Presencefunction of tubes drains and catheters date

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Presence/function of tubes, drains, and catheters Date and time of dressing change and appearance of surgical siteIntake and output every shift Response to pain relief measures Complications/interventionsPatient/family teachingPATIENT DISCHARGE EDUCATION Self-CareAnything put in or on the patients such as drains, tubes, ostomies, IV access ports, pacemakers, splints, braces, dressings etc.Activity LimitationsLifting, turning, driving return to work or school Possible complicationsHow to prevent themWhat to do and who to call if they occurMedicationsDRAINS & TUBES]DRAINAGE TUBES PURPOSETherapeutic
Promotes wound healingA drain permits the exit of gases and liquidProphylacticTo prevent pot op complication such as infection that could arise from fluid accumulation in a woundcavityDiagnosticT-tube cholangiogram as a post cholecystectomy diagnosis of retained stones in the common bile ductMonitoringNasogastric Tube for GI bleedUrethral catheter Drains may be hooked to wall suction, a portable suction device, or they may be left to drain naturallyAccurate recording of the volume of drainage as well as the contents is vital to ensure proper healing and monitor for excessive bleeding. Depending on the amount of drainage, a patient may have the drain in place one day to weeks.Cavities of the body and internal sacs are potential fluid collection areas!TYPES OF SURGICAL DRAINJackson- Pratt drainHemovacT-tubeNephrostomy tubePig TailNegative pressure wound Therapy (wound VAC)Chest tubeJACKSON-PRATT DRAIN - DRAIN-BUILD DRAINIts main function is to pull excess fluid from the body by constant suction.
The JP drain is used in situations where there is risk of fluid accumulation post operatively (bowel anastomosis, neck surgery, etc.)JACKSON-PRAT DRAIN – JP DRAIN-NURSING CAREAt first, fluid bloodyThe drain will stay in place until less than 30 cc is collected in a 24 hour periodEmpty the bulb every 8 to the 12 hour or as per MD orders (or if the bulb does not stay compressed)Assess for signs of infection in areaRedness, pain and swellingCloudy yellow, tan, or foul-smelling drainageSqueeze the bulb flat and plug it againDocumentHEMOVAC DRAINThis drain is placed into vascular cavity where blood drainage is expected after surgery, such as with abdominal and orthopedic surgeryThe drain consist of perforated tubing connected to a portable vacuum unitSuction is maintained by compressing a spring-like device in the collection unitAfter a surgical procedure, the surgeon places one end ofthe drain in or near the area to be drained
Typically, the drain is emptied every 4 or 8 hours and when is half full of drainage or airT-TUBEA biliary or T-tube is sometimes placed in the common bite duct after removal of the gallbladder (cholecystectomy)The tube drains bile while the surgical site is healingEnsure that the T-tube is properly connected to a sterile containerDrainage:Monitor for color and consistency

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