Renacidin is a solution used to rinse indwelling urinary catheters and prevent the buildup of mineral deposits. These deposits, composed of struvite or apatite, can form stones, also known as calculi, which may obstruct the catheter. The solution works by making the urine more acidic and through an ion exchange process where magnesium is swapped for calcium in the stone, dissolving it. Renacidin helps maintain catheter patency as an alternative to other procedures. This article is a general overview; always follow the specific guidance provided by a healthcare professional.
Preparing for the Irrigation
Before starting the irrigation, gather the correct supplies and establish a clean workspace. You will need a single-use container of Renacidin, a sterile syringe, alcohol pads, and a catheter clamp. Before use, the Renacidin solution should be visually inspected; if it appears cloudy or contains particulate matter, it should not be used.
The solution should be warmed to body temperature before administration for comfort and effectiveness. This can be done by placing the unopened container in a basin of warm water. Do not overheat or microwave the solution, as this can alter its composition. Proper hand hygiene should be completed before handling any sterile supplies to minimize the risk of infection.
Step-by-Step Irrigation Guide
Draw the prescribed amount of warmed Renacidin into a sterile syringe. The typical dose for preventing blockages is 30 mL. Carefully disconnect the catheter from the drainage bag, ensuring the ends of both the catheter and the drainage tube do not touch any non-sterile surfaces.
Using a fresh alcohol pad, thoroughly cleanse the catheter port. Securely attach the syringe to the port and slowly push the plunger to instill the solution. Avoid applying forceful pressure, as this can cause discomfort or bladder spasms.
Once the solution is instilled, use a catheter clamp to secure the tubing just below the connection port and disconnect the syringe. The solution must remain in the bladder for a “dwell time” determined by your healthcare provider, which is often around 10 minutes.
After the dwell time has passed, release the clamp and allow the solution and urine to drain completely into the drainage bag. Clean the catheter port and the drainage bag connector with new alcohol pads before securely reconnecting them.
After the Irrigation
Following the procedure, it is important to monitor for any unusual reactions. Observe the urine for any significant changes, such as a large amount of blood or debris. Mild, temporary discomfort or a feeling of bladder fullness during the dwell time can be normal, but these sensations should resolve after the solution is drained.
Contact your doctor or nurse promptly if you notice more severe symptoms. These include the development of a fever, chills, persistent flank pain, severe pain, or bladder spasms that do not subside. It is also important to seek medical advice if the catheter fails to drain properly after being unclamped.