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54 Cards in this Set
- Front
- Back
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Shape of a whistle-tip catheter?
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straight
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What is a whistle-tip catheter for?
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blood clot removal
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Shape of a Coude catheter?
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curved
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What is a Coude catheter for?
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BPH to avoid prostate trauma
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Describe a Robinson catheter?
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hollow w/ 2 openings
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What is a Robinson catheter for?
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intermittent catheterizations
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Describe a Filiform catheter?
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stiff
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What is a Filiform catheter for?
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urethral strictures
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Describe a Foley catheter
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DL w/ inflatable balloon toward tip
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What is a Foley catheter for?
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indwelling for urinary drainage
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Shape of a Pezzer catheter?
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mushroom tip, otherwise like a foley
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What is a Pezzer catheter used for?
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indwelling for urinary drainage
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Shape of a Malecot catheter?
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wing-shaped tip
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What is a Malecot catheter used for?
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used as a NEPHROSTOMY tube: anchored in renal pelvis through flank incision
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How is a suprapubic catheter set up?
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placed in bladder via ab incision, dressing over site
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How is a suprapubic catheter used?
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in conjunction w/ urethral drainage
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Position of female pt to get catheterized?
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dorsal recumbent OR sims'
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How far should you insert a female cath?
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2-3 in into urethra
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After urine begins to flow in a female cath, what should you do?
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insert an additional inch to assure that the balloon portion of the cath is in the bladder
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How should you hold the penis prior to cath insertion?
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perpendicular to body
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How far should you insert a male catheter?
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6-7 in
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When is the only time that a catheter can be disconnected from the drainage system?
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only to perform ordered irrigations
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How should urine samples be obtained?
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from a drainage port w/ a small-bore needle using sterile technique
clamp the tubing below the port |
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Why should drainage bags not be elevated above the level of the cavity being drained?
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to prevent reflux
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How much mL of urine can you remove from the bladder at once?
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700 mL,
if there is more left in the bladder, wait 15-30 min, then continue |
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Wat is the purpose of catheter irrigation?
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to prevent obstruction of flow or to remove buildup of sediment in long-term use
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How do you do a CLOSED urethral cath irrigation?
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1. draw soln into syringe using sterile technique
2. clamp cath below the injection port 3. cleans port w/ alcohol 4. insert needle into injection port at 30 degree angle 5. slowly inject fluid 6. remove clamp 7. solution drains into bag |
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How do you do an OPEN urethral cath irrigation?
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1. use sterile technique
2. cleanse around the catheter & disconnect tubing 3. gently instill 30 mLof solution 4. allow fluid to drain by gravity into sterile basin 5. disinfect ends of cath tubing and reconnect |
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If a solution is easily instilled but does not return, what should the pt do?
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turn to the side
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If fluid still doesnt return fm irrigation after pt turns, what should you do?
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depress the syringe bulb to provide gentle suction
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How should you provide perineal care in a pt w/ a cath?
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soap and water 2-3x/day, then apply antimicrobial ointment to the insertion site
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Why should you secure the tubing to the pt's leg?
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to prevent traction
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What is the MINIMUM DRAINAGE catheter output?
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30 cc/h
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S&S of infection?
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foul-smelling urine w/
-pus -blood or -mucus streaks |
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*special precaution* for ureterostomy tube?
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never irrigate
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*special precaution* for straight cath?
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do not remove more than 1000 mL at one time
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*special precaution* for nephrostomy tube?
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never clamp
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When should you clamp indwelling caths?
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intermittently prior to removal
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What is intermittent self-catheterization used for?
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to tx NEUROGENIC bladder
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3 causes of a neurogenic bladder?
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1. spinal cord injury
2. MS (multiple sclerosis) 3. brain injury |
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Most common self-catheter for male pt?
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striaght or curved-top 12 or 14 Fr Tiemann catheter
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What should you do to the self cath prior to insertion?
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wash w/ water and soap, rise, dry completely
& clean perineum w/ soap and water |
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What should you do to the self-cath prior to insertion?
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lubricate w/ water-soluble lubricant
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After self-cath starts returning urine, how far should you advance it?
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.5-1 in
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What can a pt do to promote complete emptying during self-cath?
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press down w/ ab muscles
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After removing self-cath, what should you do?
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rinse w/ cool tap water to remove residue and dry
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How often should self-cath be done?
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q4-6 h,
should be done at consistent times daily |
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Is a self-cath a sterile procedure?
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no, clean technique
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How much can a self-cath remove at 1x?
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350-400 cc
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What position should a pt be in during self-cath?
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sitting or standing
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How many times can a self-cath be reused?
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2-4 wk, then discard
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How should you store a self-cath?
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in a sandwich-sized bag or clean container
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How should you never store a self-cath?
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wet or in antiseptic solution
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How often should a pt who self-caths drink?
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250 cc q2h
or up to 2L at regular intervals |
