Lesson 4 - Lines and tubes Flashcards

(54 cards)

1
Q

endotracheal tubes ETT

A

airway management
used for severe upper airway obstruction

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2
Q

tracheostomy

A

insertion through the neck into the trachea for placement of ETT

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3
Q

problem with the cuff of ett

A

Irritation of the trachea mucosa, intubation is required if long-term care is needed

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4
Q

is an image required after ETT placement to ensure proper placement

A

yes, chest image
Properly positioned will show the distal tip superior (5-7cm) to the bifurcation of the trachea

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5
Q

ETT incorrect place

A

-in the right main stem bronchus
-higher than the clavicles

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6
Q

where is the carina located

A

between T5 and T7

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7
Q

atelectasis

A

Partial or complete collapse of the lung

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8
Q

endotracheal intubation complications

A
  1. too low
    bronchial intubation
  2. too proximal
    esophageal intubation
    vocal cord damage
  3. Breakdown of the tracheal mucosa due to the cuff
  4. Subcutaneous emphysema
    5.pneumothorax (PTX)
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9
Q

Tracheostomy tube (TT)

A

medically inserted into trachea
for long-term patients

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10
Q

TT position

A

halfway between stoma and the carina T2-T3 vertebra
chin doesn’t affect position of tube

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11
Q

thoracostomy tubes

A

chest tubes
intrapleural tubes
intracostal tubes
drainage tubes

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12
Q

whats the purpose of thoracostomy tubes

A

inserted into chest wall to fix a pneumothorax, suction air out

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13
Q

what pleural effusion

A

fluid accumulation in the lungs

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14
Q

radiographic apprearance of pleural effusion

A

can see 300 ml on PA or AP but 150 ml on decubitis views

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15
Q

effusion vs pneumothoarx

A

effusion is liquid and pneumothorax is air

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16
Q

terminal holes

A

in teracostomy tubes
show in xray
shouldn’t be outside of the pleural cavity

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17
Q

chest tube drainage

A

need to drain fluid/ air out with wall mounted or gravity

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18
Q

central venous catheter (CVC)

A

catheter inserted into a pateints large vein, internal jugular, subclavian or femoral to get short-long term treatment

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19
Q

long term cvcs

A

hickman
PICC
port-a-cath

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20
Q

short-term CVCS

A

internal jugular catheter
swan ganz

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21
Q

what is cvc used for

A

blood pressures
administer drugs
draw blood
transfusions

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22
Q

Common types of CVC

A

venous catheter, peripherally inserted central catheter and a subcutaneous port

23
Q

tunneled cvcs

A

tube goes into chest and sits in vein above right atrium

24
Q

dialysis catheter

A

tip in SVC
short tube is intake longer tube is outtake

25
hickman catheter
has clamps, tunneled Looks like a dialysis catheter with clips
26
groshong
even tip no clamps long term IV access
27
internal jugular catheter
short term to provide fluids/ medication
28
peripherally inserted central catheter (PICC)
in vein in arm below SVC.
29
pulmonary arterial line
The tip incorporated a small electrode to monitor pulmonary artery pressures by measuring the right side of the heart
30
whats the route for swan ganz catheter
internal jugular, brachiocephalic, SVC, right atrium, right pulmonary trunk
31
implanted ports
device inmplanted in the chest, appears like a bump. low mantaince, just requires flushing. catheter in the SVC or right atrium used to administer drugs
32
whats included in implanted ports
port-a-cath and a catheter
33
Nasogastric tubes
flexible plastic tube inserted through the nostrils into the stomach or upper small intestine
34
functions of nasograstric tubes
short term feeding administer drugs suctioning
35
The most common use for nasogastric tubes
suctioning out the stomach contents
36
difference between NG suctioning and feeding tubes
Feeding tubes are narrower and have a radiopaque tip
37
nasoenteric tube
tube from nose to small intestine, suctions contents out of bowel to relieve obstruction
38
chambers of the NE tube
one anchors in the stomach, two is for aspiration and three is for feeding
39
gastric/ gastro jejunal tube
gastroomy required long-term feeding
40
pacemaker
electromechanical devices into the right atrium and right ventricle to regulate rhythm and speed
41
temporary pacemakers are usually outside of the body t/f
true
42
implanted cardioverter defibrillator
treat sudden cardiac arrest by delivering a high-energy shock or pacing like a pacemaker
43
how are implanted cardioverter defibrillator placed
using fluroscopic guidence, tip in right ventricle
44
what not to do with patients with pacemakers
lift left arm 24 hours after insertion
45
ECG or cardiac monitor external lines
Don't unclip or remove
46
holter monitors uses
evaluate cardiac rhythm over certain time
47
how do holter monitors work
placed on patient and connected to transmitter also on pateints
48
types of urinary drainage catheters
Foley and straight catheter
49
imagin procedures requiring catherization
cystogram/ voiding cystourethrogram / CT cystogram (images of voiding or filling of the blatter )
50
urethrogram retrograde looks at
examination of the urethra to see why its narrowing, usually in males
51
alternative methods of urinary drainage
suprapubic catheter condom catheter
52
penrose drain
A soft tube is placed inside the body to drain fluids after surgery
53
Jackson-pratt drain
plastic drainage tube, using negative pressure, small bulb squeezed and slowly expand to create low pressure suction
54
hemovac
A drain is placed under the skin before closing after surgery