Gen Med: Lecture 1- Lines and Monitors

Question 1

What does PIV stand for?

Answer 1

Peripheral IV

Question 2

What are PIV lines used for?

Answer 2

Deliver intravenous fluids and medications

Question 3

Where are PIV lines commonly placed?

Answer 3

Dorsal hand/wrist
Cubital fossa
Dorsal foot

Question 4

What are central lines used for?

Answer 4

Monitor central venous pressure
Monitor right atrial pressure
Medication delivery
Fluid administration
Blood sampling
TPN

Question 5

What veins are central lines often placed in?

Answer 5

Jugular
Subclavian
Femoral

Question 6

What are Mahurkar and Permacath lines examples of?

Answer 6

Dialysis Catheters

Question 7

What type of central line allows for long term access?

Answer 7

Tunneled

Question 8

Where are PICC lines typically placed?

Answer 8

Upper arm

Question 9

What type of Catheter is also known as a Pulmonary Arterial Catheter?

Answer 9

Swan Ganz Catheter

Question 10

What is the path of the Swan Ganz Catheter?

Answer 10

1. Central vein
2. Superior Vena Cava
3. Right Atrium
4. Right Ventricle
5. Pulmonary Artery

Question 11

What does the Swan Ganz Catheter measure?

Answer 11

CVP
Right Atrial Pressure
Pulmonary Artery Pressure
Pulmonary Wedge Pressure
Cardiac Output
Cardiac Index
Systemic and Pulmonary Vascular Resistance
Temporary Pacing

Question 12

What are some potential complications of the Swan Ganz Catheter?

Answer 12

Malignant Arrhythmias
Pulmonary Artery Rupture
Pulmonary Valve Tear
Infection

Question 13

Where are arterial lines usually placed?

Answer 13

Radial artery
Femoral artery

Question 14

What can Arterial lines monitor?

Answer 14

Blood Pressure
Mean Arterial Pressure
Arterial blood Gases

Question 15

What needs to be done with Arterial lines to ensure an accurate reading?

Answer 15

Transducer must be at level of right atrium

Question 16

What is important to consider when repositioning a patient with an arterial line?

Answer 16

Change in position can cause transducer to no longer be at level of right atrium leading to inaccurate readings

Question 17

Where are ICP lines typically placed?

Answer 17

Epidural space
Subarachnoid space
Directly into ventricle

Question 18

What can an ICP line do?

Answer 18

Measure pressure
Drain CSF

Question 19

What is normal ICP?

Answer 19

< 10 mmHg

Question 20

What is the risk of an ICP line?

Answer 20

High infection risk

Question 21

What are Chest tubes used for?

Answer 21

Drain excess air or fluid form pleural space or mediastinum

Question 22

What two settings can a Chest Tube be set at?

Answer 22

Suction
Water seal

Question 23

What is the purpose of a drain?

Answer 23

Drain fluid from body cavity or surgical site

Question 24

What makes up a drain?

Answer 24

Small collection tube draining into a collection container

Question 25

What methods do drains use to collect fluids?

Answer 25

Suction Gravity

Question 26

What are some examples of drains?

Answer 26

JP drain Hemovac J-Vac Wound Vac

Question 27

What is the path of a Foley Catheter?

Answer 27

Inserted in urethera and placed in bladder

Question 28

How are Foley Catheter's held in place?

Answer 28

Balloon inflated in bladder

Question 29

What is the path of an NG/NJ tube?

Answer 29

Enters through nose and ends in stomach or small intestines NG= Stomach NJ= Small intestines

Question 30

What can an NG/NJ tube do?

Answer 30

Suction Provide nutrients

Question 31

When is it common to use an NG/NJ tube for suction?

Answer 31

After surgery

Question 32

What are some methods of supplemental oxygen delivery?

Answer 32

Nasal Cannula High flow nasal cannula Simple mask Aerosol mask Venturi mas Reservoir mask BiPAP/CPAP Ventillator

Question 33

What can be done to supplemental oxygen to improve comfort?

Answer 33

Humidified

Question 34

How much oxygen can be delivered through high flow nasal cannula?

Answer 34

Up to 60 L/min

Question 35

What is different with High Flow Nasal Cannulas compared to Nasal Cannulas?

Answer 35

Oxygen is heated and humidified Larger diameter tubing Snug nasal prongs

Question 36

What are some examples of High Flow Nasal Cannulas?

Answer 36

Optiflow Vapotherm

Question 37

What does CPAP and BiPAP stand for?

Answer 37

Continuous/Bilevel Positive Airway Pressure

Question 38

What is used as short term ventilatory support and used to prevent or wean off mechanical ventilation?

Answer 38

CPAP/BiPAP

Question 39

What are the different tubes used for mechanical ventilation?

Answer 39

Oral/Nasal Endotracheal Tube Tracheostomy Tube

Question 40

What are Speaking Valves?

Answer 40

Valves placed over tracheostomy pening to allow patient to vocalize

Question 41

Can a patient receive supplemental oxygen with a speaking valve?

Answer 41

Yes

Question 42

What is required to allow the use of restraints?

Answer 42

MD order updated every 24 hours

Question 43

What is required when using restraints once the MD has them ordered?

Answer 43

Use for shortest amount of time Use least restrictive option Use alternative if able

Question 44

Once a patient is restrained, what needs to be done?

Answer 44

Patient must be monitored for proper positioning and possible pressure sites

Question 45

What are some common restraint alternatives?

Answer 45

Hand mitts Bed sensors