Ward Procedure Flashcards
Ryle’s tube material and size
Polyvinyl chloride
10-20 F
Ryle’s tube parts
Tip and body
Ryle’s tube tip
Blunt
Three beads
Multiple side openings
Ryle’s tube beads use
Radiopaque, so help in position
Help passage due to gravity
Ryle’s tube reason for multiple openings
Avoid total blockage of tube
Marking on Ryle’s tube
40 cm - Cardio oesophageal junction
50 cm - In stomach body
57 cm - At pylorus
65 cm - At duodenum
Indications of Ryle’s tube
Decompress GIT
Keep stomach empty in peritonitis
In hematemesis for aspiration and cold water lavage
Medical indications of Ryle’s tube
Provide gastric lavage in poisoning
For feeding purposes
Ryle’s tube contraindication
Absolute - acute corrosive poisoning
Relative - CVS and RS problems
Complications of Ryle’s tube
Tube may pass into air passage
Esophageal ulceration
Ryle’s tube sterilisation
Presterile by gamma rays and ethylene oxide gas
Boiling
Venepuncture cannula material
PVC or polythene
Venepuncture cannula size
16 - Black 18 - Green 20 - Pink 22 - Blue 24 - Yellow
Venepuncture cannula parts
Cannula with inner needle
Two wings
Channel for injections
Venepuncture cannula indications
In dehydration to give infusion
In shock
To deliver IV antibiotics
Venepuncture cannula complications
Hematoma
Thrombosis and phlebitis
Septiciemia
Serum hepatitis and HIV infections
Venepuncture cannula advantage
Prolonged venous access
Less chance of thrombophlebitis
Good patient compliance
Scalp vein needle parts
Needle
Wings
Cannula
Catheter definition
Hollow tube which is usually flexible with openings at both ends mostly used to drain urine
Most frequently used catheters
Simple rubber catheter
K-90
Foley’s self retaining catheter
Malecot self retaining catheter
Indications of catheter
Relieve retention of urine
Before pelvic exam in female to empty bladder
Differentiate case of retention from urine
Measure residual urine after micturition
Instruments for catheterization
Sterile rubber catheter
Alcaine jelly
Kidney tray
Hand gloves
First step in catheterization
Inject 5-10 mL of 2% lignocaine jelly in urethra and wait for 1-2 minutes
Lubrication in catheter using what
Alcaine jelly over tip
Complications of simple catheter
Infection
Stricture
Fever
Description of foley’s catheter
One main channel is for bladder draining while other is connected to balloon which has capacity of 5-50mL and which is meant for self retention and to achieve hemostasis.
Indications of foley’s catheter
Unconscious patient to drain urine
In OP poisoning to empty bladder
After major operations
As simple rubber catheter
