PCM 2 (Unit 2) Equipment, Lines, and Tubes

Question 1

Oxygen Therapy Delivery

What is the Function of the O2 Nasal Cannula?

Answer 1

This is used to administer oxygen at various levels
- This is administered via the nose, and the tubing may be connected to an O2 line from the wall or a portable oxygen tank

Question 2

Oxygen Therapy Delivery

With the O2 Nasal Cannula, what are some precautions and what Diagnosis commonly uses this?

Answer 2

Precautions:
- Monitor lines during mobility so as not to pull from the face, wall or tank. Ensure proper length of extension line and educate not to trip or tangle the lines
- Monitor vital signs SpO2 at rest and with activity. Observe for kinks and remove if present, inspect skin on face where line is placed

Diagnosis commonly encounted:
- Cardiopulmonary, respiratory dysfunction

Question 3

Oxygen Therapy Delivery

What is the function of an Open Face Tent?

Answer 3

• This provides humidifed, supplemental O2 mixed with room air, also used to provide nebulized medication
• This is placed over the mouth and nose

Question 4

Oxygen Therapy Delivery

With the Open Face Tent, what are some precautions and what Diagnosis commonly uses this?

Answer 4

Precautions:
- Moisture may collect in the mask and should be drained prior to mobilization. Cumbersome and may shift during mobilization, make sure to maintain placement. Monitor lines during mobility so as not to pull form the face, wall or tank. Ensure proper length of extension line and educate not to trip or tangle the lines.
- Monitor vital signs SpO2 at rest and with activity. Observe for kinks and remove if present, inspect skin on face where line is placed

Diagnosis commonly encounted:
- Cardiopulmonary, respiratory dysfunction

Question 5

Oxygen Therapy Delivery

What is the Function of the Closed Face Mask?

Answer 5

• This delivers supplemental oxygen missed with room air
• This is placed over the nose and mouth

Question 6

Oxygen Therapy Delivery

With the Closed Face Mask, what the precautions and what diagosis commonly use this?

Answer 6

Precautions:
- Can interfere with coughing, talking, eating, and drinking. They may cause irritation of the skin. Keep the mask in place during therapy. monitor lines during mobility so as not to pull form the face, wall or tank. Ensure proper length of extension line and educate not to trip or tangle the lines.
- Monitor vital signs SpO2 at rest and with activity. Observe for kinks and remove if present, inspect skin on face where line is placed.

Diagnosis commonly encounted:
- Cardiopulmonary, respiratory dysfunction

Question 7

Oxygen Therapy Delivery

What is the Function of the Transtracheal Oxygen Catheter?

Answer 7

• This is for long term O2 supplementation of oxygen mixed with room air
• This is placed in the trachea

Question 8

Oxygen Therapy Delivery

With the Transtracheal Oxygen Catheter, what are the precautions and what diagnosis commonly uses this?

Answer 8

Precautions
- Monitor for hygiene and wound infection. monitor lines during mobility so as not to pull form the face, wall or tank. Ensure proper length of extension line and educate not to trip or tangle the lines.
- Monitor vital signs SpO2 at rest and with activity. Observe for kinks and remove if present, inspect skin on face where line is placed.

Diagnosis commonly encounted:
- Cardiopulmonary, respiratory dysfunction

Question 9

Oxygen Therapy Delivery

What is the function of the Tracheostomy Collar?

Answer 9

• An incision into the trachea is made to bypass the nasal and mouth apparatus for breathing and provide a more direct flow of oxygen
• This is place in the trachea; a trach tent will be placed over the tracheostomy tube to administer O2 from the tank of the wall

Question 10

Oxygen Therapy Delivery

With the Tracheostomy Collar, what are the precautions and what diagnosis commonly uses this?

