Tubes and Drains
A passive rubber drain used to drain fluids
What is a penrose drain?
An important part of pre-operative care that must be done ensure you have the right patient
What is patient identification?
Rationale why a TKVO is not acceptable in maintaining PICC patency
low flow/pressure does not maintain patency
Class of medications commonly used to treat acute post-operative pain
What are opioids?
A procedure that combines endoscopy and xray to diagnose problems in the bile and pancreatic ducts
Endoscopic Retrograde Cholangiopancreatography
A type of drain used to remove air, blood, or fluid in the pleural space
What is an ICC or Chest tube (drain)?
the process of removing debris and transient micro-organisms, from hands and forearms, reducing residual microbial count to a minimum by leaving an antimicrobial residue on the skin to prevent growth of micro-organisms for several hours
What is surgical scrub?
Patient with a confirmed CVAD infection and blocked PICC. Use alteplase or not? Why?
No, due to risk of systemic infection spread
Known as an NMDA receptor antagonist, this medication can have hallucinogenic effects
Ketamine
This advanced technique of wound care promotes healing by drawing out fluid and increases blood flow to the wound
NPWT
A drain that requires "squeezing" to achieve suction; often used in abdominal and breast surgeries
What is a Jackson-Pratt (JP) drain?
Post-operative observations are initially done every ___ mins for 4 hours
What is 30 mins?
When taking blood via a multi-lumen PICC, this is the minimum length of time to pause an infusion
2 minutes
Intrathecal morphine is advantageous for a prolonged duration of analgesia up to this time (hours)
16 hours
Blood test required for adjusting doses of heparin
aPTT
A tube used to divert urine flow following trauma or obstruction in the ureter.
What is a nephrostomy tube?
In suspicion of a blood stream infection, this is the number of sets of blood cultures taken
two
Prep used if patient is allergic to chlorhexidine
iodine 0.5% (Betadine) in alcohol 70%
Opioid antagonist used to reverse an overdosage
What is naloxone?
Phase of wound healing where the body responds to the injury with heat, pain, and swelling
What is the inflammatory phase?
This nasogastric tube is a dual lumen design with one lumen for suction and draining and the other one serving as an air vent.
Salem-Sump NGT
An adverse complication from surgery that results in a drop of blood pressure due to blood loss or infection
What is shock?
PICCs inserted from another hospital need these two actions completed
CXR/confirmation of placement prior to use; dressing changed within 24 hours of admission
A technique used to numb a specific area of the body by injecting a local anesthetic around a nerve or group of nerves
What is regional block or nerve block?
Required to be administered prior to ceasing insulin infusion
Subcutaneous Insulin (short-acting given at least 30 minutes prior)