Chapter 10: Instrumentation, Equipment, and Supplies; Short Answer: Catheters, Tubes, Drains, Syringes

Passive drains use _______ or absorbent dressings to remove fluids and air.

Gravity

What type of syringe is used when you need precise control when injecting local anesthetics?

Three-ring or control syringe

Closed wound suction devices connected to active drains use ______ ______ to remove fluids and/or air.

Vacuum System

What type of syringe is used to remove fluids from the nose and mouth of a neonate or infant?

Ear syringe

Complete the following: (A) Describe how to inflate the Foley catheter balloon in the bladder. (B) Describe how to move a gravity drainage bag. (C) Describe how catheters are sized (measuring unit). (D) Describe the purpose(s) of intravascular catheters. (E) Describe how a Fogarty catheter is used.

(A) A syringe with sterile water rather than normal saline to prevent erosion of the balloon wall. (B) Must be maintained below the level of the bladder to promote drainage and prevent reflux. (C) As small as 5 French, for infants and pediatrics, up to the largest size of a 30 French. (D) To infuse fluids, obtain a diagnosis, monitor body functions, and to remove thrombi. (E) Passed beyond an obstruction within the lumen of a vein, artery, or duct. Also used for irrigation of the biliary system.

Identify the three components used with chest drainage system in Figure 10-7.

(A) Chest tube (B) Pleurevac auto transfusion system (C) Throa-seal system

Identify the three components of the tracheostomy tube.

(A) Outer cannula (B) Inner cannula (C) Obturator

Identify the drain/tube/catheter as either passive (P) or active (A) (A) Penrose (B) Hemovac (C) T-tube (D) Nephrostomy tube (E) Jackson Pratt (F) Stryker (G) Chest tube (H) Gastrostomy tube (I) Cystostomy tube

(A) Passive (B) Active (C) Passive (D) Passive (E) Active (F) Active (G) Active (H) Passive (I) Passive

Identify the catheters pictured in Figure 10-6 and what each is used for.

(A) Self-retaining; Remains in position within an organ w/o further support (B) Non-retaining; Withdraws fluid from a body cavity (C) 2-way Foley; Deflated balloon inflated with sterile water once inside the bladder, allows for retention (D) 3-way Foley; Irrigating, urine drainage (E) Pezzer (Mushroom); Nephrostomy drainage (F) Malecot (4-winged); Drainage of different bodily fluids such as bile, urine, pus (G) Robinson (Plain); Facilitate intermittent drainage (H) Coude; Urine drainage, easily move around blockages or narrow parts of the urethra (I) Whistle Tip; Access and catheterization of the urinary tract (J) Multi-eyed; Drainage

Describe the purpose of the following tubes: (A) Gastrostomy tube (B) Sump tube (C) ETT

(A) To aspirate air and fluid from the GI tract (B) For evacuation of fluid and allows air to enter for equalizing pressure within the structure (C) To maintain latency of the upper respiratory tract

Answer the following questions related to chest tubes: (A) What is the purpose of a chest tube? (B) If a person has two chest tubes on the same side, what does the chest tube placed in the lower chest evacuate? (C) What does the chest tube placed in the upper chest evacuate? (D) What is the water in the collection unit used for? (E) If the patient has two chest tubes, what can you use to connect them to one drainage system?

(A) Treats pneumothorax or following cardiothoracic surgical procedures to evacuate air and fluid from the pleural space. (B) Evacuates fluids (C) Evacuates air (D) To prevent air from re-entering the pleural space, maintaining negative pressure needed for effective respiration. (E) A "Y" connector

What is used for most procedures to instill irrigation fluids?

Asepto bulb syringe