Output 3,789 views Premiered Sep 14, 2020 42 Dislike Share Save Tonia Evans 18 subscribers Show more Chat Replay is disabled for this Premiere.. 7,752,060 and 8,719,052. d. About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned. Bladder irrigation helps remove and prevent blood clots in your bladder. What is his intake in mL? However, there is a minimal risk of infection. allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 After a transurethral resection of the prostate (TURP), a patient with continuous bladder irrigation complains of painful bladder spasms. When teaching a patient who is scheduled for a transurethral resection of the prostate (TURP) about continuous bladder irrigation, which information will the nurse include? Answer B. Bladder Irrigation solution was 2000 mL. Catheter blockage, which requires a healthcare provider to flush the tube or replace it. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. What the patient pees out is also recorded. Continuous bladder irrigation (CBI) is a medical procedure that flushes the bladder with sterile liquid. For an accurate measurement, keep toilet paper out of your patient's urine. The urine in the drainage bag appears red to pink. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. An oral intake of three litres of fluid a day is recommended to dilute the urine and assist in flushing out clots. Find the accumulated amount A if $327.35 is invested at the interest rate of 6 7/8 %/year compounded daily for 8 years. If the person before you screws up and either does not credit the right input or output there will be almost no way that you can be correct on your shift. Both contain sterile saline (saltwater) and medication if needed. View INTAKE AND OUTPUT.docx from SCI 105B at Cebu Normal University. Inform client brning and frequency may last for a week. Third Party materials included herein protected under copyright law. Calculate the actual urine output. Before continuous bladder irrigation, you must have a catheter placed in the bladder. Monitor blood, clots or debris in the urine. You'd have thought we'd slung a water hose around the room. Intermittent bladder irrigation happens on occasion, either when needed or at set times. c. Prepare to remove the catheter. Baby Boomers and Hepatitis C: High-Risk Group with Low Rate of Testing. - Documentation is proof that procedure was . Continuous bladder irrigation ( abbreviated as CBI) is a common procedure that is often done after a transurethral resection of the prostate (TURP). The third port isnt actively used but helps keep the catheter in place. Calculate the IV fluid intake in mL if 350 mL is left in a 500 mL IV bag. Continued observations for hematuria. 1. Since 1997, allnurses is trusted by nurses around the globe. Which finding suggests that the client's catheter is occluded? 7. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. The client has had the following intake/output during the shift. 3.1.12.1 The measurement and recording of irrigation solution intake and output : unless ordered by a physician. Example: Intake 4250 mL and Output 1210 mL..patient is at risk for fluid volume overload. Healthcare professionals often perform bladder irrigation following a surgery involving the urethra, the tube that carries urine . If a patient vomits, I don't measure it - but I do chart "emesis basin x2" or however many times they vomited. Do RNs declot temporary hemodialysis catheters. Account for any discrepancies between the two models. Then I subtract the 3000 mL (that's what's in our irrigation bags) from what was in the foley. Good answer? Specializes in Emergency, Internal Medicine, Sports Med. Specializes in cardiac/medical. from Foley catheter 6 ounces of soda 1 L of bladder irrigation 0800 1.5 L of bladder irrigation 0900 6 ounces of prune juice 4 ounces of vegetable broth 8 ounces of liquid meal supplement (ie. A. TURP is the most common operation for BPH. Specializes in LTC, rehab to home, PACU. b. Answer: 3 m3m^3m3. The patient has a continuous bladder irrigation infusing at 50 mL/hr from 7:00 AM to 12:00 PM. Print out the balances after the These are fluids that LEAVE the body. The second will be used to inflate the balloon that keeps the catheter in place. An online bank wants you to create a program that shows prospective customers Basically any fluids that are going IN to the patient. 