drains and tubes Flashcards
1
Q
what are the indications?
A
- decrease fluid accumulation
- minimize potential for wound infection
- minimize healthy tissue resection/stage procedure/improve outcome of local debridement
- occupy dead space to prevent hematoma, seroma, abscess formation
- dec post-op pain
2
Q
contraindications?
A
active, uncontrolled arterial bleeding
-untreated infection
3
Q
Penrose drain, packing gauze
- provide path of least resistance to the outside
- function by overflow and capillary action through the drain to the absorbent dressing
- influenced by pressure differentials and assisted by gravity
A
Passive Drains
4
Q
thin walled cylinder of radiopaque latex or silicone
A
penrose
5
Q
jackson pratt, blake, chest tube, wound vac
- attached to external source of vacuum to create suction in the wound
- constant, gentle, negative-pressure evacuates tissue fluid, blood, and air through tubing
A
active drains
6
Q
used for abdominal drainage,pleural space drain
-made of teflon and is very nonirritating to tissues
A
jackson pratt
7
Q
- teflon
- less likely to clog due to multiple channels
A
blake drain
8
Q
- negative pressure wound therapy
- vacuum assisted
A
wound vac
9
Q
where are the drains inserted
A
gallbladder, bladder, kidney
10
Q
when do you remove drains
A
24-72 hours, can replace then if needed
-leaving drain in longer=more complications
