Instruments Flashcards
What is this?
Face mask with nebuliser
What is this used for?
Device used to turns liquid medication into a fine mist
The medicated mist is inhaled
What are the complications of this device?
From nebulised medications e.g. salbutamol - tachycardia
What is this?
Urinary (Foley) catheter – 2 way
How is this device used?
Flexible tube inserted into the bladder
can be used in urinary retention, post- operative phase of Sx/Mx of pt with acute renal failure (pre-peri/post causes)
What are the complications of this device
General – infection, bleeding, soft tissue trauma
Specific - pseudotracts, bladder trauma
What is this instrument?
Urinary catheter – 3 way
How is this instrument used?
Flexible tube inserted into the bladder
Can be used post urological procedure to ensure adequate drainage of urine and irrigate bladder to prevent clots/urinary blockage
What are the complications of this instrument
General – infection, bleeding, soft tissue trauma
Specific - pseudotracts, bladder trauma, irrigation bags incorrectly setup (clots), too many fluid bags (risk of hyponatraemia or fluid overload)
What is this
Venturi valves
how are these used?
Device used to give a fixed concentration of O2 and at a specific flow rate
Bernoulli principle (change in flow across fixed orifice)
What are the complications associated with this device?
Incorrect flow rate = incorrect FiO2
What is this?
Rigid sigmoidoscope
How is this device used?
A hollow tube to examine the anus & rectum to look for tumours/haemorrhoids etc
usually for PR bleeding or D&V/change bowel habit
Complications
Infection/bleeding
Pt will experience cramping/fullness due to air (normal)
What is this
Scalpel
How is this instrument used
A blade used in surgery or procedures using sutures (operative theatre, minor ops areas etc.)
Complications
Sharps injury
NEVER events
What is this?
Non toothed forceps
How is this instrument used
An instrument used to grasp tissue edges
Complications?
crush injury (delicate tissues) if excessive force is applied
What is this?
Toothed forceps
How is this used
An instrument used to pick up skin edges/suturing
Complications
infection, bleeding
What is this?
Guedel Airway (oropharyngeal airway) - size 4
How is this device used
An airway adjunct to enable airway oxygenation/ventilation
Sizing – angle of mandible to angle of mouth
Complications
Mucosal trauma & bleeding
Elicit gag reflex/laryngospasm
What is this
Nasopharyngeal airway
How is this used
An airway adjunct to enable airway oxygenation/ventilation
Sizing – tragus of the ear to incisors of teeth
complications of use
Nasal trauma & bleeding
NOT for use in base of skull fractures
What is this
Tracheostomy kit
How is this used?
A definitive airway used for complex airways e.g. Maxillofacial/ENT OR long term ITU patients/ventilation
Complications
Numerous and can be fatal.
Inner tube (& pipe cleaner) used to prevent obstruction
DOPE (Displacement, Obstruction, Pneumothorax, Equipment error)
What is this
octopus
Use of this device?
A device that allows for multiple infusions
e.g. Insulin SS and prevents backflow/siphoning due to one way valves
Complications
Infection/bleeding
Air embolism
Drug incompatibility
What is this
chest drain bottle
how is this used?
For pneumo/haemo-thorax
complications
Tension pneumothorax PTX if not opened (clamp left on)
Bottle above level of lung (drowning)
What is this
Monopolar diathermy
how is this used
Device used to stop bleeding during peri-operative procedure
Complications
Burns (metal)
fires (alcohol wash)
PPM dysfunction
environmental safety
What is this
NG tube
how is this used?
fine bore feeding tube with inner guidewire (for placement & then removed)
Complications
same as nasoparyngeal tube, plus soft tissue injury to oesophagus/stomach/lung
misplacement (& if unrecognised, this is a NEVER event)
retained guidewire
What is this
central line
How is this device used
Device that is used to obtain central IV access
Allows administration of medicines that require central access e.g. amiodarone/inotropes
Provides IV access for patients with difficult access or who need long term IV access
complications
Haemothorax
Pneumothorax
Haematoma
Arterial
What is this
femoral component of a total hip replacement
How is this used
Device used in total hip replacement, indications include neck of femur fractures or severe OA
Complications
General related to procedure (infection, pain, bleeding)
Specific : nickel allergy, cement reaction, femoral fracture, dislocation
What is this
Non-rebreather mask
How is this used
Device that delivers high flow oxygen (60-90%)
Breathe in from reservoir and exhale via side vents
complications
Occur if no oxygen being delivered to the mask (can cause suffocation)
What is this
Epidural needle
How is this instrument used
Instrument used to get into epidural space for medication to be administered
Complications
Pain, bleeding, nerve injury
What is this
nasal speculum (thudichum)
How is this used
Device used to examine the anterior part of nose E.g. Nasal polyps
Also remove foreign bodies /nasal packs & Surgery
Complications
damage to local structures by otherwise nil
What is this?
needle holder
How is this used?
Device used to aid with suturing
Complications?
sharps injury if suture sharps used, otherwise nil
what is this
suture - 5-0 prolene
how is this used
String used for sutures
Made of polypropylene (NON-absorbable sutures)
thought to have better tensile strength and so keep edges opposed better for better wound healing
Complications
wound infection
sutures break - wound breakdown
what is this
Endotracheal tube
how is this used
Airway device to provide definitive airway
complications
Misplaced
Damage to teeth, soft tissues
what is this instrument
Laryngeal Mask Airway (LMA)
how is this instrument used
Supraglottic airway device
Can be used for:
- ventilation during elective anaesthesia to fasted patients with low risks of regurgitation
- a rescue airway in failed intubation
complications
(LMA)
Inability to achieve seal and ventilate
Regurgitation and aspiration
Partial airway obstruction
what is this?
Laparoscopic port (with trochar)
how is this used
Device used in laparoscopic surgery
- Introduced via the hollow cannula into the body
- Sharp trachar to enter body
- Port to place devices for surgery (E.g. camera, scissors, diathermy etc)
- Port for CO2 insufflation & surgical space/view
complications?
General to laparoscopic surgery
Specific to port:
immediate : vascular or visceral injury, surgical emphysema (Co2 leak)
delayed: hernia, infection , bleeding
what is this
Stoma bag (closed, other type is drainable)
how is this used
Device attached to the skin around stoma to collect faeces
complications
Poorly sited = local skin inflammation & infection risk, psychological impact
Specific to stoma = parastomal hernia, necrosis
