a patient has a continuous bladder irrigation, what should the nurse do with the irrigant on the I&O sheet when calculating the fluid balance for this patient; add it to the oral intake column, deduct it from the total urine output, subtract it from the intravenous flow sheet as output, document the intake hourly in the urine output column Documentation: The licensed nursing summary must verify ADL status at least monthly. The ADL flow sheet must document daily functional status of the resident. Score for continence is based on the highest level of need in either Bladder or Bowel. Example: If Bladder is Code 4, Incontinent, and Bowel is Code 2, Incontinent occasionally, Score 48. Mar 03, 2013 · Initial management. Most episodes of haematuria will settle conservatively with no acute intervention required. A smaller percentage with more significant haematuria (including a high risk of clot retention, haemodynamic instability, a drop in haemoglobin, or cardiovascular symptoms) will require hospital admission for continuous bladder irrigation and management of symptomatic anaemia. continuous bladder irrigation with continuous intravenous mesna at 100% of the cyclophosphamide dose. l6 All patients also received hyperhydration. Overall, the frequency of hematuria in the bladder irrigation group was 76% and 53% in the patients who received mesna. However, the frequency of severe hematuria was the same (18%), and the 10. Ensure urine is draining freely before commencing continuous irrigation. 11. Unclamp the irrigation flask that was used to prime the irrigation set and set the rate of administration by adjusting the roller clamp. Note: The aim of the bladder irrigation is to keep the urine rose’ coloured and free from clots.