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Acute Care > Lines and leads > Flashcards

Lines and leads Flashcards

1
Q

PICC line

A
  • peripherally inserted central catheter
  • surgically inserted from UE vein to superior vena cava
  • long term meds
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2
Q

precautions for PICC line

A
  • avoid BP in this UE

- avoid axillary crutches

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3
Q

can you disconnect a PICC line

A

yes but check with nursing

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4
Q

A- line or art line

A

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

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5
Q

precautions for art line

A
  • 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
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6
Q

can an art line be disconnected

A

yes but check with nursing

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7
Q

IV line

A
  • intravenous line

- delivers fluids, meds, into peripheral vein

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8
Q

precautions for IV

A
  • keep drip bag above level of insertion
  • avoid kinking tube
  • take BP elsewhere
  • notify nurse if swollen
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9
Q

can IV be disconnected

A

yes check w nurse

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10
Q

patient controlled analgesia

A
  • PCA
  • pump that delivers IV pain meds when pt pushes button
  • steady flow of meds
  • prevents over medication
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11
Q

NG tube

A
  • nasogastric tube
  • inserted thru nasal passage to stomach
  • short term feeding
  • can be used to suction stomach contents
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12
Q

precautions for NG tube

A
  • avoid supine for 30 mins after feeding

- can disconnect temp for mobility

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13
Q

percutaneous endoscopic gastrostomy/jejunostomy tube

A

PEG tube

- long term feeding

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14
Q

PEG tube precautions

A
  • avoid supine for 30 mins after feeding
  • dont put gait belt over tube
  • can be disconnected but needs to be capped
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15
Q

oxygen low flow

A

nasal cannula
face mask
face tent

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16
Q

oxygen high flow

A

venturi mask

non rebreather

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17
Q

standard nasal cannula

A
  • supplemental
  • hooked to wall or portable
  • need portable tank when mobilizing
18
Q

hi flow nasal cannula (HFCN)

A
  • 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
19
Q

bag valve mask

A

ambu bag
high flow
emergency

20
Q

foley catheter

A
  • indwelling catheter inserted into urethra, held in place with inflated balloon
  • used to drain bladder
  • empty bag before mobility
  • avoid tension
21
Q

can foley catheter be disconnected

A

no

22
Q

condom catheter

A
  • catheter held in place by condom
  • falls off easy
  • precautions same as foley
23
Q

jackson-pratt/bulb or hemovac

A
  • active drain removing fluid from wound
  • prevent accumulation of fluids that increase infxn risk
  • cant be disconnected
24
Q

chest tube

A
  • inserted into pleura space to drain fluid or maintain pulmonary inflation
25
Q

precautions for chest tube

A

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

26
Q

epineural/continuous peripheral nerve block and epidural

A
  • regional pain

- slow infusion of meds

27
Q

epineural/continuous peripheral nerve block and epidural precautions

A
  • check motor and sensory fxn prior to mob
  • no tension on line
  • no disconnect
28
Q

sequential compression device

A

SCD
assist in venous return
prevent DVTs

29
Q

sequential compression device precautions

A

disconnect for mobility

reattach

30
Q

wound vac

A
  • pull fluid from wound, reduce edema, clean wound, remove bacteria
  • vac goes with pt
31
Q

trach tube

A

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

32
Q

mechanical vent

A

breathing assistance from complete dependence

33
Q

intracranial pressure monitor

A

ICP

measure epidural or intraventricular pressure

34
Q

ICP monitor precautions

A

talk to nurse before treating
expect fluctuations
avoid putting head down

35
Q

central venous catheter

A 
central line
more involved pt's
placed in large vein 
administered meds, fluids, obtain blood, measure central venous pressure 
- cant disconnect
36
Q

VAS cath

A
  • 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
37
Q

AV fistula

A

connects artery and vein to carry out dialysis

38
Q

continuous renal replacement therapy

A
  • CRRT
  • slower form of hemodialysis
  • can still mobilize just know where it is place and don’t mobilize that area
39
Q

salter labs nasal cannula

A

high flow
15LPM of O2
has humidity

40
Q

high flow/high humidity nasal cannula

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

Acute Care (20 decks)

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