Following assessment and post void Bladder Scan you establish that there is a residual volume of approx. 350mls of urine in his bladder.
Q. Which of the following assessment and treatment options may be appropriate at this time?
See VTA for explanation of Appropriate assessment and treatment options.
Q. Which of the following assessment and treatment options may be appropriate at this time?
Assessment and treatment options
Consider in/out intermittent catheterisation – This must be sterile procedure, monitor bladder volumes with scanner to determine frequency procedure will need to be repeated.
Commence fluid balance chart – To monitor input/output closely, consider dehydration.
Urinalysis – To exclude infection, UTIs in men require further investigation.
Assess prostate – Refer to medical staff, enlarged prostate may cause voiding difficulties (e.g. hesitancy, poor stream, intermittent stream).
Not appropriate:
Provide pad and pants – This will contain the incontinence but it is not an assessment or treatment option at this point.
Wait and monitor symptoms – This is not appropriate as the patient requires immediate action.
Indwelling Catheter – Should only be used for essential close renal function monitoring. May be considered after 3 separate high residual volumes over minimum 24 hour period.
Page last reviewed: 31 Jan 2022
