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Fund - Enemas
Lecture 9
| Question | Answer |
|---|---|
| Patient Prep is used for the following exams: | UGI small bowel barium enema IVP esophogram |
| a laxative to cleanse the bowels (castor oil, ducolax, magnesium) | cathartics |
| reasons an enema is used | to cleanse or remove fecal matter stimulate peristalsis introduce medication introduce radiographic contrast |
| most frequently used type of enema | tap water enema |
| supplies needed for an enema | disposable enema bag disposable enema tip k-y jelly iv pole bed pan wash cloth and towel blue chux gloves |
| steps to performing an enema | -fill bag with 500-1000ml of warm (tepid) water -hang bag on iv pole (higher the pole, faster rate of flow) -explain procedure to patient -have them lie in sims position (on side) -position tip towards the umbilicus; in a superior and anterior directi |
| black tarry stool | blood from UGI |
| red blood | internal hemorrhoids |
| ostomy | surgical procedure |
| colostomy | into colon |
| ileotomy | into ileum |
| straight catheter for temporary use/red robinson | non-retension catheter |
| foley catheter/for prolonged indwelling use/balloon attached | retension catheter |
| reasons for catheterization | keep bladder empty drain, or instill medicine introduce contrast in bladder |
| catheter supplies | sterile catheterization kit catheter lamp adapter for the catheter to tubing contrast medium |
| when transporting, keep bag ______ the level of the bladder | below |
| catheter thats placed directly into the bladder | suprapubic catheter |
| urinary resection - used with patients who have bladder CA | urinary ileostomy |
| used on male patients, drains into a bag at end of drainage device | condom catheter |
| average adult voids about _________cc/day | 100-500 |
| deep orange/red urine could indicate | jaundice |
| orange/red urine could indicate | RBC's in urine |
| cloudy urine can indicate | infection |
| specific gravity of urine can indicate | (acid base) can indicate proper kidney function |
| protein or glucose in urine indicates | abnormal kidney function |
| BUN means? | Blood/urea/nitrogen |
| a product creatinine phosphate, is present in the urine | creatinine |
| plastic or rubber tube placed through the nasopharynx into the stomach - for suction, feeding, aspirate stomach, diagnostic purpose | NG Tube (nasogastric tube) |
| single lumen with holes near tip (type of NG tube) | levin |
| double lumen, radiopaque type of NG tube | salem-sump |
| ng tube fore feedings, mercury tip | nutriflex |
| triple lumen ng tube | moss |
| triple lumen ng tube-esophageal varices | sengstaken-blakemore |
| similar to a nasogastric tube (NG) but longer, placed in small bowel | nasojejunal/nasoenteric (NJ, NE) |
| tube used for decompression/diagnosis/treatment | NJ/NE (nasojejunal, nasoenteric) tube |
| to determine size of tube, what is the size of measurement measurement called? | a french (fr) |
| size of a NJ/NE tube | usually 12-16 french (fr) |
| true or false place a NJ/NE tube in warm water to warm up | false - you place in cold water to stiffen |
| supplies for emergency suctioning/respiratory | wall outlet suction sterile gloves sterile suction sets with sterile saline tubing |
| reasons to emergency suction | -profuse vomiting when patient cannot change position -audible rattling or gurgling sounds coming from patient throat -signs of respiratory distress |
| catheter size for suctioning: usually ____ to ___ F 22 inches long for adults and ___ to 8 ft for children | 10 to 18; 5 to 8 |
| catheters for suctioning can be used to perform ______/_______ at childrens hospital | GI/esophograms |
| an opening in the trachea created surgically, temporary or permanent, located below ______ or ______ cartilage | Tracheostomy; cricoid; thyroid |
| plastic tube with obturator for insertion only, cuff that seals tube, held in place with ties | tracheostomy tube |
| tubes used for temporary distress, can accidently slip into the _____ _____ _____ ______ | endo-tracheal tubes (ET) |
| plastic tube with metal obturator, inserted into pleural cavity to remove air and fluid - used to re-establish the correct intrapleural pressure and to allow the lungs to expand naturally | chest tube |
| thin membrane | pleura |
| membrane that lines the chest cavity | parietal pleura |
| membrane enclosing each lung | visceral pleura |
| space between the parietal and visceral pleura | pleural cavity |
| fluid in cavity, need upright or decub to demonstrate | pleural effusion |
| accumulation of air in pleural cavity - could be due to trauma to chest wall, tumor or copd, emphysema | pneumothorax |
| collapse of the whole or part of a lung due to obstruction - individual alveoli collapse - foreign body, vomit, tumor | atelectasis |
| accumulation of blood in pleural cavity | hemothorax |
| half of chest | hemithorax |
| removal of lung - fluid fills the space | pneumonectomy |
| disposable drainage system | pleur-evac |
| usually a 3-chamber system, tube from chest enters a chamber containing ______ ______ or normal ______. ______ and ______ allows fluid to flow into a chamber | water-sealed drainage; sterile water; saline; inspiration and expiration |
| chest tube systems and care of patient rules: | do not clamp chest tube keep straight, do not kink do not place tension on tube make sure water-seal is maintained keep chest drainage unit below chest |
| what would indicate a leak in a chest tube system and what should you do if you see one | steady bubbling; report to nurse |
| CVP | central venous pressure |
| measures pressure in the SVC (superior vena cava), determines blood volume, evaluates cardiac output | CVP Line |
| where is placement for an CVP (central venous pressure) line | at the junction of the brachiocephalic vein and superior vena cava or within the superior vena cava |
| common tunnel style central lines, placed into the subclavian or internal jugular vein and then advanced into the superior vena cava or the right atrium | hickman/broviac/groshang lines |
| hickman/broviac/groshang line exit site and what is it used for? | exit site is on the anterior chest wall; often used for chemotherapy/medication administration |
| a catheter thats inserted into the patients arm and threaded into the central vein - used for medication of nutrition | PICC catheter |
| hyperosmotic, administered through a large vessel to avoid irritation | TPN (total parenteral nutrition) |
| balloon tipped catheter for monitoring pulmonary pressures, inserted into ______ vein and used to measure cardiac output | swan ganz catheter; anticubital |
| lines used for the introduction of medications or chemotherapy, for long term care- port made of plastic, titanium, or stainless steel- placed into the subcutaneous tissue and can be felt on the chest wall | porta cath |
| soft rubber, flat like a tourniquet - drains into surgical dressing | penrose |
| plastic drainage tubes that maintain constant, low, negative pressure - bulb is squeezed to create suction | jackson-pratt/hemovac |
| placed in the common bile duct after gallbladder surgery - t-shaped | t-tube |
| tube in stomach, for feeding | gastrostomy |
| tube placed in cecum | cecostomy |
| tube placed in kidney | nephrostomy |
Created by:
teresachristensen
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