Nursing Foundations - Urinary Catheter Care, Pressure Ulcers, and CPR

Flashcards covering urinary catheter care protocols, pressure ulcer staging, and basic life support (CPR) guidelines based on the Nursing Foundations lecture.

Urinary Catheter Size (Children)

$$8-10\,Fr$$

Urinary Catheter Size (Adult female)

$$12-14\,Fr$$

Urinary Catheter Size (Adult male)

$$14-16\,Fr$$

French (Fr)

The external diameter of a catheter.

Urinary catheterization

A sterile aseptic procedure.

Urinary catheter care

A clean procedure performed every 8 hours.

Dorsal recumbent

The patient position while inserting a urinary catheter in a female.

Supine

The patient position while inserting a urinary catheter in a male.

Silicon urinary catheter

Used for long-term care; can be used for $>12\,weeks$ ($90\,days$).

Self-retaining catheters

Examples include the Foley's catheter and Malecot catheter.

Pressure Ulcer

Also known as Decubitus ulcer or bedsores.

BRADEN RISK ASSESSMENT SCALE

A common scale used to assess the risk of developing pressure ulcers.

Stage 1 Pressure Ulcer

Involves the epidermis only, presenting with intact skin and nonblanchable erythema.

Stage 2 Pressure Ulcer

Involves the epidermis and dermis with characteristic features of serous fluid-filled blisters and skin breakdown.

Stage 4 Pressure Ulcer

Involves epidermis, dermis, subcutaneous tissues, muscle, ligament, and tendon up to the bone.

Unstageable Pressure Ulcer

A wound covered with slough and eschar that makes categorization between stage 3 and 4 difficult.

Deep Tissue Injury

Damage to underlying tissue due to high friction with intact superficial skin and maroon/bluish discoloration.

Adult Pulse Site (CPR)

Carotid artery accessed for 5-10 seconds.

Infant Pulse Site (CPR)

Brachial artery.

Depth of chest compression (Adult/Child)

$5\,cm$ ($2\,inch$); maximum for adults is $6\,cm$ ($2.4\,inch$).

Rate of chest compression

$$100-120\,cpm$$

Ratio of chest compression (Multiple rescuers child/infant)

$$15:2$$

Shockable Rhythm

Includes Ventricular Fibrillation (VF) and Pulseless Ventricular Tachycardia (PVT).

Nonshockable rhythm

Includes Asystole and Pulseless electrical activity (PEA).

5 H's

Hypoxia, Hypokalemia/Hyperkalemia, Hydrogen ion (Acidosis), Hypovolemia, and Hypothermia.

5 T's

Tension pneumothorax, Cardiac tamponade, Toxins, Coronary thrombosis, and Pulmonary thrombosis.