2) expected due to the CBI; assess for shock and hemorrhage; check dressing and drainage; urine may be bright red for 12 h; monitor vital signs Calculate the fluid intake in mL for the following lunch. The patient was transferred to emergency room. Choosing a specialty can be a daunting task and we made it easier. The patient has continuous bladder irrigation and a Foley catheter: 0800-1000: 3 Liters of bladder irrigation Our members represent more than 60 professional nursing specialties. Foley catheter ouput 625 mL, Calculate the total intake in mL for the following situation: I'm assuming we will be calculating but I'm not sure what she was talking about. 4. B. xplain the purpose and function of a two-way irrigation system. The irrigation fluid is normal saline delivered at a rate of 150 ml/hr. The healthcare provider will end continuous bladder irrigation once you have clear or only slightly pink urine for a day or two. Do not let the irrigation bags run dry. annual interest rate. Don gloves. Has 17 years experience. 6 oz broth Can someone please tell me how to calculate continuous bladder irrigation? What's included: Urine output (most of the output calculation) Emesis Liquid stool ( ostomy or diarrhea) Wound draining (drains, tubesexample: chest tubes etc.) appreciate the help! The same RN removed the catheter and inserted a three-way catheter and the CBI began. At 3:00 PM, the nurse emptied 925 mL from the urinary drainage bag. The nurse is caring for a man who has returned to the unit from the recovery room following a transurethral resection of the prostate (TURP). A patient who has a catheter took in 6 oz of orange juice and 4 oz of apple juice. Used to drain urine from the renal pelvis of the kidney, Has multiple openings in its tip to facilitate intermittent drainage, Long and slender to pass into the ureters, Has a slanted, larger orifice at its tip to be used if there is blood in the urine. Hopefully there will be more in the foley than went in through irrigation and this will be the urine output. Urinating around the catheter can cause painful bladder spasms. 1/2 carton milk, Calculate the fluid intake in mL for the following items. Create well-written care plans that meets your patient's health goals. Suction (gastric, respiratory) Not included but needs to be considered is: insensible loss General Surgery. Input-output= true urine. According the Mosbys Medical Dictionary, insensible loss is estimated to be 600 mL/day (insensible water loss, 2018). There may be clots or sediment in output at first but if irrigation is running at a proper rate, this should clear up in a few hours. I was helping someone else, and the bag hit the floor after it had been spiked (but we hadn't completed the hook up to the patient, we were just getting started). Calculate the total fluid output in mL for the following situation: Calculate the total intake in mL for the following situation. Answer C. Although postoperative pain is expected, the nurse should make sure that other factors, such as an obstructed irrigation catheter, aren't the cause of the pain. If the patient is on bladder irrigation, you can count the amount of liquid put into the bladder here. If the superposition wave has amplitude 6.69cm6.69 \mathrm{~cm}6.69cm, what is the phase difference \phi between the component waves? You just keep a running tally of how much you empty, and once a . Continuous Bladder Irrigation (CBI) provides a continuous infusion of sterile solution into the. 23. Your urinary system is responsible for filtering waste out of your blood. (Total output - intake = urine output.) The urine collects in your bladder and causes pain that gets worse as your bladder fills. I appreciate your kind and greneous advice a lot!. Urine output 510 mL, Calculate the total intake in mL for the following situation: c. Assess the irrigation catheter for patency and drainage. Continuous bladder irrigation (CBI) is a medical procedure that flushes the bladder with sterile liquid. * A. Intake: 2200 mL & Output 1850 mL B. Intake: 2450 mL & Output: 2300 mL C. Intake: 1950 mL & Output: 2400 mL D. Intake: 540 mL & Output: 2450 mL Hopefully there will be more in the foley than went in through irrigation and this will be the urine output. Output= volume of fluid coming OUT of the patient. I knew that bag had to be getting full. ITU. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Nasogastric tube output 480 mL Stool. However, I have found it nearly impossible to get an accurate reading, especially if the irrigation is running fast. 2023 The Arena Media Brands, LLC and respective content providers on this website. 22. Suprapubic prostatectomy, retropubic prostatectomy, and transurethral laser incision of the prostate are less common procedures; they all require an incision. A 3-way indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. Sterile solution enters the bladder through a thin tube, then the fluid is removed and collected in a bag. A patient had a transuretheral resection of prostate (TURP) procedure done and he has a three way catheter. 