NUR 340L Lecture 3: Managing wound drainage evacuation

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8 Feb 2017
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Lab Week 3 required reading
Managing wound drainage evacuation
Closed or open drain system
Open drain = Penrose drain remove drainage from wound and deposits onto skin
surface.
Cannot delegate to NAP
Closed drain is Jackson prat or hemovac
- Relies on the presence of a vacuum to withdraw the drainage
- JP = 100-200 ml/24hrs
- Hemovac = 200-500 ml
Attach tape and a safety pin to drainage tubing with tape and pin to patients gown so the
suction device is below the level of the wound and does not pull on the insertion site.
Clots or large collections of debris may block drainage flow, the Y site in the drainage
tubing is especially prone to clogging
Insertion of a straight or an indwelling urinary catheter
Requires a medical order
Aseptic technique
May be short term 2 weeks or less or long term more than 1 month
Reasons
- Excessive accumulation of urine in bladder
- Increases in urinary tract infection
- Urinary incontinence
- Measure post void residual
Single lumen Cath intermittent catheterization
Double lumen indwelling catheterization, first is for urinary drainage and second is for
balloon inflation
Triple lumen continuous bladder irrigation
Size is based on French scale
Adults 14-16
5-6 infants
8-10 children
12 young girls
Balloon size range from 3ml 30ml
Recommended adult is 5ml
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