Urethral Catherization
What size catheter is commonly used for adult males and females
For females, a 12-14 FR catheter and males a 14-16 Fr is typically used.
What is the maximum duration for each suction attempt?
Each suction attempt should last no more than 10-15 seconds to avoid hypoxia
What are two common indications for inserting an NG tube?
To aspirate acid gastric contents, to provide nourishment, to empty the stomach,for laboratory analysis, to control gastric bleeding
The primary purpose of wound irrigation
To cleanse the wound of debris, bacteria and exudate to promote wound healing.
Why is it important to provide oral care at least twice daily?
To prevent buildup, gum disease, and tooth decay, especially in bedridden patients. Also halitosis.
What is the sterile field, and why is it critical during catheterization?
The sterile field is an area that is free from pathogens, and maintained throughout sterile techniques. it is critical to prevent infections during catheterization.
What is the appropriate suction pressure range for adults?
For adults the range is 100 to 150 mm/hg
What are 3 common complications of NG intubation?
Nasal or esophageal irritation, tube displacement and aspiration pneumonia
Name 3 types of dressings
Hydrocolloid, alginate, sterile gauze, foam dressings, wet to dry dressings, simple dressings
Name three requisites for perineal care
Toilet tissue, soap and water, sponge cloth, McIntosh, towels, bedpan, disposable gloves
Name two complications that can arise from improper catheterization
Urinary tract infection and trauma to the urethra
What are 2 key differences between nasal and oropharyngeal suctioning?
Nasal is performed through the nose while oro is through the mouth. Naso is used for patients who can tolerate suctioning through the mouth and oro is used when the airway is more obstructed.
How do you confirm proper NG tube placement
By aspirating stomach content, litmus paper, X-Ray, choosing sound
How do you assess a wound for infection?
increased redness, warmth, swelling, pain and purulent exudate.
How do you assess a patient's scalp for hygiene-related issues?
check for signs of infection, dandruff, dryness, excessive oil buildup, redness, tenderness.
Describe the correct positioning for catheterization in males and females.
Males: Suoine position with the leg slightly spread
Females: Placed in the dorsal recumbent position, with knees bent and legs apart to the lithotomy position.
How do you assess the need for airway suctioning in a patient?
You assess by checking for signs of airway obstruction, such as noisy breathing, gurgling or difficulty clearing the airway.
What steps do you take if the patient starts coughing or gagging during insertion?
pause procedure, check proper placemnt, check for coiling in the mouth, check for airway obstruction. if persistent coughing, withdraw and reposition the tube.
How do you perform wet-to-dry dressings?
Perform the first 6 steps, soak your sterile gauze in the prescribed solution and place it within the parameters of the wound, you then cover it with dry gauze and secure same with tape.
What are 2 considerations when providing nail care to diabetic patients?
Avoid cutting nails too short, and inspect feet for signs of infection or wound. do not dig the flesh unless necessary.
What are the steps to follow if resistance is encountered during catheter insertion?
Stop immediately, reassess positioning, lubricate the catheter, use a different size catheter or consult a Doctor.
What complication can occur with Airway suctioning?
Hypoxia, trauma to the mucosa and arrythmias
How do you manage a clogged NG tube?
Aspirate first then Flush the tube with water to break down blockages.
List the types of tissues?
Granulated, necrotic, and sloughy tissue
Describe the steps for bed bath
Perform the first 6 steps, remove clothing, wash the face first then the body, going in sections( starting with the face, then arm, torso, and legs) exploding one half of the body at a time. Clean the perineal area with fresh water. dry skin and apply lotion.