Assisting in Gastrostomy Feeding

Assisting patient with a Gastrostomy Feeding.

Equipment:
     Feeding solution
     Graduated containers
     Large syringe (60ml catheter tip)
     Reservoir bag with tubing and regular clamp
     50ml water
     4x4 gauze sponge
     towel/linen saver
     stethoscope
     tape measure
     Adapter to connect tubing
     Sterile basin

Optional: infusion controller pump and tubing set for continuous feeding infusion

Assisting in thoracentesis

Guide in assisting in thoracentesis:

1. Ascertain in advance if chest Roentgenograms and or other test has been prescribed or completed for accuracy and guides the physician the extent of injury of the lungs. This should be available at the bedside.

2. See if consent from has been explained and signed.

3. Determine if the client is allergic to the ideal anesthetic agent to be used. Give sedation if prescribed.

4. Explain the procedure to client and indicated how he can be helpful. Discuss the following:
         a. Nature of the procedure
         b. Importance of remaining immobile/ refraining from coughing.
         c. Pressure sensation to be experienced.
         d. No discomfort is anticipated after the procedure.
         e. Readjust gown if needed; put lining (draw sheet/ draw sheet).
         f. Ask permission from client to arrange for the procedure.

Wound Dressing

A guide to wound dressing.

1. For proper identification of the patient, check the chart for doctor's order, name of patient, dressings, solutions and ointment to be used.

2. Explain to the patient the following: procedure, purpose and use of overbed table and garbage can.

3. Clean overbed table.

4. Put garbage can near to the patient's bedside (remove cover).

5. Leave patient to prepare things for dressing.

Urine Testing for Sugar and Ketone

Urine Testing is a test to determine the amount of sugar and ketone in the urine.


Materials:

1. Fresh Urine from patients in a clean container.
2. Clinitest reagent tablet as indicated, acetest tablet as indicated, Benedict's solution as indicated.
3. Test tube, clean and dry
4. Index card
5. Medicine Dropper
6. Alcohol lamp


Procedure:


Urine Collection

Hot and Cold Application

Hot and Cold application is the application of dry, moist or wet form to the body; either hot or cold.






Indications:

a.) Hot application
   1. Relief of swelling.
   2. Relief of pain caused by deep congestion.
   3. Healing of wounds, removal of toxin.
   4. Reduction of muscle spasm.
   5. Relief of fatigue.
   6. Elimination.
   7. Warmth, comfort.

Cardiopulmonary Resuscitation (CPR)

Cardiopulmonary Resuscitation (CPR) is the combination of artificial respiration and manual artificial circulation that is recommended for the use in cases of cardiac arrest. It requires special supplemental training in the recognition of cardiac arrest and the performance of CPR.

CPR is the combination of mouth to mouth breathing which supplies oxygen to the lungs and chest compression which circulates blood.


Purpose of Cardiopulmonary Resuscitation:

To provide oxygen to the brain, heart and to vital organs until appropriate definite medical treatment can restore the heart and ventilatory function.

Catheterization

Catheterization is the emptying the bladder with the use of a sterile catheter.

Indications:

1. Urinary retention due to surgery, childbirth or trauma of the urinary tract.
2. Pre-operative measure as a precaution to prevent possible surgical error in identifying abdominal organs.
3. Collection of urine specimen for diagnosis.
4. Adjust for bladder irrigation and instillation.
5. Other urinary disturbances: Incontinence, polyuria, dysuria, oliguria and enuresis.

Procedure:
1. Secure doctor's order for catheterization to make sure that drug being administered and the patient being attended is the right one.