3000ml is recorded as CBI in and 3000ml of output is recorded as CBI out and whatever is left from your output ml's is recorded as urine output. (coffee cup = 6 oz, milk carton = 8 oz) Calculate the patient's total urinary output for the shift. At the end of the shift, the catheter bag reads 2270 mL. What is output? If you get a negative number it is likely there was a previous error, however as this could indicate the patient is not producing urine if this is ongoing renal function should be assessed and the urologist notified. (CBI is used after a trans-urethral resection of the prostate [TURP] and the irrigation serves to remove blood and clots.). If you do not have surgery, the catheter will be placed while you are in bed. (Category II) The healthcare provider hangs two bags on a pole. Interest is compounded monthly. Which finding suggests that the client's catheter is occluded? Last reviewed by a Cleveland Clinic medical professional on 03/16/2022. INTAKE AND OUTPUT 1. So you either have a catheter with a urometer bag or the patient pees into a bottle or bedpan.This is measured and documented. A primary reason for bladder irrigation is to remove blood clots from the bladder. Very interesting! After TURP, urine normally appears red to pink, and normal saline irrigant usually is infused at a rate of 40 to 60 drops/minute or according to facility protocol. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Nursing. Inflate a balloon to keep your bladder open as the catheter is placed. Spike the irrigation solution bag with one of the spikes on the GU irrigation tubing and prime the tubing. What is output? We do not endorse non-Cleveland Clinic products or services. The patient is in bed with his legs drawn up to his abdomen. After undergoing transurethral prostatectomy a client returns to his room with a triple-lumen indwelling catheter for continuous bladder irrigation. Bladder irrigation was 2000 mL. Specializes in NICU, PICU, Transport, L&D, Hospice. he client had the following intake and output during your shift: 0700 7 ounces of water 2 L of bladder irrigation Emptied 2150 mL from Foley catheter 0800 1 L of bladder irrigation 0.5 cups of cottage cheese 1 bagel 7 ounces of coffee with 1 ounce creamer 2 ounces of grits 0900 Emptied 2350. 1-612-816-8773. Any volume in this field will display in Intake & Output 4. D We comply with the HONcode standard for trustworthy health information. Either start with a fresh irrigation bag and fresh foley to start your counts, or mark your irrigation bag and start with an empty foley bag when you get the patient. The hospitalist was notified and ordered continuous bladder irrigation (CBI). An hour later, the patient's pain increased and his bladder was distended. If output exceeded intake, enter your number as a negative (for example, "-100"). Which action should the nurse take first? To convert oz to mL, simply multiply the amount of oz by 30. The content on Healthgrades does not provide medical advice. Manually instill and then withdraw 50 mL of saline into the catheter. Reports of bladder spasms and the urge to void suggest that a blood clot may be occluding the catheter. Often times when a patient asks for jello I will take them two so they'll have one for later if they want it and don't have to ask. Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Your healthcare provider will give you detailed reasons to seek medical attention after your surgical procedure. This content is not available in your current region. 3) expected drainage soon after surgery; CBI contains isotonic fluid used to keep the catheter patent 2. One time, I had to run the irrigation really fast- guy kept clotting up. It can be via various routes as well. What is intake? We didn't have a lecture on it, but does anyone know what she may be possibly talking about on calculating intake/output? By the time I got to his room I almost fainted when I saw that the regular foley bag was so full, it looked like a big fat cherry. Published Mar 29, 2012. Healthcare providers often use it to prevent or remove blood clots after surgery on the urinary system. Audrey Hunt from Pahrump NV on May 13, 2013: Well this is a procedure I've not heard about until now. The blood clots stop urine from flowing through your catheter. When urine drainage bag is emptied, look back to previous LTC and . Assess catheter patency by measuring intake and output and presence of bladder spasms. In addition to inflating the balloon, the functions of the three lumens include: continuous inflow and outflow of irrigation solution. Calculate the total output in mL for the following situation. A 55-year old client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Introduced by the health care provider through the abdominal wall above the symphysis pubis. Irrigation of catheter as outlined in #1 to aid in clot removal may be indicated. 