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Titlequestion bank and reading material
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Total Pages116
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Page 58


 After the insertion of the needle into the vein fix the adpter to the needle, loosen screw clamp
and fix the adhesive plaster.

 Adjust the Infusion rate to desired speed.

 Secure the needle to tubing in place with adhesive plaster on the hub of the needle.

 Apply bandage to the arm.Observe the flow of solution and placement of needle in vein.



To introduce a naso gastric (Rhylcs tube) so as to produce aminimum of discomfort to the patient


Tray containing:
1. Naso-gastric tube in bowl containing cold water
2. Adhesive strip
3. Kidney tray
4. Gauze pieces
5. Treatment mackintosh
6. Screen 10 cc. syringe.

1. Assemble equipment and bring to bedside
2. Explain procedure, screen patient
3. If possible, place patient in Fowler's position with shoulders and head will supported in hyper

4. Place covered treatment mackintosh over chest.
5. Measure distance for insertion of tube from tip of stermum to nares and mark with adhesive.
6. Insert tube through nostrile to pharynx.
7. Have patient I.P. head forward and swallow. Each time patient swallow, advance tube into

egophagus as for as possible continue until adhesive mark is reached.
8. Attach barrel of syringe to end of tube. Invert barrel into water to check that tube is not in

respiratory passage. Aspirate to see that tube is in stomach.
9. Continue with aspiration, lavage or gavage as indicated (See specific procedures).
10. Quickly withdraw tube and place in kidney basin. Leave patient comfortable.


- Time
- Diet
- Medication & treatment

Nursing Noted
1. 2p.m. Rhyles tube inserted Distention -relieved
2. After care equipment:

Page 59


- Rinse tube with cold water. Wash with soap and water. Place in boil water and boil for 5

- Rinse, wash and dry remaining equipment and replace.



To administer Oxygen


1. Oxygen cylinder stand
2. Oxygen cylinder
3. Key to open and close cylinder.
4. Flow meter
5. Gauge
6. Woulfo's bottle
7. Rubber tubing’s 2 (one short and one long)
8. Glass connection
9. Nasal catheter
10. Cotton bag tied to stand
11. A tray containing : Small bowl of water Adhesive plaster
12. Safety pin Torch.

- Check set up and bring to bedside.
- Explain Procedure to patient Take adhesive strips On catheter, measure distance from nares

to ear lobe Open the fine value Lubricate tip of nasal catheter in bowl of water Insert the
- nasal catheter, to mark on catheter.
- Secure with adhesive strips. Fix the tubing firmly by pinning it on to the Bottom sheet.
- Check location of catheter - tip in phyarynx Clean and dry articles and replace.

After care equipment:
When the treatment is discontinued, remove adhesive strips disconnect nasal catheter, clean with
soap and water, put in boiling water for 3 minutes. Replace Catheter in the bag tied to cylinder ready
for use. If no oxygen guage is available, adjust flow by frequent taking of pulse and respiration rate.
Increase oxygen flow-if pulse, and respiration decrease following adjustment. Maintain flow at
adjusted rate when pulse and respiration rates are stabilized.

- To remove urine from the bladder under aseptic conditions and without trauma to the mucosa.
- This treatment might be ordered :
- To relieve urinary retention.
- To obtain a sterile urine specimen.
- To empty the bladder before certain operations
- To determine urinary residual.

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