Nursing for bleeding after bladder cancer surgery

Bleeding is a common and serious complication after bladder cancer surgery. It is often related to premature shedding of eschar after transurethral resection of the cyst and secondary infection after partial cystectomy. It is often manifested as the color of the indwelling urinary catheter or continuous bladder drainage fluid turning from light red to dark red, and even blood clots may appear. When the amount of bleeding is large, the patient will have pale complexion, rapid breathing, weak pulse, decreased blood pressure, and cold limbs. This is quite dangerous, so appropriate nursing work should be done to detect bleeding in time and deal with it in time.

1. Keep the drainage of various drainage tubes of the continuous bladder irrigation machine unobstructed, prevent twisting, compression and falling off, and prevent urine retention, secondary infection and bleeding.

2. Encourage patients to drink more water to increase urine volume and flush the bladder.

3. Observe the color of the continuous bladder irrigation drainage fluid. Once the color of the drainage fluid deepens, the flushing speed should be increased (generally, the flushing speed is 100 drops/minute, and it can be increased to 200 drops/minute when bleeding is suspected), and the flushing fluid can even be input in a line to minimize the residence time of blood in the bladder and avoid the formation of blood clots.

4. Once a blood clot is found in the drainage tube, try to suck it out of the tube to avoid squeezing it into the bladder, so as to prevent the blood clot from blocking the urethral opening, causing acute urinary retention, leading to infection and inducing heavy bleeding.

5. If signs of bleeding occur, strengthen anti-inflammatory and hemostatic treatments as prescribed by the doctor. If the bleeding is difficult to control, actively complete preoperative preparations and perform surgical hemostasis while combating hemorrhagic shock.