NG & Foley Cath Flashcards
Indications for nasogastric intubation
Lavage, irrigation or dilution of gastric contents (non-caustic poisonings, overdose, etc)
Gastric decompression for ileus or small bowel obstruction.
Feeding
Sampling of gastric contents
Absolute Contraindications
Suspected basilar skull fracture
Obstruction of nasal passages secondary to either acute or old trauma.
2 Relative Contraindications
Maxillofacial fractures.
Hemophiliacs
What Equipment required for nasogastric intubation
Nasogastric (NG) tube (16 – 18 Fr) Anesthetic Spray/Gel Lubricant (gel) 50 cc / 60cc syringe Tape Stethoscope Suction Apparatus Cup of H20/straw H20 for irrigation Emesis basin
How do you remove the NG tube?
a. Disconnect suction, and tape
b. Gently pull tube from nose
c. Give patient tissue to wipe eyes and nose.
Complications of NG tube?
epistaxis
tube curls in posterior pharynx or comes out of patients mouth
tube will not pass through nostril try other side.
patient gags or vomits – remove tube re-anesthetize
tube enters trachea – coughing will usually result
Avoid placing excessive force on the tube during insertion – esophageal perforation although rare can result
indications for urethral catheterization
a. Provide accurate assessment of urinary output
b. Decompress the bladder: prior to abdominal surgery
c. Relieve obstruction: BPH
d. Diagnosis: uncontaminated urine for culture, cystograms or reflux studies
e. Therapy: treat bladder injuries, provide hemostasis by tamponade
Contraindications for urethral catheterization
a. Suspected urethral disruption such as with a pelvic fracture
b. Difficulty encountered when attempting to pass the catheter
equipment located in a foley kit
a. Sterile drapes
b. Sterile gloves
c. Collection bag and drainage system
d. Sterile water-soluble lubricant
e. Sterile cotton or gauze sponges
f. Sterile sample container
g. Prep solution
h. Forceps
i. Syringe and sterile water for balloon inflation
j. Tape
k. Catheter
What size cath should be used in female and males
14 French for female
16-18 French for male
How do you remove the catheter?
a. Remove the water from the balloon with a syringe – ensure the same amount is withdrawn as was inserted.
b. Withdraw the catheter using steady traction.
What are the complications for putting in a cath?
a. Bacteremia
b. Urethral disruption or tear
c. Creation of a false passage
d. Failure to replace the foreskin which can result in phimosis
What does a foley kit contain
Sterile drapes Sterile gloves Sterile water soluble lubricant Sterile cotton or applicator sponges If sterile cotton use sterile forceps Sterile prep/ cleansing solution Syringe and sterile H20 for balloon inflation sterile specimen container
