What is the best initial action if a client on continuous bladder irrigation (CBI) has a blocked catheter?

If a client on continuous bladder irrigation (CBI) has a blocked catheter, attempting to dislodge a clot is often the best initial action. Continuous bladder irrigation is typically used to flush the bladder with a sterile solution to prevent clot formation and ensure free drainage, especially after procedures like transurethral resection of the prostate.

When a catheter is blocked, it's essential to first try to resolve the issue without introducing further complications. Attempting to dislodge the clot can often clear the blockage, allowing the irrigation to resume normal function. This approach is proactive and can be effective in managing the blockage immediately.

Choosing to reinsert a new catheter may introduce additional risks and complications, such as infection or trauma to the urinary tract. Increasing the infusion rate might not address the blockage directly and could lead to further complications or discomfort for the client. Contacting the healthcare provider is necessary if the blockage cannot be resolved through initial measures, but it's typically not the first step in managing an acute situation like a blocked catheter when an immediate intervention is possible.