Term
| What type of urinary cath is used after bladder or prostate surgery to allow for continuous bladder irrigation as well as drainage? |
|
Definition
| Specialized 3-way Foley caths |
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|
Term
| What are the contraindications to urinary catheterization? |
|
Definition
Previous urethral surgery
Suspected or known urethral trauma
Inability to traverse the urethra into the urinary bladder for any reason |
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Term
| Which type of urinary cath is described as a single lumen tube and is only used briefly, in and out? |
|
Definition
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Term
| Which type of urinary cath is described as a cath that contains a second tube through its length and is connected to a balloon? |
|
Definition
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Term
| Which type of urinary cath is described as a cath with a third opening through which sterile fluid can flow? |
|
Definition
| Retention three way Foley |
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Term
| Which type of urinary cath is described as having a soft, rounded tip and one or two drainage eyelets on tip of side walls, as well as a flared distal end that is designed for one-time use? |
|
Definition
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Term
| Which type of urinary cath is described as having a bend at the distal tip that causes cath to follow anterior surface of a male urethra? |
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Definition
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Term
| Which type of urinary cath is described as a cath designed to remain in place in the bladder can have a single, double or triple lumen, has drainage eyelets and an inflatable balloon? |
|
Definition
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|
Term
| What cath material is used for 'in and out' cath? |
|
Definition
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Term
| What cath material is used for cath of up to 2 weeks? |
|
Definition
|
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Term
| What cath material is used for long term use? |
|
Definition
|
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Term
| What is the appropriate cath length for females? males? |
|
Definition
females = 22cm
males = 40 cm |
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|
Term
| What diameter cath should be used in children? adults? men with prostatic hypertrophy? |
|
Definition
children = 8 - 10F
adults = 14 to 18F
men with prostatic hypettrophy = 20 - 22F |
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|
Term
| What is the highest cause of hospital acquired infections? |
|
Definition
|
|
Term
| What is the proper positioning for females when inserting an urinary cath? |
|
Definition
|
|
Term
| What are the SE of urinary catheterization? |
|
Definition
UTI
development of urinary bladder stones
injury to the urethra
development of incontinence |
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|
Term
| What are some ways to prevent bladder infection? |
|
Definition
Always place bag below bladder to prevent backflow
Avoid kinks
Monitor bag to make sure it is emptied when full
Be careful when emptying bag to prevent contaminants |
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Term
| What are the two major risks associated with indwelling caths? |
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Definition
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Term
| What are the indications for an NG tube? |
|
Definition
sample gastric contents
removal of gastric contents (air, blood, ingested substances)
Intestinal decompression
Nutritional support |
|
|
Term
| What are the contraindications for an NG tube? |
|
Definition
obstruction of pathway from nose to stomach
choanal atresia
facial trauma or basilar skull fracture
esophagus: burns, atresia, strictures, diverticula
gastrectomy or recent surgery to upper GI tract |
|
|
Term
| What is the best way to confirm placement of a NG tube? |
|
Definition
| radiographic confirmation |
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|
Term
| What are the complications of NG tube placement? |
|
Definition
Trauma
Incorrect placement
nasal mucosa erosion or necrosis
gastric erosion with hemorrhage
aspiration |
|
|
Term
| When should the NG tube be removed? |
|
Definition
| As soon as it is no longer needed or indicated |
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|
Term
| What is the process of cleaning out the contents of the stomach? |
|
Definition
|
|
Term
| When is gastric lavage MC used? |
|
Definition
To diagnose hemorrhage
To remove blood |
|
|
Term
| What are the contraindications to gastric lavage? |
|
Definition
Insignificant overdose
Corrosive ingestion
Hydrocarbon ingestion
Minimally effective if given > 1 hour post-ingestion
Esophageal disease |
|
|
Term
| What are the complications of gastric lavage? |
|
Definition
Aspiration
Esophageal perforation
Epistaxis
Electrolyte imbalance
Hypothermia |
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