HBP
Leg must be kept flat for 4 hours after this procedure
What is hepatic artery embolization
An infection involving any part of the urinary system including the urethra, bladder, ureters and kidneys
What is urinary tract infection (UTI)
Facial droop, asymmetry, Unilateral weakness, Slurred speech or speech difficulty, Blurred vision
What is suspected stroke
Sits in the intrahepatic bile duct and drains bile into this catheter via side holes—cannot be capped!
External biliary drain
Symptoms of hemodynamic instability/shock, bright red output from drains, acute hematemesis
What is hemorrhage
This anastomosis is the most common to leak after whipple surgery
What is Pancreaticojejunostomy (PJ)
Pain, Potty, Positioning & Personal belongings
What is the 4Ps to help reduce falls
A visual image to see when a patient is declining or improving
What is Rothman Index
Are placed to drain fluid that has abnormally collected in the body, usually from a surgical site or infectious process
What is abscess drain
3 preventable issues that can impede 11am DC
-Lack of preparation (teaching, supplies, ride etc)
-Transportation
-Lack of coordination (delivery of Oxygen, DME, home care services)
-The team is delayed in putting in discharge orders
Whipple complication that is an emergency! What is the treatment for this?
What is delayed hemorrhage- emergently go to IR for embolization
Vasopressors, acute or critically ill, poor peripheral access, hemodialysis or plasmapheresis, long Term IV therapy, chemotherapy (vesicant chemotherapy), TPN
What is criteria for central line insertion
A surgically created hole into the trachea that provides an alternative passage if the normal airway is compromised.
What is a tracheostomy
Catheter that is inserted into the abdominal cavity to allow the drainage of ascites without undergoing repeated paracentesis
What is a Tenckhoff catheter
What is CHAPing & how often do you do it?
Complete
Hold
Active
Pending
Chap at beginning and end of shift
Often presents later 1-3 weeks postop and presents with fever, nausea, and inability to tolerate PO due to pancreatic fluid collection sitting behind the stomach
What is a pancreatic leak
Patient is to be within arms length of the observer and can never be left alone.
What is suicide precautions.
Maintains a closed drainage system that establishes normal negative pressure in order to facilitate lung expansion. (bonus points if you can name both types)
What is a chest tube- atrium and thopaz
Used to drain recurrent fluid collections in the pleural space (malignant pleural effusions).
What is a pleurex
Access needed for TPN administration // how often do you change tubing?
Patient must have a central line
Change tubing q24 hrs (night shift!)
Medication that can help reduce the risk of PJ leak after a whipple.
What is Pasireotide
This is placed to prevent or treat pressure injuries.
What is mepliex.
Patient complains of chest pain, the RN can anticipate performing this intervention
What is an EKG
Has a bulb that acts as suction and a container to collect the fluid from the body.
What is a Jackson Pratt drain
These patients cannot be orally or nasally intubated.
What are patients with a laryngectomy.