Test 5 Catheters, Tubes, And Drains Flashcards
Purpose of catheters, tubes, and drains
Assist diagnosis
Deliver medicine
Restore function/remove obstruction
Retraction
Promote healing/ splinting
Decompression (air/fluid out)
Hemostasis- 30-75cc balloon
Keep wound dry
Materials made from
Latex (Penrose are latex)
PVC
Rubber (most have latex)
Silastic/silicone (stiffer)
Sizes
French sizing (Fr)
3-34
14 and 16 most common
2 types of catheters
Self-retraining
Non-retaining
2 way foley
5cc balloon (need 10cc to fill)
Self-retraining
Continual urinary drainage
Only sterile H2O or saline
3 way foley
30cc balloon (35cc to fill)
Self-retaining
Drainage portal
Balloon portal
Irrigation portal
Pezzer (mushroom)
No balloon- coned end
Self-retaining
Suprapubic procedure (above pubis)
Urethra procedure
Stitch in place
Malecot ( winged)
No balloon- winged tip
Self-retaining
Suprapubic procedure (above pubis)
Urethra procedure
Stitch in place
Robinson (plain)
Usually red- most common
Irrigation
Quick removal of fluid/decompression
Non-retaining
“Straight catheter”
Coude
Curved tip
Used if Robinson meets resistance
Helps get around prostate gland
Non-retaining
Whistle
Whistle hipple
Has 2 holes so doesn’t get clogged
Removes secretion from enforced tube
Non-retaining
Multi-eyed
Multiple holes to prevent clots from stone debris
Non-retaining
Self- retaining catheter
Inflatable balloon
Stays (but for as short of time as needed)
Non-retaining catheter
Temporary
Hemostasis
Balloon used to keep from bleeding or to block a hole
If in vessel use saline
NO air
NO water
Ureteral catheter
Drain’s kidneys
Obtain urine specimens
Inject dye retrograde
Splint ureter
Identify and protect during surgery
Small diameter, long length 3-14fr
3 types of ureteral drains
Whistle tip
Olive tip
Cone tip
Intravascular catheters
Removes thrombi (clots)
Infuse fluids
Obtain a diagnosis
Monitor body functions
Cut down vs percutaneous
Percutaneous- into vessel through skin
Cut down- into vessel through small incision
Arterial catheter
A-line monitors arterial blood gases (radial)
Venous catheter
In superior vena cava into right atrium
Give: nutrients, meds, chemotherapy, fluids, blood
Monitors central venous pressure
Fogarty catheter
Balloon tip
Used to remove obstructions in lumen of vein, duct, or artery
Removes clots
(Shorter Fogarty used in biliary system to remove stones)
Cholangiocatheter
For gall bladder
Shows stones and outlines the structures
Common bile duct, cystic duct
Tenckhoff
Abdominal- peritoneal cavity
Deliver chemotherapy to tumors
Infuse dialysis to filter waste
3 types of adapters
Stop cock
Cone
NG tube/ Levin tube
Gastrointestinal
Through the nose/mouth to stomach
Gastric decompression
Gravity drainage
Prevents aspiration
Sump pump
Gastrointestinal
Single or double lumen
Gastric decompression
Gravity drainage
Low suction
4 types of airway tubes
Endotracheal
Oral airway
Nasal airway
Tracheotomy
Tracheotomy tube (trach tube)
Directly into trachea
Curved
3 parts: inner, outer cannula, obtuator
Balloon filled with air
Chest tubes
Evacuates hemothorax, pneumothorax, drain pleural abscess or empyema
Can use 2 tubes
Attached to underwater seal system
2 types of drains
Passive and active
Penrose drain
Passive drain
Capillary action drainage
Latex tube IN wound for drainage
Can be used for inguinal hernia
Use saline
Cigarette drain
Not used often due to infection
Gauze inside
T-tube
Passive drain
Inserted into common bile duct
Connects to bag through abdomen
Gastronomy tube
Passive drain
Remove air and fluids from GI
Can be used as feeding tube
Cystostomy
Passive drain
Drains the bladder
Nephrostomy
Passive drain
Drains the kidneys
Jackson-Pratt
Active drain
Abdominal, neurosurgical, general surgeries
Moderate drainage
Hemovac
Active drain
Orthopedic surgeries (knees)
Moderate amount of drainage
Chest tube water seal drainage
Active drain
Autologous blood retrieval
Tube connected to device
Water-sealed suction
Pleur-evac
TLS drainage system
Cranial region and extremity
Radiopaque
Neuro surgery
Vacuum-assisted closure
Active drain
Self contained
Drain, tubing, collection device
Manual suction mechanism
Collection devices
Gauze w/ tape
Bulb
Bile bag
Urometer
Pleu-evac
Wound vac