1/2 glass grape juice Nursing questions and answers. 20,908 Posts, Sometimes you need to dump them more often..switch off with the aide.:). Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Oncology. Clots can prevent urine from flowering properly through the catheter as well. After having transurethral resection of the prostate (TURP), a Mr. Locke returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. . So - I agree that pudding shouldn't be counted as input, but I'm not sure about the reasoning of "because it doesn't melt at room temperature.". What I do is empty the foley bag each time an irrigation bag runs out. The procedure takes place in a hospital over several days. Summary. and chart in Bladder Irrigation Input field 3. Figure out what went in. Has 20 years experience. If a three way Foley catheter is not already in place, insert this now according to your facility's policy. 1 cup coffee Choosing a specialty can be a daunting task and we made it easier. Because it requires no incision, TURP is especially suitable for men with relatively minor prostatic enlargements and for those who are poor surgical risks. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. I had 4 I&O questions on my state CNA exam. Many facilities I have worked have separate I/O sheets for CBI, for total in and total out, and only the urine output gets recorded on the actual I/O sheet. The catheter remains in place for 2 to 4 days after surgery and is only removed with a physician's order. a. a. Transurethral resection of the prostate (TURP) Nasogastric tube output 480 mL 0 & 0 \\ The head of the patient's bed is elevated 45 degrees, Strategy: "Requires an intervention" indicates a potential complication. Irrigation bags with appropriate ordered solution. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Bladder irrigation may be needed after bladder or prostate surgery. It will have 3 tubes coming from the end. One time, I had to run the irrigation really fast- guy kept clotting up. allnurses is a Nursing Career & Support site for Nurses and Students. At the end of the shift the catheter bag reads 2270 mL. I beg to differ: it's completely impossible! What is the most widely used procedure for prostate gland removal? Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. One question threw in pudding, and a second question threw in Jello with fruit in it. This study guide will help you focus your time on what's most important. Bladder irrigation = 1.5 liter 1000 ml / l = 1500 ml. It can be via various routes like the mouth, a tube, or intravenous (IV). The fluids will hang from an IV pole. Empty drainage bag frequently to ensure no overflow or backflow of urine/irrigation solution. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Many patients c/o discomfort and bladder spasms in first 24 hours, so pain med is approiate and also antispasmotic if ordered. Output includes-. Bladder irrigation may be needed after bladder or prostate surgery. So when you're looking at your total intake to see if the patient is staying adequately hydrated, you do not count the bladder irrigation. I took and passed my Illinois CNA exam back in August. Does time dilation mean that time actually passes more slowly in moving reference frames or that it only seems to pass more slowly? All Rights Reserved. The amount of returned fluid (1,200 ml) should correspond to the amount of instilled fluid, plus the client's urine output (1,000 ml + 200 ml), which reflects catheter patency. of water if the detention time is 60 s? If a medication is added to the solution, check the label placed by the licensed pharmacist against the doctor's orders to verify right patient, medication, strength, route, and time. I have been trying it hardly and did not get those amazing results!. Specializes in Emergency, Telemetry, Transplant. Last updated on Feb 6, 2023. Healthcare providers also use continuous bladder irrigation to: All equipment involved in CBI is sterile (free from living organisms, such as germs). Its a balloon-like organ in the lower abdomen (belly). d. Use aseptic technique when irrigating the catheter. I beg to differ: it's completely impossible! The equipment may come in contact with