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Urology :: Gentamicin Bladder Washes
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Some patients with recurrent urinary tract infections or clean intermittent bladder catheterization (CIC) will need their bladder to be washed out with gentamicin for several weeks. Caregivers will be instructed by a member of the CHOC Children’s Urology Center staff on how to perform the gentamicin bladder wash. The following information is for reference only and should not replace any information received from the child’s doctor or nurse practitioner. The amount of medicine used will be given to you by your health provider.
 
Instructions:
  1. Catheterize your child as you would regularly and completely empty the bladder. 
  2. Fill a syringe with about 10ml of sterile water and set within reach. 
  3. Using the sterile needle provided by the pharmacy pull back on the syringe to take in room air past the amount of medicine needed. 
  4. Then insert the needle into the medicine bottle and push the air into the bottle.
  5. Now pull back on the syringe part to fill the syringe to the amount instructed by the child’s doctor or nurse practitioner.
  6. Activate the safety mechanism of the needle. The pharmacist will show you how to do this. 
  7. Carefully unscrew the needle from the syringe and dispose of in a properly marked sharps container.
  8. Push the medicine into the catheter end where the urine just came out of. Completely empty all medicine into catheter then remove syringe. Then attach the syringe filled with water to the catheter and push the water into the bladder as well. 
  9. Now remove the catheter without draining the water back out. This allows the medicine to sit within the bladder until your child is due to catheterize again.
  10. This will be completed three times per day for the first week. Twice per day for the second week and then only before bed daily for the third and final week.
How to Make Sterile Water
* Boil water for 10 minutes on the stove in a clean pot.
* Cool the water off the stove until it is room temperature.
* Keep extra unused water in a clean container in the refrigerator and warm it to room temperature before using it next time.
 
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chocChildren's Hospital of Orange County | UCI University of California, Irvine

Children's Hospital of Orange County is affiliated with UC Irvine Healthcare and UC Irvine School of Medicine

CHOC Children's - 1201 W La Veta Ave, Orange, CA. Phone: 714-997-3000. .