Post Op drains Flashcards
urinary drain
indwelling catheter
GI drain
NG tube or gastrosomy tube
drainage with GI drains
-yellow-green with sour odor
-may be bloody after surgery
penrose drains
open drains that decrease fluids that collect in the area
-usualy have sanguineous to serosanguinous to serous change in drainage
what does foul odor with penrose drains indicate
infection
closed drain examples
hemovac, jackson-pratt (JP)
what are T-Tube drains
commonly place in bile duct and drain bile substances
-they drain bile with surgical site healing
T-tube drain secretions
bright yellow to dark green and acidic
what is a mediasinal chest tube
post cardiothoracic surgury
-removal of blood and fluids after heart surgery
what is vacuum-assisted closure of a wound
-using air pressure around wound to assist healing
-negative pressure wound therapy
how does wound vac work
gently pulls fluid from wound to decrease swelling, keep wound clean, help pull wound edges together, and stimulate growth of new tissue
how often should wound vac dressings be changed
every 24-72 hours
how often should wound vac canister be changed
more often than the dressing
when can the pt leave the PACU
-awake, easilty arousable and at baseline
-vital signs are stable or at baseline
-no excessive bleeding or drainage
-no respiratory depression
-O2 stats are above 90%
-pain is controlled/acceptable
-n/v is controlled
-report has been given
when can the pt leave ambulatory care
-when all PACU criteria is met
-no IV opioid given in the last 30 min and pt has been moved to a PO med
-pt has voided appropriate to order
-pt is able to ambulate if not contraindicated
-pr has reliable responsible transport
-pt and careviger understand discharge instructions
