Test 5 Catheters, Tubes, And Drains

Question 1

Purpose of catheters, tubes, and drains

Answer 1

Assist diagnosis
Deliver medicine
Restore function/remove obstruction
Retraction
Promote healing/ splinting
Decompression (air/fluid out)
Hemostasis- 30-75cc balloon
Keep wound dry

Question 2

Materials made from

Answer 2

Latex (Penrose are latex)
PVC
Rubber (most have latex)
Silastic/silicone (stiffer)

Question 3

Sizes

Answer 3

French sizing (Fr)
3-34
14 and 16 most common

Question 4

2 types of catheters

Answer 4

Self-retraining
Non-retaining

Question 5

2 way foley

Answer 5

5cc balloon (need 10cc to fill)
Self-retraining
Continual urinary drainage
Only sterile H2O or saline

Question 6

3 way foley

Answer 6

30cc balloon (35cc to fill)
Self-retaining
Drainage portal
Balloon portal
Irrigation portal

Question 7

Pezzer (mushroom)

Answer 7

No balloon- coned end
Self-retaining
Suprapubic procedure (above pubis)
Urethra procedure
Stitch in place

Question 8

Malecot ( winged)

Answer 8

No balloon- winged tip
Self-retaining
Suprapubic procedure (above pubis)
Urethra procedure
Stitch in place

Question 9

Robinson (plain)

Answer 9

Usually red- most common
Irrigation
Quick removal of fluid/decompression
Non-retaining
“Straight catheter”

Question 10

Coude

Answer 10

Curved tip
Used if Robinson meets resistance
Helps get around prostate gland
Non-retaining

Question 11

Whistle

Answer 11

Whistle hipple
Has 2 holes so doesn’t get clogged
Removes secretion from enforced tube
Non-retaining

Question 12

Multi-eyed

Answer 12

Multiple holes to prevent clots from stone debris
Non-retaining

Question 13

Self- retaining catheter

Answer 13

Inflatable balloon
Stays (but for as short of time as needed)

Question 14

Non-retaining catheter

Answer 14

Temporary

Question 15

Hemostasis

Answer 15

Balloon used to keep from bleeding or to block a hole
If in vessel use saline
NO air
NO water

Question 16

Ureteral catheter

Answer 16

Drain’s kidneys
Obtain urine specimens
Inject dye retrograde
Splint ureter
Identify and protect during surgery
Small diameter, long length 3-14fr

Question 17

3 types of ureteral drains

Answer 17

Whistle tip
Olive tip
Cone tip

Question 18

Intravascular catheters

Answer 18

Removes thrombi (clots)
Infuse fluids
Obtain a diagnosis
Monitor body functions

Question 19

Cut down vs percutaneous

Answer 19

Percutaneous- into vessel through skin

Cut down- into vessel through small incision

Question 20

Arterial catheter

Answer 20

A-line monitors arterial blood gases (radial)

Question 21

Venous catheter

Answer 21

In superior vena cava into right atrium

Give: nutrients, meds, chemotherapy, fluids, blood

Monitors central venous pressure

Question 22

Fogarty catheter

Answer 22

Balloon tip
Used to remove obstructions in lumen of vein, duct, or artery
Removes clots
(Shorter Fogarty used in biliary system to remove stones)

Question 23

Cholangiocatheter

Answer 23

For gall bladder
Shows stones and outlines the structures
Common bile duct, cystic duct

Question 24

Tenckhoff

Answer 24

Abdominal- peritoneal cavity
Deliver chemotherapy to tumors
Infuse dialysis to filter waste

Question 25

3 types of adapters

Answer 25

Stop cock Cone

Question 26

NG tube/ Levin tube

Answer 26

Gastrointestinal Through the nose/mouth to stomach Gastric decompression Gravity drainage Prevents aspiration

Question 27

Sump pump

Answer 27

Gastrointestinal Single or double lumen Gastric decompression Gravity drainage Low suction

Question 28

4 types of airway tubes

Answer 28

Endotracheal Oral airway Nasal airway Tracheotomy

Question 29

Tracheotomy tube (trach tube)

Answer 29

Directly into trachea Curved 3 parts: inner, outer cannula, obtuator Balloon filled with air

Question 30

Chest tubes

Answer 30

Evacuates hemothorax, pneumothorax, drain pleural abscess or empyema Can use 2 tubes Attached to underwater seal system

Question 31

2 types of drains

Answer 31

Passive and active

Question 32

Penrose drain

Answer 32

Passive drain Capillary action drainage Latex tube IN wound for drainage Can be used for inguinal hernia Use saline

Question 33

Cigarette drain

Answer 33

Not used often due to infection Gauze inside

Question 34

T-tube

Answer 34

Passive drain Inserted into common bile duct Connects to bag through abdomen

Question 35

Gastronomy tube

Answer 35

Passive drain Remove air and fluids from GI Can be used as feeding tube

Question 36

Cystostomy

Answer 36

Passive drain Drains the bladder

Question 37

Nephrostomy

Answer 37

Passive drain Drains the kidneys

Question 38

Jackson-Pratt

Answer 38

Active drain Abdominal, neurosurgical, general surgeries Moderate drainage

Question 39

Hemovac

Answer 39

Active drain Orthopedic surgeries (knees) Moderate amount of drainage

Question 40

Chest tube water seal drainage

Answer 40

Active drain Autologous blood retrieval Tube connected to device Water-sealed suction Pleur-evac

Question 41

TLS drainage system

Answer 41

Cranial region and extremity Radiopaque Neuro surgery

Question 42

Vacuum-assisted closure

Answer 42

Active drain Self contained Drain, tubing, collection device Manual suction mechanism

Question 43

Collection devices

Answer 43

Gauze w/ tape Bulb Bile bag Urometer Pleu-evac Wound vac