Test 5 Catheters, Tubes, And Drains Flashcards

1
Q

Purpose of catheters, tubes, and drains

A

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

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2
Q

Materials made from

A

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

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3
Q

Sizes

A

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

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4
Q

2 types of catheters

A

Self-retraining
Non-retaining

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5
Q

2 way foley

A

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

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6
Q

3 way foley

A

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

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7
Q

Pezzer (mushroom)

A

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

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8
Q

Malecot ( winged)

A

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

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9
Q

Robinson (plain)

A

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

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10
Q

Coude

A

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

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11
Q

Whistle

A

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

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12
Q

Multi-eyed

A

Multiple holes to prevent clots from stone debris
Non-retaining

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13
Q

Self- retaining catheter

A

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

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14
Q

Non-retaining catheter

A

Temporary

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15
Q

Hemostasis

A

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

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16
Q

Ureteral catheter

A

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

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17
Q

3 types of ureteral drains

A

Whistle tip
Olive tip
Cone tip

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18
Q

Intravascular catheters

A

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

19
Q

Cut down vs percutaneous

A

Percutaneous- into vessel through skin

Cut down- into vessel through small incision

20
Q

Arterial catheter

A

A-line monitors arterial blood gases (radial)

21
Q

Venous catheter

A

In superior vena cava into right atrium

Give: nutrients, meds, chemotherapy, fluids, blood

Monitors central venous pressure

22
Q

Fogarty catheter

A

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

23
Q

Cholangiocatheter

A

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

24
Q

Tenckhoff

A

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

25
Q

3 types of adapters

A

Stop cock
Cone

26
Q

NG tube/ Levin tube

A

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

27
Q

Sump pump

A

Gastrointestinal
Single or double lumen
Gastric decompression
Gravity drainage
Low suction

28
Q

4 types of airway tubes

A

Endotracheal
Oral airway
Nasal airway
Tracheotomy

29
Q

Tracheotomy tube (trach tube)

A

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

30
Q

Chest tubes

A

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

31
Q

2 types of drains

A

Passive and active

32
Q

Penrose drain

A

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

33
Q

Cigarette drain

A

Not used often due to infection
Gauze inside

34
Q

T-tube

A

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

35
Q

Gastronomy tube

A

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

36
Q

Cystostomy

A

Passive drain
Drains the bladder

37
Q

Nephrostomy

A

Passive drain
Drains the kidneys

38
Q

Jackson-Pratt

A

Active drain
Abdominal, neurosurgical, general surgeries
Moderate drainage

39
Q

Hemovac

A

Active drain
Orthopedic surgeries (knees)
Moderate amount of drainage

40
Q

Chest tube water seal drainage

A

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

41
Q

TLS drainage system

A

Cranial region and extremity
Radiopaque
Neuro surgery

42
Q

Vacuum-assisted closure

A

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

43
Q

Collection devices

A

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