Help
Options
Question
What should you never do when draping a patient?
click to flip
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't know
Question
What should you have a patient do to facilitate placement of an NG tube?
Remaining cards (23)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Surgery I - Skills
& Venapuncture
| Question | Answer |
|---|---|
| What should you never do when draping a patient? | Reach over the patient |
| What should you have a patient do to facilitate placement of an NG tube? | Swallow by drinking water |
| How does one confirm placement of an NG tube? | By injecting air into the stomach and auscultating or by obtaining a chest radiograph |
| When should a jejunal- tube be placed instead of a gastric tube? | When concerns for aspiration are present or in the setting of gastric ileus |
| What is an advantage to placement of a PEG (percutaneous endoscopic gastrostomy) tube? | It avoids the need for general anesthesia and a large incision |
| Name the lays of the abdominal wall encountered when performing an inguinal hernia repair | 1. skin 2. subcutaneous fat (camper's fascia) 3. Scarpa's fascia 4. external oblique 5. spermatic cord 6. cremasteric muscle 7. tranversalis fascia 8. pre-periotneal fat 9. parietal peritoneum |
| Indicate the proper positioning for central line placement | Reverse trendelenburg to prevent air embolism |
| List 3 indications for performing a tracheostomy | 1. prolonged mechanical ventilation 2. upper airway obstruction (tumors) 3. neurologic deficits preventing clearing of secretions and increasing risk of aspiraiton |
| List 4 common indications for performing a lung resection | 1. lung cancer 2. atelectasis 3. emphysema 4. tuberculosis |
| Where should one perform a needle thoracostomy? | midclavicular line at the 2nd intercostal space |
| Where should one place a chest tube? | Anterior axillary line at the 4th or 5th intercostal space, make the incision above the 6th rib and enter above the 5th rib |
| How does a chest tube function under suction? | Creates a negative pressure to prevent collapse of lung |
| Which location is first choice for IV placement? | Cephalic vein, approx 10 cm above wrist (but should START with metacarpal) |
| What 4 areas should absolutely be avoided in IV placement? | 1. Volar aspect of wrist 2. below compromised area 3. sclerosed veins 4. arm on the side of mastectomy, blood clot or infection 4. arm with fistula or shunt |
| What size catheters are idea for: **** 1. Trauma 2. Blood administration 3. Fluid infusion | 1. 16 or 18 gauge 2. 18 gauge 3. 20 gauge |
| Which veins are not appropriate for irritating solutions? | Metacarpals |
| How often should a peripheral IV be changed? | Every 3-4 days (<5), or sooner if patient experiences pain |
| How long should a tourniquet be left on? | No more than 3 minutes |
| Cite indications for a nontunneled central venous catheter | Short term therapy < 7 days |
| Cite indications for a tunneled central venous catheter | Long term therapy Note; must be placed in vascular radiology or surgery |
| What tow maintenances are required for implanted ports? | 1. Flushing every 4 weeks with Heparin 2. Huber needle change every 7 days |
| What is the most common complication of IV therapy? | Infiltration - fluid infusion in the tissues |
| What should one do if an extravasation (leakage of vesicant solutions out of vein) occurs? | Stop the infusion immediately |
| What three pieces of Info should be documented on the IV site? | 1. Date and time 2. Catheter size 3. initials of person who placed it |
Created by:
eedavila
Popular Clinical Skills sets