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1

Ne tube

Passes into Duodenum and small intestines

2

Types of NE tubes

Cantor - single relieve obstruction
Harris - single gastric decompression
Miller-Abbott - Double

3

NG tube

passes into stomach

4

Types of NG tubes

Levin - single
sump - double pigtail

5

Transferring with NG/NE tube

*verify order and make sure suction can be removed
*if long period make sure equipment in department
*practice infection control

6

Gastrostomy tube

tube in the stomach to feed patient

7

Parenteral Nutrition

when a patient can not get adequate nutritional intake

8

Central Venous Catheter

line fed into venous system

9

Most common CVC

perioherally inserted central (PIC) - most common
Hickman

10

Tracheostomy

surgical opening in trachea

11

Tracheostomy tube

cuff that helps seal

12

Endotracheal tube

inserted from mouth into trachea

opens airways and prevents aspiration of foreign objects

13

Mechanical ventilator

artificial ventilation of the lungs

14

Types of ventilators

positive pressure - most common
negative pressure

15

Chest tube

by means of thoracotomy

attached to water-sealed drainage

16

pheumothorax

air in pleural cavity

17

Hemothorax

blood in pleural cavity

18

Care of chest tube

Do not empty of drain water sealed chamber
Do not clamp
Do not place tension on tube
Do not raise chamber

19

Tissue Drains

for wound or operative site expected to have large amounts of drainage

20

Tissue Drain types

Hemovac
Jackson Pratt

squeeze and attach
remove when full
Empty

21

Traumatic Injuries

MVA
Falls
Assaults
Blunt trauma
choking
Work accidents
drowning
smoke inhalation
sports

22

Patients with head injuries

Skull
brain
both

23

Types of head injuries

open
closed

24

Closed head injuries

varying levels of consciousness
lucid periods
loss of reflexes
changes in vital signs
headache
gait problems
Unequal pupils
seizures
vomiting
hemiparesis - paralyzation of half bofy

25

Basic procedures for Trauma

assess situation
develop plan
determine patient mobility
explain procedure
include all anatomy of interest

26

Open head injury

open to skull
brain is vulnerable
abrasion
contusion
laceration
basal fractures - leaking
varying level of consciousness
subconjunctival hemorrhage
periorbital ecchymosis
facial nerve play

27

Fractures

open or closed

28

Open fractures

visible wound

29

Closed fractures

may or may not be obvious
swelling
pain
deformity

30

Abdominal Trauma causes

Blunt or penetrating truam
Appendicitis
bleeding ulcers
ectopic pregnancy
cholecystitis
pancreatiitis
Bowel obstruction

31

Facial injury

usually soft tissue
potentially disfiguring
treat as if as if skull fractures or neck injury

32

Where do most spinal cord injuries occur?

cervical or lumbar