14144084
Descripción
Fichas por Elizabeth Then, actualizado hace más de 1 año
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Creado por Elizabeth Then
hace más de 6 años
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| Pregunta | Respuesta |
| why insertion of surgical drains? | drain surgical site fluid, hence decrease risk of dead space and abscess formation |
| definition of a surgical drain | surgical incisions to remove pus, blood, other fluid, preventing accumulation in the body |
| purpose of drain | faster wound healing, prevent infection, sometimes necessary to drain body fluid which may accumulate in itself |
| indications for a surgical drian | decompress or drain fluid prevent accumulation of fluid and dead space, characterise fluid, early identification |
| example of indications | flap surgery, breast surgery, chest surgery, nasogastric tubes |
| Types of drains | jackson -pratt: soft pliable, multiple perforations with bulb that creates low negative pressure vacuum, decrease bowel perforation redivac- high negative pressure drain blake drain -round silicone tube, channels that carry fluid to negative pressure collection device pigtail - small lumen curled into shape, used for draining single cavity, easily blocked, regular flushing to maintain patency penrose- flat ribbon like drain, gauze applied to eternal end to absorb drainage, bacteria can colonise |
| management of surgical drains | monitor patient for signs of sepsis, redness, febrile, ooze, drain patency, insertion site, ensure suction maintained drainage documented at minimum 4 hours |
| trouble shooting drains | reinstating suction, moving patient, leakage, dislodgement |
| reinstating suction | for reapplying use aseptic technique attach yankauer clamp tubing then unclamp |
| moving a patient with a drain tube | assess all attachments and drains prior to mobilsing appropriate patient mobilisation reassess drains post mobilisation |
| leakage | notify MO reinforce or retaping place coloplast drainage bag over tubing review wound care refer to stomal therapy |
| dislodgement | secure, sterile dressing applied, treating team notified, x-ray |
| removal | as soon as practical clear documentation and discussed, using aseptic technique, pull in one motion, document removal |
| post removal | monitor for signs of infection, obtain swabs, monitor for leakage, replace dressings, dressing should be removed in 3-5 days |
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