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Flashcards in Lines, Drains, and Fluids Deck (54):
1

What are the three types of peripheral access lines?

IV
PICC
Intraarterial

2

What are the different central line accesses?

CVC
COrdis

HD cath
VAP

3

What are the complication associated with IV? (4)

infx
Hematoma
infiltrate
Pain during administration

4

What are the uses for an IV?

Routine med administration of fluids

5

What are the sites for IVs?

Any visible and/or palpable veins

6

What is the relationship between gauge and size?

Inverse

7

Where are PICC lines usually placed?

Antecubital fossa

8

What are the uses for PICC lines?

Long term administration
Poor IV access

9

What are PICC lines NOT used for? Why?

Fluid resuscitation-- small lines

10

What are the three major complications with PICC lines?

Venous thrombosis
Malposition/dislocation
Infection

11

Where are central venous catheters placed? (3)

IJV
Subclavian
Femoral

12

Are CVC used for fluid resuscitation?

Yes

13

What are the three common complications with CVC?

Pneumothorax
Infx
Arterial puncture

14

What are the three uses for CVCs?

Fluid resuscitation
Multiple med lines
Invasive monitoring

15

What are the three locations for a cordis?

IJ
Subclavian
Femoral

16

What are the uses for Cordis?

Fluid resuscitation
Pulmonary artery cath
Invasive monitoring
SUrgery with rapid blood loss
Multiple med line

17

What are the two major complications with Cordis?

Pneumothorax
Massive hemorrhage

18

What are the locations of the PA cath?

Subclavian or IJV

19

What are the uses for a PA cath?

Critically ill with cardiac instability
Major cardiac surgery
Hemodynamic monitoring

20

What are the three major complications with PA caths?

Pulmonary artery rupture
Papillary muscle damage
Valvular damage

21

What are the hemodialysis caths used for?

IVJ
Subclavian
Femoral

22

What are the three major uses of hemodialysis caths?

Acute hemodialysis
Chronic hemodialysis

23

What are the two complications with hemodialysis catheters?

Clotting
Bleeding

24

What are the two locations of Hickman caths?

Subclavian
IJV

25

What is the major use of Hickman Caths?

Long term med

26

What are the three major complications with Hickman Caths?

Pneumothorax
Bleeding
Infx

27

What are the two locations for vascular access ports (VAPs)?

Subclavian
IJV

28

What are the two uses of VAPs?

Prolonged IV access
Long term chemo

29

What are the two major complications with VAPs?

Dislocation
Breakage

30

What are the six different types of drains?

1. Penrose
2. Jackson-pratt
3. Hemovac
4. chest tube
5. Enteral feeding tubes

31

What is a Penrose drain? uses?

Rubber tubing placed in the neck or extremity to allow for free drainage of dependent fluids

32

What is a JP/Blake drain? Uses?

Semi-rigid plastic tubings that are attached to a suction device, to allow for postoperative drainage of a potential space or percutaneous drainage

33

What are hemovacs? What are they used for?

Self contained spring loaded drain that are used for suction post-op

34

What are chest tubes/pleuro vacs? Uses?

Drainage devices for hemothorax or pneumothorax

35

What are T-tubes, and what are their uses?

Cholecystotomy tubes or percutaneous transhepatic cholangiocatheter

36

What are the uses of T-tubes?

Drains biliary tract
Post-op CBD expansion
Acute cholecystitis

37

What are the three different types of enteral feeding tubes?

1. G tube
2. J tube
3. NG/OG

38

What are G tubes?

Enteral feeding tubes that are placed through the abdominal wall into the gastric lumen, and are used for feeding or draining the stomach

39

What are PEG tubes?

Percutaneous endoscopic gastrostomy (G-tube)

40

What are J tubes?

Red rubber catheter from abdominal wall into the Jejunum for feeding

41

Are G tubes used for drainage? J tubes?

G tubes yes, J tubes No

42

How are J tubes placed?

Surgically

43

What are NG/OG tubes?

Nasogastric or orogastric tubes to used for enteral feedings/meds

44

What is the common complications with NG/OG tubes?

Aspiration d/t going through the LES

45

What are the electrolyte contents of NS? pH?

154 mEq for Na and Cl, at a pH of 4-5

46

What is the rate of IVF administration for adults, children, and infants?

Adults = UOP 1/2 ml/kg/hr
Child = 1 ml/kg/hr
Infants = 2 ml/kg/hr

47

How do you calculate the 24 hour IVF maintenance?

100 ml for first 10 kg
50 for next 10 kg
20 for additional kg

48

How do you calculate the maintenance fluid required per hour?

4 ml/kg for first 10 kg
2 ml/kg for next 10
1 ml/kg for additional kg

49

What two types of fluids are used for boluses?

NS or LR

50

Do you ever bolus dextrose or KCl?

never

51

What is the maximum amount of KCl that can be given through a peripheral IV? Central line

10 mEq/hr for peripheral

20 mEq/hr for central

52

10 mEq if IV K raises serum K by how much?

0.1 mEq/L

53

What are the electrolytes and concentrations for D5 half NS?

77 Na
77 Cl
50 Glu
450 free H2O

54

What are the electrolytes and their concentrations for LR?

130 Na
110 Cl
4 K
100 Free H2O
28 mEq lactate