Lines and leads

Question 1

PICC line

Answer 1

• peripherally inserted central catheter
• surgically inserted from UE vein to superior vena cava
• long term meds

Question 2

precautions for PICC line

Answer 2

• avoid BP in this UE

- avoid axillary crutches

Question 3

can you disconnect a PICC line

Answer 3

yes but check with nursing

Question 4

A- line or art line

Answer 4

arterial line
usually radial artery
directly measure BP, withdrawing blood or administering meds

Question 5

precautions for art line

Answer 5

• limit ROM
• do not dislodge
• apply firm pressure until help comes if it were to come out
• maintain the insertion site level with the transducer
• rigid sides

Question 6

can an art line be disconnected

Answer 6

yes but check with nursing

Question 7

IV line

Answer 7

• intravenous line

- delivers fluids, meds, into peripheral vein

Question 8

precautions for IV

Answer 8

• keep drip bag above level of insertion
• avoid kinking tube
• take BP elsewhere
• notify nurse if swollen

Question 9

can IV be disconnected

Answer 9

yes check w nurse

Question 10

patient controlled analgesia

Answer 10

• PCA
• pump that delivers IV pain meds when pt pushes button
• steady flow of meds
• prevents over medication

Question 11

NG tube

Answer 11

• nasogastric tube
• inserted thru nasal passage to stomach
• short term feeding
• can be used to suction stomach contents

Question 12

precautions for NG tube

Answer 12

• avoid supine for 30 mins after feeding

- can disconnect temp for mobility

Question 13

percutaneous endoscopic gastrostomy/jejunostomy tube

Answer 13

PEG tube

- long term feeding

Question 14

PEG tube precautions

Answer 14

• avoid supine for 30 mins after feeding
• dont put gait belt over tube
• can be disconnected but needs to be capped

Question 15

oxygen low flow

Answer 15

nasal cannula
face mask
face tent

Question 16

oxygen high flow

Answer 16

venturi mask

non rebreather

Question 17

standard nasal cannula

Answer 17

• supplemental
• hooked to wall or portable
• need portable tank when mobilizing

Question 18

hi flow nasal cannula (HFCN)

Answer 18

• deliver higher amounts of O2
• gas, heats up and hooked to humidity reservoir for more comfortable delivery of FiO2
• decreased airway inflammation
• may not be portable

Question 19

bag valve mask

Answer 19

ambu bag
high flow
emergency

Question 20

foley catheter

Answer 20

• indwelling catheter inserted into urethra, held in place with inflated balloon
• used to drain bladder
• empty bag before mobility
• avoid tension

Question 21

can foley catheter be disconnected

Answer 21

no

Question 22

condom catheter

Answer 22

• catheter held in place by condom
• falls off easy
• precautions same as foley

Question 23

jackson-pratt/bulb or hemovac

Answer 23

• active drain removing fluid from wound
• prevent accumulation of fluids that increase infxn risk
• cant be disconnected

Question 24

chest tube

Answer 24

• inserted into pleura space to drain fluid or maintain pulmonary inflation

Question 25

precautions for chest tube

Answer 25

dont tip box no tension on tubing remove wall suction requires MD

Question 26

epineural/continuous peripheral nerve block and epidural

Answer 26

- regional pain | - slow infusion of meds

Question 27

epineural/continuous peripheral nerve block and epidural precautions

Answer 27

- check motor and sensory fxn prior to mob - no tension on line - no disconnect

Question 28

sequential compression device

Answer 28

SCD assist in venous return prevent DVTs

Question 29

sequential compression device precautions

Answer 29

disconnect for mobility | reattach

Question 30

wound vac

Answer 30

- pull fluid from wound, reduce edema, clean wound, remove bacteria - vac goes with pt

Question 31

trach tube

Answer 31

tracheostomy deliver oxygen to lungs, bypass airway obstruction, and/or remove secretions from airway - can connect to mechanical

Question 32

mechanical vent

Answer 32

breathing assistance from complete dependence

Question 33

intracranial pressure monitor

Answer 33

ICP | measure epidural or intraventricular pressure

Question 34

ICP monitor precautions

Answer 34

talk to nurse before treating expect fluctuations avoid putting head down

Question 35

central venous catheter

Answer 35

``` central line more involved pt's placed in large vein administered meds, fluids, obtain blood, measure central venous pressure - cant disconnect ```

Question 36

VAS cath

Answer 36

- central venous catheter used in dialysis - usually inserted via the subclavian or jugular vessels - temporary - emergent dialysis or if the AV fistula graft not matured

Question 37

AV fistula

Answer 37

connects artery and vein to carry out dialysis

Question 38

continuous renal replacement therapy

Answer 38

- CRRT - slower form of hemodialysis - can still mobilize just know where it is place and don't mobilize that area

Question 39

salter labs nasal cannula

Answer 39

high flow 15LPM of O2 has humidity

Question 40

high flow/high humidity nasal cannula

Answer 40

- optiflow - takes gas, heats it up and delivers 100% FiO2 at flow rates up to 60 - monitor exercise tolerance