VOL: 96, ISSUE: 39, PAGE NO: 49
RAY ADDISON, NURSE CONSULTANT IN BLADDER AND BOWEL DYSFUNCTION, MAYDAY HEALTHCARE NHS TRUST, CROYDONBladder ultrasound avoids the need for catheterisation to estimate residual urine volume. Risk assessment shows that catheterisation for estimation of residual urine should be avoided.
Bladder ultrasound avoids the need for catheterisation to estimate residual urine volume. Risk assessment shows that catheterisation for estimation of residual urine should be avoided.
Reasons for performing a bladder ultrasound include continence assessment, biofeedback in bladder retraining, assessment of catheter malfunction, and the effect of anticholinergic medication on voiding.
Older men, and patients with neurological disease such as multiple sclerosis, are most at risk of voiding problems. Bladder ultrasound should be a standard investigation received by those at-risk groups when they present with bladder problems.
If the area where the scan head is to be placed is infected, seek local advice from your radiology department or from the manufacturers before proceeding.
Bladder ultrasound can help to identify those patients in retention who may require admission to hospital for catheterisation. The effects of catheterisation in a patient with retention may cause an alteration in blood chemistry and associated haematuria which is related to sudden decompression of the bladder and abdominal cavity.
Before carrying out a bladder ultrasound, nurses should be able to demonstrate their competence and ensure their employer has accepted bladder ultrasound as a nursing activity.