Question | Answer |
Nasogastric tube allows for what? | the removal of gastric secretions and the introduction of solutions into the stomach. It is used post op major surgery to treat mechanical obstruction for decompression, for diagostic studies, for irrigation and to administer medications |
patient should be in what position? | fowlers position |
Lubricate 3-4 inches of the tip of the tube with what kind of lubricant? | water soluble |
Have patient flex head forward and take sips of water | |
the most reliable verification of correct placementis by | xray |
second best verification is by | aspiration - 5-10 ml |
the ph of the stomach contents should be | less then 4 |
what does gauge mean for IV insertion? | Diameter |
The Gauge varies inversely a 24 is _____ and 16 is _______ | 24 is small and 16 is large |
gauge 16 is appropriate for what? | trauma patients |
gauge 18 is appropriate for | surgical patients or possibly a dehydated medical patient |
gauge 20 | commonly used for medical patients (use 20 or larger for blood/blood products) |
gauge 22-24 is used for | smaller kids, fail, elderly and diabetics of any age |
what is the purpose of the continuous bladder irrigation | to instill medication - in a stubborn bladder infection that has not responded adequately to systemic antibiotics. After bloadder or prostate surgery - free from blood clots or sediment |
what is often used for continous bladder irrigation | normal saline |
what kind of catheter does a continuous bladder irrigation use | requires triple lumen catheter |
tell me the parts of a triple lumen catheter | one to inflate the balloon to hold it in place, one to draine urine and instilled solution out and one to instill the solution |
how far above the bladder should the solution hang above the blader? | 2-3 feet |
what size bag should be hung? | 2 or more 3-litter bags |
when should tubing for continuous bladder irrigation be changed? | 24 hours |
inform doctor when? with continuous bladder irrigation? | bladder spasms, which ca be caused by blood cloths or if you have instilled air into the bladder |
what should be monitored closely with continuous bladder irrigation? | monitor closely input and output |
CBI is usually after ordered what? | TURP - TRANSURETHRAL RESECTION OF THE PROSTATE |
what is the purposeof stryker draines | to facilitate reinfusion of the patient own blood |
Is it a clean or sterile procedure for connecting the drain to the stryker drain? | sterile! |
Why should the stryker drain be upwards? | so the air filter does not become infused with blood |