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E-cart meds FC insertion notes
nursing (NCM116)
De La Salle Lipa
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NCM-
Care of Clients with Problems in Oxygen, Fluid, Electrolytes, Infectious, Inflammatory,
Immuno (RLE)
(E-cart Medications and FC Insertion) | SEM 1 2022
EMERGENCY CART
● multi-drawer wheeled cabinet that is kept in the hospital areas with the essential medication and tools that are required in emergency situations: - Compromised airway - Respiratory distress/arrest - Cardiac arrest - Drug overdose - Hypoglycemia - Anaphylactic reactions
EMERGENCY CART MEDICATION
Adenosine Vial
Aspirin Tablet
Amiodarone Vial
Atropine Vial
Calcium Chloride Vial
Dextrose 50% Vial
Calcium Gluconate Vial
Diphenhydramine Ampule
Digoxin Ampule
Dopamine Vial
Diltiazem
Epinephrine Vial
Flumazenil Vial
Insulin Injection
Glucagon Injection
Lidocaine injection
● Slow cardiac conduction
● Stops formation of blood clots
● Treats specific cardiac arrhythmias (VFib/ VTach)
● Accelerates heart rate
● Stabilizes heart contraction
● Restores blood glucose levels
● Treats specific cardiac arrhythmias/ antidote for magnesium sulfate toxicity
● Treats life threatening allergic reactions
● Strengthens heart contractions
● Improves the pumping strength of the heart
● Treats high blood pressure and angina
● Strengthens cardiac contractions
● Initial management of benzodiazepine overdose
● Treats hyperglycemia
● Treats hypoglycemia
● Treats specific cardiac
Magnesium Sulfate Vial
Naloxone Vial
Methylprednisolone Vial
Nitroglycerin
Norepinephrine Vial
Procainamide Vial
Phenylepinephrine Vial
Salbutamol Nebule
Sodium Bicarbonate Vial
Verapamil Vial
Vasopressin Vial
Paracetamol Ampule
arrhythmias/ local anesthesia
● Treats irregular heart rhythm / preeclampsia
● Reverse opioid overdose
● Relieves inflammation
● Prevents and treats chest pain
● Raises blood pressure
● Treats arrhythmias
● Relieves nasal discomfort
● Dilates airways
● Corrects body’s pH
● Corrects arrhythmias
● Increases blood pressure
● Treats pain and reduces high temperature
INDWELLING URINARY CATHETER INSERTION
INDICATIONS CONTRAINDICATIONS
Drain bladder
Investigations
Measure the urine output
Relieve retention of urine
Relieve urinary incontinence
Presence of urethral trauma
Urethral injuries
Blood at the urethral meatus
Scrotal hematoma
Pelvic fracture
Equipments
- Sterile gloves and drapes
- Cleansing solution (povidone iodine)
- Cotton swabs
- Forceps
- Sterile water (usually 10 ml)
- Foley catheter (depending on the size)
- Syringe (usually 10 ml)
- Lubricant (water-based jelly or xylocaine jelly)
- Collection bag and tubing
PROCEDURES
Gather equipment.
Explain procedure to the patient.
Assist patient into supine position with legs spread and feet together.
Open catheterization kit and catheter.
Prepare sterile field, apply sterile gloves.
Check balloon for patency.
Generously coat the distal portion (2-5 cm) of the catheter with lubricant.
Apply sterile drape.
9a. If female, separate labia using non-dominant hand. If male, hold the penis with the non-dominant hand. Maintain hand position until preparing to inflate balloon.
9b. Using dominant hand to handle forceps, cleanse peri-urethral mucosa with cleansing solution. Cleanse anterior to posterior, inner to outer, one swipe per swab, discard swab away from sterile field.
9c. Pick up catheter with gloved (and still sterile) dominant hand. Hold end of catheter loosely coiled in palm of dominant hand.
10a. In the male, lift the penis to a position perpendicular to patient's body and apply light upward traction (with non-dominant hand).
10b. Identify the urinary meatus and gently insert until 1 to 2 inches beyond where urine is noted.
Inflate balloon, using correct amount of sterile liquid (usually 10 mL but check actual balloon size).
Gently pull catheter until inflation balloon is snug against bladder neck.
Connect catheter to drainage system.
Secure catheter to abdomen or thigh, without tension on tubing.
Place drainage bag below level of bladder.
Evaluate catheter function and amount, color, odor, and quality of urine.
Remove gloves, dispose of equipment appropriately, wash hands.
Document size of catheter inserted, amount of water in balloon, patient's response to procedure, and assessment of urine.
COMPLICATIONS
● Tissue trauma ● Infection ● Renal inflammation ● Nephrocystolithiasis ● Pyelonephritis
E-cart meds FC insertion notes
Course: nursing (NCM116)
University: De La Salle Lipa
