Drains and Tubes Flashcards
<p>What is a Cantor tube?</p>
<p>Long intestinal tube with a Mercury-filled balloon tip; sometimes used in partial bowel obstruction</p>
<p>How is Cantor tube removed?</p>
<p>SLOWLY (1 foot/2hr)</p>
<p>Miller-Abbot tube?</p>
<p>long intestinal tube</p>
<p>Who made the Dobbhoff tube?</p>
<p>Dobbie and Hoffmeister</p>
<p>Trick for getting Dobbhoff past the pylorus?</p>
<p>Pt in R lateral decubitus, give some metoclopramide (Reglan), give some slack</p>
<p>What should be given with T-tube cholangiogram?</p>
<p>IV Abx</p>
<p>Is it possible to drain the free peritoneal cavity?</p>
<p>No</p>
<p>Should a drain ever be brought out through an existing suture line?</p>
<p>No! Create a new hole for the drain</p>
<p>What's max rate of pleural effusion drainage?</p>
<p>anything >1 L in first 30 min can cause acute pulmonary edema</p>
<p>Do prophylactic oral abx prevent drain tract infections after mastectomies?</p>
<p>Yes (Touran and Frost); but controversial </p>
<p>2 Indications for intraperitoneal drains?</p>
<p>well-formed abscess cavity
| to control a fistula</p>
<p>Need a drain after ruptured appendix?</p>
<p>No (unless there is abscess pocket)</p>
<p>What is marsupialization for a pancreatic abscess?</p>
<p>packing the wound open with Kerlex or gauze, creating pouch after pancreatic debridement</p>
<p>What % of pulmonary injuries can be treated definitively with a chest tube?</p>
<p>85%</p>
<p>How quickly will a small, stable pneumoTx absorb?</p>
<p>1% each day (Ex: a 10% ptx will take 10 days)</p>
<p>How often is percutaneous transhepatic cholangiography (PTC) successful?</p>
<p>90% if dilated
| 75% if nondilated biliary ducts</p>
<p>What's a Portacath?</p>
<p>central line with a SubQ port for injections over long period</p>
<p>When can a biliary T tube be removed?</p>
<p>usually after 3 weeks
| if no S/S of cholangitis seen after clamping</p>
<p>What is a pigtail catheter?</p>
small tube with curved end, often used for pleural effusions via gravity
How long should a peripheral IV line be left in before replacement?
72-96 hrs, unless looks infected
How often should IV administration tubing be changed?
every 96 hrs, or more frequently if TPN
IV site with lowest chance phlebitis?
hand
IV site with highest chance phlebitis?
lower extremity
Central line site with highest infection rate?
IJ (even higher than femoral vein)
How should you dress for central line placement?
lowest infections with gown, cap, drapes
How often should the clear plastic central line dressings be changed?
every 7 days (every 2 for gauze)
Most common central line infection?
Coagulase negative Staph
How many cm should a central line be placed?
20-25 cm for adults
