{[ promptMessage ]}

Bookmark it

{[ promptMessage ]}

Skills Written Test 2 Study Guide

Straight tip catheter less traumatic during insertion

Info iconThis preview shows pages 10–14. Sign up to view the full content.

View Full Document Right Arrow Icon
straight tip catheter-> less traumatic during insertion o From top to bottom: triple lumen catheter, foley, coudé (notice curved tip), intermittent/straight (bottom two catheters) o Condom Catheter Secured with: elastic tape or rubber that encircles the top of the 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
Background image of page 10

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
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)
Background image of page 11
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
Background image of page 12

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
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
Background image of page 13
Image of page 14
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

Page10 / 18

straight tip catheter less traumatic during insertion o...

This preview shows document pages 10 - 14. Sign up to view the full document.

View Full Document Right Arrow Icon bookmark
Ask a homework question - tutors are online