| NGT | ECG | Urinary Catheters | Neurological Observations |
|---|---|---|---|
|
Head down
What position should the head be in when you first insert the NGT?
|
Electrocardiogram
What does ECG stand for (in Australia)?
|
Rubber
PVC (Plastic) Silicone.
Name one of the material that catheters can be made from
|
Glasgow Coma Scale
What is the name of the scale used to assess a person's neurological level?
|
|
less than 6 weeks.
How long can a NGT stay insitu?
|
Shaking patient (cold, febrile Parkinson tremor etc)
Dirty or corroded connections Improper electrode application
Name 2 causes of artifact on ECG
|
Indwelling (urethral or suprapubic catheters)
External (condom catheters) Short-term (intermittent catheters)
Name 3 types of urinary catheters
|
Eye, Verbal, Motor
What are the three components of the Glasgow Coma Scale?
|
|
pH test
Chest X-ray Syringe test (Whoosh test)
Name three ways of confirm placement of a NGT
|
Ensure all electrical equipment is attached to a common ground
Check all three-pronged plugs to make sure none of the prongs are loose Ensure that the bed ground is attached to the rooms common ground Replace electrodes Remove other equipment wiring from the bed Unplug electrical bed Remove or turn off patients electrical devices (phone)
Name 3 solutions to potential fix a fuzz baseline
|
Urinary Tract Infection (UTI)
Septicemia Allergic Reaction (to the material used in the catheter) Blood in urine Renal stones Urethral trauma Acute Kidney Injury Catheter occlusion Misplacement or incorrect insertion in females
Name 3 potential complication from IDC insertion
|
Eyes 4 Verbal 5 Motor 6
There are 3 components of the GCS each having their own value, which of these are the correct combination.
|
|
Tube enters the lungs
Tube coil up in the patient’s throat Sinusitis (due to being in place for an extended time) Tube can enter the brain (perforating base of the skull) Preformation of the oesophagus Death from feeding into the lung
Name 4 complications from inserting the NGT
|
Chest pain (any type, including pleuritic)
Epigastric pain Trauma (multi-trauma) Arrhythmias Deteriorating or Haemodynamically compromised patients Unconscious patients Pre/postoperatively Signs and Symptoms of Stroke
Name four indications for performing an ECG.
|
Blocked urine flow (from kidney stones, blood clots or prostate gland enlargement);
Incontinence; Critical illness; Urinary retention; Surgical procedures that require pre or postoperative bladder draining; The need for bladder irrigation; Monitoring during surgery; Bladder nerve injury; Spinal cord injury; Dementia or other conditions that impair mental functioning (Note: Catheters must be used with caution on these patients as they are at high risk of pulling them out, causing injury to the urethra); Prolonged immobilisation; Medications that impair the bladder’s ability to squeeze; and Improving comfort for end-of-life care;
Name 3 indications for insertion of an IDC
|
Spontaneous, to speech, to pain, none
What is the sequence of responses we are looking for in the eye component?
|
|
Hydration
Nutrition Medication administration Gastric decompression Aspiration of gastric content Bowel rest (with a small bowel obstruction) Mechanical ventilation Failure to swallow safely
Name 3 indications for NGT
|
V1 - Fourth intercostal space at the right sternal border
V2 Fourth intercostal space at the left sternal border V3 Halfway between leads V2 and V4 V4 Fifth intercostal space in the midclavicular line V5 Left anterior axillary line on the same horizontal plane as V4 V6 Left midaxillary line on the same horizontal plane as V4 and V5
Name each of the chest lead locations? (starting at V1)
|
Reason for insertion
Date and time of catheterization Catheter type Catheter size Volume of water inserted into the balloon Initial volume drained from the bladder
Name all 6 documentation requirement post IDC insertion
|
Drop by 2 points or more
When do you report a change in GCS to a RN or MO
|
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