Skills Written Test 2 Study Guide

Catheter self adhesive condom sheath inflatable ring

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catheter, self-adhesive condom sheath, inflatable ring w/in the condom Change catheter daily and clean urethral meatus and penis o Suprapubic catheter- surgical placement of a catheter through the abdominal wall above the symphysis pubis and into the urinary bladder (not put in by nurses
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o Clean the patient before inserting a catheter- chlorahexdine is used instead of betadine if the patient has a seafood or iodine allergy o Use only sterile water when inflating balloon (saline crystallizes) o Don’t forget to secure indwelling catheters o Gauges (smallest effective is preferred): 8-10 Fr – children 14-16 Fr – women 16-18 Fr – men o Lumens: 1- drain urine 2-inflate/deflate balloon (indwelling only)
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3-instill fluids or medications into the bladder (optional) o If leakage occurs around the catheter, change the lumen size (gauge) or use antiplasmodic medication o Bifercation- the “v” or split between catheter and clear tubing/ Go to this point when inserting a male catheter o Leg bag (to collect urine from catheter- type of drainage bag) o If pt does not void for over 4 fours after removing a foley catheter, may need to reinsert o Perform perineal care and catheter care 3 times daily and after defecation o Pts w/ catheters should intake 2000-2500 ml/day o Maintain a closed urinary drainage system o Spigot- used to empty the drainage bag o Port- place on catheter to collect urine samples o Irrigation of catheter Use sterile solution and sterile technique If plugged with pus or sediment, change the catheter. Do NOT irrigate Irrigate after surgery for blood clots and for short-term catheter use If ordered, irrigate with antiseptic or antibiotic bladder irrigations Assess for catheter blockage before irrigating May need to “milk the tubing” if urine does not drain freely May use triple lumen catheter for irrigations/instillations Irrigation can be intermittent or continuous
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Nutrition (44) Dietary Guidelines 2010 o Enjoy your food, but eat less o Avoid oversized portions o Make half your plate fruits and veggies o Make at least half your grains whole grains o Drink fat free or 1% milk o Choose items with less sodium o Drink water instead of sugary drinks Choose my plate- food guide for a healthy lifestyle Daily Weight- steady daily weight gain indicates that the patient’s nutritional status is improving Food safety- Clean, clear (wash, clean, separate), cook, chill Food security- consistent access and financial resources for households (or individuals) to have sufficient, safe, nutritious food to maintain a healthy lifestyle ARDS- acute respiratory distress syndrome, frequently associated with pulmonary aspiration Aspiration pneumonia- pneumonia due to aspiration Carbohydrates (4kcal/g)- main source of enery in the diet- glucose energy for the brain, skeletal muscles, erythrocyte and leukocyte production, and cell function of the renal medulla Fiber- not broken down by human digestive enzymes -> does not contribute to
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