Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
|
How do you place a peripheral IV catheter? |
1. Place tourniquet above site 2. Alcohol antiseptic 3. Place IV into vein with "flash" of blood 4. Remove inner needle while advancing IV catheter 5. Secure with tape |
|
|
How do you draw blood from the femoral vein? |
NAVEL: In the lateral to medial direction: - Nerve - Artery - Vein - Empty - Lymphatics
Place needle medial to femoral pulse |
|
|
How do you remove staples? |
Staple remover, then place Steri-Strips |
|
|
How do you remove stitches? |
1. Cut suture next to knot 2. Pull end of suture out by holding onto knot 3. Place Steri-Strips |
|
|
How do you place Steri-Strips? |
1. .Dry the skin edges of the wound 2. Place adhesive (eg, benzoin) 3. With the Adson pickup or with fingers, place strips to gently appose epidermis (AVOID tension or blisters will appear) |
|
|
How do you place a Foley catheter? |
1. Stay sterile 2. Apply betadine to urethral opening (meatus) 3. Lubricate catheter 4. Place catheter into urethra 5. As soon as urine returns, inflate balloon with saline (balloon size is given in cc on catheter) |
|
|
How do you find urethra in females? |
1. Find clitoris and clitoral hood 2. Urethra is just below these structures 3. Wiping a betadine soaked sponge over this area will often result in having the urethra "wink" open |
|
|
Can you inflate the foley balloon before you get urine return? |
No, you might blow up a balloon in the urethra |
|
|
How do you determine how much of the NGT should be advanced into the body for the correct position? |
Rough guide: from nose, around ear, to 5cm below xiphoid |
|
|
How do you place the NGT in a nare? |
First place lubrication (eg, Surgilube) then place NGT straight back - not up or down |
|
|
What is the best neck position for advancing the NGT? |
Neck FLEXED (chin down) Also have the patient drink some water (using a straw) |
|
|
What if there is 3L/24h drainage from an NGT? |
Think DUODENUM - the NGT may be in the duodenum and not the stomach! Check an x-ray |
|
|
How can you clinically confirm that an NGT is in the stomach? |
Use a Toomey syringe to inject air while listening over the stomach with a stethoscope; you will hear the "swish" if the NGT is in place |
|
|
What must you obtain and examine before using an NGT for feeding? |
Lower chest/upper abdominal x-ray to absolutely verify placement into stomach and NOT the lung - patients have died from pulmonary tube feeding |
|
|
How do you place a radial arterial blood gas (ABG)? |
Feel for the pulse and advance directly into the artery; ABG syringes do not have to have the plunger withdrawn manually |
|
|
How do you drain an abscess? |
By incision and drainage (I&D): - After using local anesthetic, use a #11 blade to incise and then open the abscess pocket - Large abscesses are best drained with a cruciate incision or removal of a piece of skin - Pack the open wound |
|
|
How do you remove an epidermal cyst or sebaceous cyst? |
1. Administer local anesthetic 2. Remove the ellipse of skin overlying the cyst, including the pore 3. Remove the cyst with the encompassing sac lining |
