Output Amount
Bladder Volume Key Points
Nursing Interventions
S/S of Neurogenic Bladder
Other Necessary Information
100

How many mL of urine a day is considered to be oliguric?

300 - 500 mL

100
How long after voiding should PVR be measured?

15 to 20 minutes

100

What is the intervention for a PVR of 100-400 mL?

Initiate prompted voiding

100

When should an assessment for neurogenic bladder be done?

Persistent retention and brain pathology

100

When would pharmacy be consulted?

If they are taking medications that may inhibit voiding

200

After IUC removal, how many mL voided indicated to scan the bladder for bladder volume?

0 mL in 4-6 hours

200

What is IC?

Intermittent Catherization

200

What is the intervention for a PVR of greater than 400 mL?

Initiate intermitten catheterization and inform provider

200

What are the kinds of brain pathology that would indicate an assessment for neurogenic bladder?

CVA, tumor and concussion

200
If the patient has an altered mental status who cannot attempt to void after IUC removal, what should be done?

Ask every 2-4 hours if they are wet and dry, encourage to void, offer praise and fluids

300

Post-spontaneous void, how many mL of the PVR would indicated no intervention necessary?

Less than 100 mL

300

Regardless of urge to void, when should the patient void after IUC removal?

4 hours

300

What is the intervention for a PVR of less than 100 mL and is voiding spontaneously?

No intervention

300

What are some neurological diseases that could be causing neurogenic bladder?

Parkinson’s Disease, Multiple Sclerosis, Muscular Dystrophy, Normal Pressure Hydracephalus and Dementia

300

What is another way besides medication and comorbidites a patient could get neurogenic bladder?

Constipation/Fecal Impaction

400

What needs to be factored in when determining need for bladder scan?

Low intake

400

What are some spinal cord pathologies that could lead to neurogenic bladder?

Post Spinal Surgery, Post TEVAR surgery, trauma, Spina Bifida, Spinal Stenosis, Transverse Myelitis, and Spinal Vascular Disease

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