lines and tubes

Question 1

what are ETT

Answer 1

endotracheal tubes
airway management

Question 2

what does a properly positioned ETT look like

Answer 2

distal 5-7cm superior to the tracheal bifurcation

Question 3

what is the most common ETT misplacement

Answer 3

intubation of the right main stem brinchus

Question 4

how to tell ETT placement when Carina is not visible

Answer 4

tip of ETT should not lie higher than the medial ends of the clavicles

Question 5

what complication is associated with too distal placenement of ett

Answer 5

bronchial intubation

Question 6

what complication is associated with too proximal placenement of ett

Answer 6

esophageal intubation (air into stomach)
vocal cord damage from cuff inflation
greater chance of extubation

Question 7

what are TT

Answer 7

tracheostomy tubes
pts who require long term ventilation

Question 8

where should the TT lay

Answer 8

tip of TT halfway between the stoma
and the carina

Question 9

what are 4 types of thoracostomy tubes

Answer 9

Chets tubes
intrapleural tubes
intracoastal tubes
drainage tubes

Question 10

costophrenic fluid can approach ___ or more before radiographically evident
1. on a PA or AP
2. lateral decubs

Answer 10

300ml or more
150ml

Question 11

what is a CVC

Answer 11

central venous catheter
catheter inserted into a large vein (usually above heart)

Question 12

what are the 3 common CVC types

Answer 12

tunneled CVC
peripherally inserted CC (PICC)
subcutaneous (implanted) port

Question 13

what is a tunneled CVC

Answer 13

tunnels under the sin
enters under collarbones, sits right above R atrium
less infection, more secure

Question 14

what is a paerm cath or raaf cath

Answer 14

tunneled, double lumen for dialysis

Question 15

what is a Hickman catheter

Answer 15

double or triple lumen
hemodialysis, apheresis, IV, chemo, parenteral etc

Question 16

what is a groshong catheter

Answer 16

double or triple lumen
long term IV access
tunneled, but even tip
has valve, tfr no clamp

Question 17

what is an internal jugular catheter

Answer 17

IV access for fluid/meds
post-op, ICU (short term)

Question 18

what is a PICC

Answer 18

peripherally inserted central catheter
1-3 lumens
from arm to distal SVC
**groshong cath can be used as PICCs

Question 19

what s a swan Ganz catheter

Answer 19

incorporated electrode to monitor pulmonary artery pressures

Question 20

what are implanted ports

Answer 20

low maintenance, surgically implanted
much less prone to infection
common in oncology pts

Question 21

what is the most common NG tube used

Answer 21

the Levin tube

Question 22

what is an NE tube

Answer 22

nasoenteric (into small intestine)
to decompress bowel, provide nutrition

Question 23

what is a GI tube

Answer 23

gastro-jejunal tube
long-term feeds
gastronomy required

Question 24

what is the major no-no for patients with NG/NE tubes

Answer 24

they should NOT be allowed to lay flat

Question 25

what is the major no-no for pts with pacemakers and ICDs

Answer 25

DO NOT elevate left arm for 24 hours post placement DO NOT elevate elbow above shoulder height

Question 26

what are the 2 types of urinary catheters

Answer 26

- Foley catheter - straight catheter

Question 27

what is the difference between the two urinary catheter types

Answer 27

Foley catheter has a balloon port

Question 28

what 3 procedures require catheterization

Answer 28

cystogram voiding cystourethrogram CT cystogram

Question 29

what are the 2 alternative methods of urinary catheterization

Answer 29

suprapubic catheter condom catheter

Question 30

what is a Penrose drain

Answer 30

soft, flat, flexible, tube prevents fluid collection under incision

Question 31

what is a JP drain

Answer 31

jackson-pratt plastic drainage tube small bulb creates a low negative pressure

Question 32

what is a hemovac

Answer 32

drain placed under skin before closing common in orthopedic