What is the primary reason for the placement of drains in the perioperative patient?
Chapter 4. Wound Care Show
Drain ManagementDrains systems are a common feature of post-operative surgical management and are used to remove drainage from a wound bed to prevent infection and the delay of wound healing. A drain may be superficial to the skin or deep in an organ, duct, or a cavity such as a hematoma. The number of drains depends on the extent and type of surgery. A closed system uses a vacuum system to withdraw fluids and collects the drainage into a reservoir. Closed systems must be emptied and measured at least once every shift and cleaned using sterile technique according to agency protocol. Drainage tubes consist of silastic tubes with perforations to allow fluid to drain from the surgical wound site, or separate puncture holes close to the surgical area. The drainage is collected in a closed sterile collection system/reservoir (Hemovac or Jackson-Pratt) or an open system that deposits the drainage on a sterile dressing. Drainage may vary depending on location and type of surgery. A Hemovac drain (see Figure 4.3) can hold up to 500 ml of drainage. A Jackson-Pratt (JP) drain (see Figure 4.4) is usually used for smaller amounts of drainage (25 to 50 ml). Drains are usually sutured to the skin to prevent accidental removal. The drainage site is covered with a sterile dressing and should be checked periodically to ensure the drain is functioning effectively and that no leaking is occurring. Checklist 39 outlines the steps to take when emptying a closed wound drainage system. Checklist 39: Emptying a Closed Wound Drainage System
Drain RemovalRemoval of a drain must be ordered by the physician or NP. A drain is usually in place for 24 to 48 hours, and removal depends on the amount of drainage over the last 24 hours. Checklist 40 outlines the steps for removing a wound drainage system. Checklist 40: Drain Removal
Video 4.6Watch the video JP Drain Removal by Renée Anderson & Wendy McKenzie, Thompson Rivers University.
What is the primary reason for establishing vascular access in the preoperative patient?Optimal permanent vascular access maximises patients' quality of life, provides long‐term complication‐free patency, and is cost‐effective (Lok 2012).
Which preoperative drug is administered to a patient when rapid emptying of stomach is needed?Erythromycin for Gastric Emptying in Patients Undergoing General Anesthesia for Emergency Surgery A Randomized Clinical Trial. Importance Patients undergoing emergency procedures under general anesthesia have impaired gastric emptying and are at high risk for aspiration of gastric contents.
Which nursing intervention is most critical when providing preoperative care to a patient scheduled for cardiac surgery?The key nursing intervention during the preoperative period is patient and family education. Take every opportunity during the patient assessment and preparation for surgery, to provide information that will increase the patient's familiarity with the procedure, which will decrease anxiety.
Which factors can increase the risk for anesthesia related complications select all that apply?What factors make anesthesia riskier?. Allergies to anesthesia or a history of adverse reactions to anesthesia.. Diabetes.. Heart disease (angina, valve disease, heart failure, or a previous heart attack). High blood pressure.. Kidney problems.. Lung conditions (asthma and chronic obstructive pulmonary disease, or COPD). Obesity.. |