Test #1 Flashcards
Over the needle IVC
most common
short term- 24-36hours
Butterfly IVC
needle connected to extension tubing
short term- supervised use only
Through the needle IVC
jugular cath
long term- 4-5 days
24 ga IVC
less than 5 lbs
22 ga IVC
5-20 lbs
20 ga IVC
20-70 lbs
18 ga IVC
greater than 70 lbs
Jugular Catheter Brand Names
Intrafusor
Venocath
Intracath
Signs of phlebitis
inflammation of the vein: heat redness pain inability to flush cath thick ropey vein proximal to cath
Heparinized Saline flush ratio & how often to flush
5000 IU heparin to 1L saline
flush every 4-6 hours
Diagnostic reasons to place urinary cath
Bacterial culture
Routine US
Measure urinary output
Therapeutic reasons to place urinary cath
Obstruction
Post-Sx repair of bladder/urethra
5-8 fr urinary cath
Small dog
8-12 fr urinary cath
Medium dog
10-12 fr or > urinary cath
Large dog
3.5-5 fr red rubber cath
Cats
Stainless steel urinary cath
“bitch cath”
short term
female only
dogs
Foley urinary cath
long term
flexible
male or female
dogs
2 ports on Foley cath
White tipped port- inflates cuff
Other port- administration
Polypropylene cath
Short term
Semi-rigid
male or female
dogs/cats
Tom Cat Cath
Polypropylene material
male cats
Red Rubber cath
Long term Flexible male/female dogs/cats many uses
3 places of resistance in male dog when placing urinary cath
Os Penis
Ischial Arch
Level of the prostate
2 methods of urinary cath placement in bitches
digital palpation
visual
placement of urinary cath in male cat
must tranquilize first
Urohydroproulsion
the dislodging of the urethra by mixing 1:1 ratio of sterile saline in aqueous lubricant in syringe and gently pulsing the obstruction
Urinary cath management
measure urine output every 2-4 hours
perform UA daily to every other day
perform serum chemistry
palpate bladder 4-6 hours
When placing an IVC where should you start?
distal vein
Once IVC is placed how can you tell you are in the vessel
gently pulse the flush syringe and palpate the vein- should feel the vein pulse
After removing the IVC what should be placed and how long?
pressure bandage
remove within 1 hour
What should you look for when removing the IVC?
make sure the whole cath was removed and no pieces were left in the pt
What five things do you look at once the urinary cath has been placed
Secure connections Swelling Urinary output Full collection bag UA for bacteria
How often should the urinary cath be replaced?
48 hours
What type of urinary cath is used in females?
Foley
What instrument can be used as a speculum while placing a Foley
Otoscope
What should be visualized before inserting Foley
The urethral papilla
What should be done with the cuff when removing the Foley?
Deflate
Why do we place bandages?
Protection Support Immobilization Control Hemorrhage Prevent weight bearing Debridement Discourage licking/grooming
How to wrap a bandage & why
Distal to proximal to prevent edema
Bandage instructions to send home with owner
Change immediately if wet or soiled
Date of application/change/removal
Asses toes twice daily for swelling, sweating, and pain
Primary bandage layer
Contact with skin or wound
Primary bandage types
Adherent- debridement, wet to dry
Non-Adherent- Holds ointment & allows for drainage