Quiz 2 Flashcards
define sterile technique
- asepsis
- maintained throughout the duration of an invasive procedure
- minimizes introduction of microorganisms into a sterile field
a sterile barrier that has been permeated must be considered?
contaminated
when are the edges of a sterile container contaminated
once the package is opened
list procedures for which sterile gloves are sufficient
- joint aspiration
- suturing a minor lac
- perfomring LP
how long to scrub
3-5 minutes
when using an ETOH based surigcal hang scrub, what do you do first
- pre wash hands/forearms with a non-antimicrobial soap and dry/hands forearm completely
then put on the ETOH product
hand scrub products
-spectrum it covers
-
Chlorhexidine gluconate or providone-iodine solutions ***rapid acting ***broad spectrum + and -
what are the two methods for scrubbing
- timed
- counted stroke method
how many counted strokes on fingernails
30
how many strokes on each surface of fingers
20
how many strokes on each surface of hands
20
how many strokes on each surface of arm
20
inds for urinary cath (6)
- obtain sterile urine sample
- monitor urinary output closely in sick pt
- facilitate urinary drainage in PTs who are incapacitated
- bypass obstructive processes in ureatha, prostate, or bladdr neck caused by disease or trauma until surgical repair can be performed
- hold urethral skin grafts in place after urethral repair
- act as a traction device for the purpose of controlling bleeding after prostate surgery
contraindications for urinary cath
- 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
urinary cath complications occur more in who
males
complications in males from urinary cath (4)
- urethreal dilation– esp long dwelling foleys
- urinary structural trauma
- UTI
- inflammation of track
when can it be diff to cath a male (3)
- urethreal stricture
- bladder neck contracture
- enlarge prostate
when can false passage of cath occur
- during forceful instertion– to bypass blockage
in females what is the distance from distal end of the urethra of bladder is?
SHORT
1.5-2 inches
in males the distance from the distal tip of the urethra to bladder is ?
LONG
6-7 inches
robinson catheter
- describe it
- indications
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
three-way cath
-indications
four continuous irrigation after bladder/prostate surgery
which catheter is this:
bend at the distal tip that causes the catheter to follow the anterior surface of the male urethra
coude’ cath
foley is what kind of cathether
indwelling
- left in place for a period of time
- has balloon to keep it in place
- balloon size is 5 or 30 mL
what is at the distal end of foley cath and what does it do
Leuker lok cap– allows balloon to be inflated once cath is in place and deflated once cath needs to removed
how are cath size measured
charriere french scale
0.33mm=1 french
a 3 french cath is ___ in diameter
1 mm
adult men/women typically be catheterized with what size cath
16-18 french
when do you stop inserting the cath
until urine starts to flow
or
1/3 of the catheter has been inserted into ladder
for males what do u clean first
meatal opeing— then wipe out to glans
what degree should penis be positioned at
90
in males the cath is almost inserted to?
the hub
with short term caths or in and ot, what is MC complication
-irritation of urinary tract and infection
is it normal for PTs to feel burning sensation firt few times after a short cath>
yes