germs on skin or in the air just before insertion. These are fluids that LEAVE the body. It creates urine (pee) to get waste and extra fluid out of your body. Total output is the amount emptied from the collection bag. If you have surgery, the catheter will be placed during your surgery. This is typically urine only, although in some critical care patients things like contents of a nasogastric tube are included (how much stomach juice has been sucked out + how much urine they've produced). However, a transurethral resection of the bladder (TURB) can be done on both males and females. Our bags are 3000ml so when a bag is done going in you empty your foley (or I have used a 24hr urine collection container if you have to empty the foley before the irrigation bag is empty,keep this urine in the jug until your irrigation bag is complete to keep your I&O organized). Soothe an irritated, infected or inflamed bladder lining. 1 Article; Recommend a source for electricity generation appropriate for the region and propose a basic power plant configuration including a thermodynamic analysis to meet the anticipated power demand. Since the amount of fluid used to irrigate come right back out, it does not effect the patient's hydration. Check that the irrigation is flowing correctly, that the patient is not bleeding excessively, and that the patient's bladder is not distended. Waste products (urea, ammonia, creatinine) A=(1000),B=(0304). After urinary surgery, many people have to pee through a catheter (a tube used as a drain). Which of the following nursing interventions is appropriate? Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Has 6 years experience. Has 43 years experience. See our full, Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on WhatsApp (Opens in new window), Click to share on Pocket (Opens in new window), Click to share on Telegram (Opens in new window), Click to share on Skype (Opens in new window), IV Drug Use Complications & Dangers: (Endocarditis, Infection, Infectious Diseases). You record input. A certain uniform spring has spring constant k. Now the spring is cut in half. Specializes in Med nurse in med-surg., float, HH, and PDN. Of the total, _____ ml is urine output. It depends on hospital policy. Author Information . The clamp for the first bag will be open until the bag is empty. Throughout the process, a healthcare provider will: In the beginning, the urine may be bloody and have obvious debris. Healthcare providers use it to prevent or remove blood clots after surgery in the urinary system. 20,908 Posts. Diverts urine flow from the urethra as needed to treat injury to the bony pelvis, the urinary tract, or surrounding organs; strictures; or obstruction. A 3-way indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. Tell your healthcare provider if you have bladder pain or your bladder feels full. He is scheduled for a transurethral resection of the prostate (TURP). Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Medically reviewed by Drugs.com. a. Intake is the amount of irrigation solution allowed into the bladder. Since 1997, allnurses is trusted by nurses around the globe. Otherwise, a physician quickly glancing through the chart will see the extra 500-1000 cc of fluid and assume it was oral/parenteral intake. Specializes in Med nurse in med-surg., float, HH, and PDN. Tell the client to try to urinate around the catheter to remove blood clots. 1060 8. Nursing Care Related to the Gastrointestinal and Urinary Systems. 2,043 Posts. At the end of the shift the catheter bag reads 2270 mL. After undergoing transurethral resection of the prostate to treat benign prostatic hyperplasia, a male client returns to the room with continuous bladder irrigation. Water = 6 o View the full answer Specializes in Med nurse in med-surg., float, HH, and PDN. Has 12 years experience. Replace a bag of sterile saline when its empty. Pudding is not. In addition to inflating the balloon, the functions of the three lumens include: continuous inflow and outflow of irrigation solution. Discontinue irrigation and notify physician if obstruction occurs. What would you record as the patient's output in mL? allnurses is a Nursing Career & Support site for Nurses and Students. I know that the amount infused for continuous bladder irrigation must be subtracted from the total emptied from the patient's catheter bag, but is the amount of irrigant infused also a part of the intake for the I&O?? Has a tapered tip and is selected for ease of insertion when enlargement of the prostate gland is suspected. CBI is generally very safe, but there are some rare complications: You wont need recovery time from the bladder irrigation procedure. Urine output 510 mL, Calculate the total output in mL for the following situation: The patient's intake in problem 2 was 3394 mL and if the patient's output is 2025 mL, the nurse should monitor the patient for fluid volume overload. And for Pete's sake, never drop one of those bags. Tube drainage. Continued strict I&O. c. The normal saline irrigant is infusing at a rate of 50 drops/minute. Nursing questions and answers. Calculate the IV fluid intake in mL if 450 mL is left in a 1000 mL IV bag. Of the total, _____ ml is urine output. 