Treatment situations involving special equipment

draingge tubes, mattresses, NE and NI tubes

what do patients are are in immobile lay on to prevent circulation problems?

wave or air mattresses

how do we do an examination on a wave mattresses

• water filled pads

• mylar warming blankets

• bair hugger

how do we do an examination on a air mattresses

fully pump it

air mattress

trapeze bar

tracheostomies are required

´when obstruction in upper airway or respiratory collapse

what do newly placed tracheostomies require

frequent suctioning

why shouldnt we undo the ties of a recent tracheostomie

cough will expel out

why would someone get a tracheostomie

• cancer

• ARDS

• trauma

• burns

tracheostomy

NASOGASTRIC (NG) TUBE

´Passed into stomach for the purpose of feeding, to treat intestinal obstruction (decompression), radiographic examinations, medication administration, control bleeding

what are the 3 most common types of NG tubes for feeding and nourishment

1. dobbhoff NG tube

2. levin

3. salem sump

Dobbhoff nasogastric feeding tube

what is the arrow pointing at

nasogastric tube

salem sump nasogastric tube

what are the functions of nasogastric tubes

1. feeding/nourishment

2. decompression

3. medication administration / radiographic examinations

what does it mean when nasogastric tubes decompress?

they empty out empty stomachs by removing gas and secretions by suction. this prevents vomiting and intestinal obstruction

levin tube

what is special about the levni tube

it is a single lumen with several holes at the tip

what does it mean in NG tubes concerning medication administration and radiographic examinations

• thin barium or oral aqueous examinations of the stomach in fluoroscopy

• oral contrast mix

NE tube stands for

nasointestinal tube

where is an NE tube placed

through the stomach and peristalsis through the small intestine

what are the primary function of an NE tube

feeding

nasoenteric tube

TISSUE DRAINS

´A device or tube is used to draw fluid away from the site

where would a tissue drainage be at

Located in or near any surgical site following a major tissue dissection in an area with a large blood supply (e.g., breast, neck, kidney

why is important to remove excess fluid

to not delay healing or risk a fistula formation

what technique do we use when doing a tissue drainage

surgical aseptic technique

what are the types of tissue drainges

1. penroise drain

2. jackson pratt

3. hemovac

hemovac

define a and b

a = penrose drain

b = jackson pratt

describe hemovac

• portable suction device that gently drains wound discharge into a collecting chamber

• inserts a tube in the surgical wound during surgery

• drain is squeezed together and it slowly expands to create low prssure suction

hemovac

jackson pratt

describe jackson pratt

•Plastic drainage tube with small bulb

•Surgeon commonly inserts a narrow tube with multiple openings during surgery, e.g., breast surgery

•Maintain a constant negative pressure encourages the flow of drainage fluid into the bulb

•Drain is squeezed together  & it slowly expands to create low pressure suction

penrose drain

describe penrose drain

• does not have a physical collection chamber but a soft rubber tube

• distal end of teh drain is near the surgical incision site under the skin

• proximal end opens to the surface of teh skin where surgical dressing collects fluids

• safety pin is attached to it