Considered as a fine bore chest drain, this drain is used for simple pneumothorax or pleural effusion
Pigtail Drain/Mac-Loc Catheter
Rationale why a TKVO is not acceptable in maintaining PICC patency
low flow/pressure does not maintain patency
Organ that stores bile
Gallbladder
Surgery that involves creating a new pathway for waste products to leave the small intestine through an opening in the abdomen
Ileostomy
In suspicion of a blood stream infection, this is the number of sets of blood cultures taken
two
Tape used to visualise connection of the drain
Sleek Tape
Patient with a confirmed CVAD infection and blocked PICC. Use alteplase or not? Why?
No, due to risk of systemic infection spread
Compromise sterility
Removal of part or all of the colon
Colectomy
Blood test required for adjusting doses of heparin
aPTT
This patient activity is encouraged regularly to prevent atelectasis and promote lung expansion while a chest drain is in place.
Deep Breathing and Coughing
When taking blood via a multi-lumen PICC, this is the minimum length of time to pause an infusion
2 minutes
Required after administering Lucozade 100mls for BGL <4mmol/L
Recheck BGL after 15 minutes
End-to-end, Side-to-side, End-to-Side, this is a surgical cross-connection between tubular structures, blood vessels or loops of the intestine, that creates a backup pathway.
Anastomosis
A procedure that combines endoscopy and xray to diagnose problems in the bile and pancreatic ducts
Endoscopic Retrograde Cholangiopancreatography
To prevent tension on the ICC and improve patient comfort, this method anchors the drain tubing 10–15 cm away from the insertion site using Hypafix tape.
Omentum flap
Prep used if patient is allergic to chlorhexidine
iodine 0.5% (Betadine) in alcohol 70%
Required to be administered prior to ceasing insulin infusion
Subcutaneous Insulin (short-acting given at least 30 minutes prior)
Commonly done for severe diverticulitis, this procedure involves removal of the rectosigmoid colon and formation of a colostomy with a rectal stump
Hartmann's Procedure
Right angle to the skin at skin surface
This complication may result from clamping a bubbling pleural drain or leaving the drain clamped for prolonged periods, especially in cases of haemorrhagic or purulent effusion.
Tension Pneumothorax/Drain Blockage
PICCs inserted from another hospital need these two actions completed
CXR/confirmation of placement prior to use; dressing changed within 24 hours of admission
During TPN administration via a multi-lumen CVAD, this consistent choice is required for every administration/line change (apart from aseptic technique)
designated/specific lumen
a surgical procedure for severe gastroesophageal reflux disease (GORD), involving wrapping the upper part of the stomach around the lower esophagus to create a strong valve that prevents stomach acid from flowing back up into the esophagus
Fundoplication
When taking blood cultures from a CVAD, the initial 5-10mls of blood is...
used as sample for blood cultures