1/2 creamer. Always consult a medical provider for diagnosis and treatment. (https://www.auanet.org/education/auauniversity/for-medical-students/medical-students-curriculum/medical-student-curriculum/bladder-drainage). Teach that ED is not a common complication following a TURP. The client reports bladder spasms and the urge to void. The patient has a continuous bladder irrigation infusing at 75 mL/hr from 3:00 PM to 8:00 PM. show that AB=0A B=0AB=0 does not imply that either AAA or BBB is the zero matrix, but that it does imply that at least one of them is singular. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. It cant be measured. 3 & 4 Nasogastric tube irrigation (four times with 30 mL saline) I finally had a big enough fit and mgmt ordered the BIG foley bags (4,000 I think?) Get useful, helpful and relevant health + wellness information. Encourage the client to drink fluids to dilute the urine and maintain urine output. Bladder irrigation. Join the nursing revolution. Emesis. Of course this can only be done on males. 1,337 Posts. Has a balloon near its tip that may be inflated after insertion, holding the catheter in the urinary bladder for continuous drainage. The nurse should use sterile technique to reduce the risk of infection. Accurate measurement of fluid balance is important to determine the patient's urine output in the postoperative period, but also to observe for the onset of transurethral resection syndrome. Examples include bladder surgery or prostate surgery such as transurethral resection of the prostate (TURP). Empty the drainage bag as needed, after proper hand-washing and donning gloves, and apply new irrigation bags as needed. If this is incorrect information, I need to know as do others, as I am using this book as a guide to passing this test! I would guess that only the urine out is actually counted because it's actually a in and out process. Difference between bladder irrigation intake and output fields is the urine output which is calculated and documented in the Urethral Catheter (Foley) Output mL cell. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. The healthcare provider cleans the ports on the outside of the catheter and connects two of them. Specializes in Medsurg/ICU, Mental Health, Home Health. A client who returns to the surgical floor after undergoing transurethral resection of the prostate complains of pain. IV fluid 250 mL left in 1000 mL IV bag Sign In Using PowerPoint, present your findings to your class in thermodynamics and lead a discussion of the findings. Intake and output calculation NCLEX review for nurses. I was super busy w/ other patients and running as fast as I could go. The other connects to an empty bag at your side that collects fluid as it comes out of your body. The Urine would be 800, because you know the CBI bag was 3,000cc, so anything after 3,000 out is urine. b. It works by reducing inflammation and discomfort within the bladder. Intake: 4 oz of orange juice There's your urine output. [Hint: Use the trigonometric identity (Appendix A.7) for sin+sin\sin \alpha+\sin \betasin+sin to find y=y1+y2y=y_1+y_2y=y1+y2, and identify the new amplitude in terms of the original amplitude. 3 Articles; You may feel like your bladder is full or like you constantly have to pee. What would you record as the patient's output in mL? Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Figure out how much you emptied out. Not included but needs to be considered is: insensible loss. The nurse is completing an intake and output record for a client who is receiving continuous bladder irrigation after transurethral resection of the prostate. (Lewis et al., 2017, p. 1274) With CBI, irrigating solution is continuously infused and drained from the bladder. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. It works by reducing inflammation and discomfort within the bladder. MCCONNELL, EDWINA A. RN, PHD, FRCNA. A patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because he is afraid it might affect his ability to have intercourse.