Quiz 2 Flashcards

1
Q

define sterile technique

A
  • asepsis
  • maintained throughout the duration of an invasive procedure
  • minimizes introduction of microorganisms into a sterile field
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2
Q

a sterile barrier that has been permeated must be considered?

A

contaminated

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3
Q

when are the edges of a sterile container contaminated

A

once the package is opened

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4
Q

list procedures for which sterile gloves are sufficient

A
  • joint aspiration
  • suturing a minor lac
  • perfomring LP
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5
Q

how long to scrub

A

3-5 minutes

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6
Q

when using an ETOH based surigcal hang scrub, what do you do first

A
  1. pre wash hands/forearms with a non-antimicrobial soap and dry/hands forearm completely

then put on the ETOH product

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7
Q

hand scrub products
-spectrum it covers
-

A
Chlorhexidine gluconate 
or 
providone-iodine solutions 
***rapid acting 
***broad spectrum + and -
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8
Q

what are the two methods for scrubbing

A
  • timed

- counted stroke method

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9
Q

how many counted strokes on fingernails

A

30

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10
Q

how many strokes on each surface of fingers

A

20

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11
Q

how many strokes on each surface of hands

A

20

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12
Q

how many strokes on each surface of arm

A

20

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13
Q

inds for urinary cath (6)

A
  1. obtain sterile urine sample
  2. monitor urinary output closely in sick pt
  3. facilitate urinary drainage in PTs who are incapacitated
  4. bypass obstructive processes in ureatha, prostate, or bladdr neck caused by disease or trauma until surgical repair can be performed
  5. hold urethral skin grafts in place after urethral repair
  6. act as a traction device for the purpose of controlling bleeding after prostate surgery
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14
Q

contraindications for urinary cath

A
  • apperance of blood at urethral meatus in PT who has sustained pelvic trauma
  • —can indicate urethrea has been partically or totally transceveted

-allergy to any of the materials

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15
Q

urinary cath complications occur more in who

A

males

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16
Q

complications in males from urinary cath (4)

A
  1. urethreal dilation– esp long dwelling foleys
  2. urinary structural trauma
  3. UTI
  4. inflammation of track
17
Q

when can it be diff to cath a male (3)

A
  1. urethreal stricture
  2. bladder neck contracture
  3. enlarge prostate
18
Q

when can false passage of cath occur

A
  1. during forceful instertion– to bypass blockage
19
Q

in females what is the distance from distal end of the urethra of bladder is?

A

SHORT

1.5-2 inches

20
Q

in males the distance from the distal tip of the urethra to bladder is ?

A

LONG

6-7 inches

21
Q

robinson catheter

  • describe it
  • indications
A

straight cath
in and out cath

  • obtain a sterile urine sample
  • decompress a distended bladder caused by acute obstructive process
  • protocol of intermittent cath in ppl with neurogenic bladder
22
Q

three-way cath

-indications

A

four continuous irrigation after bladder/prostate surgery

23
Q

which catheter is this:

bend at the distal tip that causes the catheter to follow the anterior surface of the male urethra

A

coude’ cath

24
Q

foley is what kind of cathether

A

indwelling

  • left in place for a period of time
  • has balloon to keep it in place
  • balloon size is 5 or 30 mL
25
Q

what is at the distal end of foley cath and what does it do

A

Leuker lok cap– allows balloon to be inflated once cath is in place and deflated once cath needs to removed

26
Q

how are cath size measured

A

charriere french scale

0.33mm=1 french

27
Q

a 3 french cath is ___ in diameter

A

1 mm

28
Q

adult men/women typically be catheterized with what size cath

A

16-18 french

29
Q

when do you stop inserting the cath

A

until urine starts to flow
or
1/3 of the catheter has been inserted into ladder

30
Q

for males what do u clean first

A

meatal opeing— then wipe out to glans

31
Q

what degree should penis be positioned at

A

90

32
Q

in males the cath is almost inserted to?

A

the hub

33
Q

with short term caths or in and ot, what is MC complication

A

-irritation of urinary tract and infection

34
Q

is it normal for PTs to feel burning sensation firt few times after a short cath>

A

yes