Ward Procedure

Question 1

Ryle’s tube material and size

Answer 1

Polyvinyl chloride

10-20 F

Question 2

Ryle’s tube parts

Answer 2

Tip and body

Question 3

Ryle’s tube tip

Answer 3

Blunt
Three beads
Multiple side openings

Question 4

Ryle’s tube beads use

Answer 4

Radiopaque, so help in position

Help passage due to gravity

Question 5

Ryle’s tube reason for multiple openings

Answer 5

Avoid total blockage of tube

Question 6

Marking on Ryle’s tube

Answer 6

40 cm - Cardio oesophageal junction
50 cm - In stomach body
57 cm - At pylorus
65 cm - At duodenum

Question 7

Indications of Ryle’s tube

Answer 7

Decompress GIT
Keep stomach empty in peritonitis
In hematemesis for aspiration and cold water lavage

Question 8

Medical indications of Ryle’s tube

Answer 8

Provide gastric lavage in poisoning

For feeding purposes

Question 9

Ryle’s tube contraindication

Answer 9

Absolute - acute corrosive poisoning

Relative - CVS and RS problems

Question 10

Complications of Ryle’s tube

Answer 10

Tube may pass into air passage

Esophageal ulceration

Question 11

Ryle’s tube sterilisation

Answer 11

Presterile by gamma rays and ethylene oxide gas

Boiling

Question 12

Venepuncture cannula material

Answer 12

PVC or polythene

Question 13

Venepuncture cannula size

Answer 13

16 - Black 
18 - Green 
20 - Pink
22 - Blue 
24 - Yellow

Question 14

Venepuncture cannula parts

Answer 14

Cannula with inner needle
Two wings
Channel for injections

Question 15

Venepuncture cannula indications

Answer 15

In dehydration to give infusion
In shock
To deliver IV antibiotics

Question 16

Venepuncture cannula complications

Answer 16

Hematoma
Thrombosis and phlebitis
Septiciemia
Serum hepatitis and HIV infections

Question 17

Venepuncture cannula advantage

Answer 17

Prolonged venous access
Less chance of thrombophlebitis
Good patient compliance

Question 18

Scalp vein needle parts

Answer 18

Needle
Wings
Cannula

Question 19

Catheter definition

Answer 19

Hollow tube which is usually flexible with openings at both ends mostly used to drain urine

Question 20

Most frequently used catheters

Answer 20

Simple rubber catheter
K-90
Foley’s self retaining catheter
Malecot self retaining catheter

Question 21

Indications of catheter

Answer 21

Relieve retention of urine
Before pelvic exam in female to empty bladder
Differentiate case of retention from urine
Measure residual urine after micturition

Question 22

Instruments for catheterization

Answer 22

Sterile rubber catheter
Alcaine jelly
Kidney tray
Hand gloves

Question 23

First step in catheterization

Answer 23

Inject 5-10 mL of 2% lignocaine jelly in urethra and wait for 1-2 minutes

Question 24

Lubrication in catheter using what

Answer 24

Alcaine jelly over tip

Question 25

Complications of simple catheter

Answer 25

Infection
Stricture
Fever

Question 26

Description of foley’s catheter

Answer 26

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.

Question 27

Indications of foley’s catheter

Answer 27

Unconscious patient to drain urine
In OP poisoning to empty bladder
After major operations
As simple rubber catheter