Answer 10

Precautions:
- Moisture may collect in the mask and should be drained prior to mobilization. Cumbersome and may shift during mobilization. Do not kink or disconnect during mobility. Do not apply pressure to the site during transfers, do not remove

Diagnosis Commonly Encountered
- Cardiopulmonary, respiratory dysfunction

Question 11

Oxygen Therapy Delivery

What is the Function of Endotracheal and Tracheostomy Tubes?

Answer 11

• This machine uses positive pressure to propel gas/air into the patients lungs
• This ventilation can be administered through an endotracheal tube (or ET tube) which is inserted orally through the mouth into the trache, or through a trachestomy which is surgically performed to create an incision directly into the trachea

Question 12

Oxygen Therapy Delivery

With the Endotracheal and Tracheostomy Tubes, what are the precautions and what diagnosis commonly uses this?

Answer 12

Precautions:
- Ensure tubing is secured and not obstructed, communicate with the interprofessional team for initiating mobility as well as getting their assistance during mobility from the RN and respiratory therapist, communication and monitoring the patient and their responses to activity, ensure adequate length of tubing as well as organizing the start position for the activity to be performed.

Diagnosis commonly encountered:
- Patients with disorders of consciousness, and those with diseases that create impaired control of respiration and interfere with gas exchange into the lungs may require use of mechanical ventilation.

Question 13

Oxygen Therapy Delivery

What is the Function of a Non-rebreather mask and a Partical Non-rebreather mask?

Answer 13

• Non-rebreather provides highest amount of supplemental oxygen with a one way valve
• Partial rebreather is a two way valve supplying oxygen and room air
• These are placed over the nose and mouth

Question 14

Oxygen Therapy Delivery

With the Non-rebreather mask and a Partical Non-rebreather mask, what are the precautions and what diagnosis commonly uses this?

Answer 14

Precautions:
- If pt is on non-rebreather, PT is usually deferred. For the partial rebreather, be sure the reservoir bag remains partially full upon inspiration.

Diagnosis commonly encountered
- Respiratory dysfunction

Question 15

Oxygen Therapy Delivery

What is the Function of an Air Entrainment Mask (Vent-Mask)?

Answer 15

• Using a color code system, this provides a specific concentration of supplemental oxygen
• This is placed over the nose and mouth

Question 16

Oxygen Therapy Delivery

With the Air Entrainment Mask (Vent-mask), what are the precautions and what diagnosis commonly uses this?

Answer 16

Precautions:
- If humidification is used, observe the line for moisture. Educate patient about importance of keeping mask in place. monitor lines during mobility so as not to pull from the face, wall or tank.
- Ensure proper length of extension line and educate not to trip or tangle the lines. Monitor vital signs SpO2 at rest and with activity. Observe for kinks and remove if present, inspect skin on face where line is placed.

Diagnosis commonly encountered
- Respiratory dysfunction

Question 17

Oxygen Therapy Delivery

What is the Function of Bi-level positive airway pressure (BiPAP)?

Answer 17

• This is a pressure supported non-invasive ventilation
• This is placed over the nose and mouth secured with straps

Question 18

Oxygen Therapy Delivery

With Bi-level positive airway pressure (BiPAP), what are the precautions and what diagnosis commonly uses this?

Answer 18

Precautions
- Check skin integrity over the bridge of the nose. Check orders for alternative deliveries of O2 supplementation when mobilizing as it is not common to mobilize with BiPap running.It can however be placed on portable pole to mobilize if needed. Ensure adequate line, no dislodging, and monitoring of O2 saturation.

Diagnosis commonly encountered
- Cardiopulmonary, respiratory dysfunction

Question 19

Hemodynamic Monitoring

What is the Function of the Dynamap and BP Cuff?

Answer 19

• This monitors BP
• This is placed on the proximal UE (preferred), can also be placed on forearm or distal leg/calve

Question 20

Hemodynamic Monitoring

With the Dynamap and BP Cuff, what are the precautions and what diagnosis commonly uses this?

Answer 20

Precautions:
- Monitor BP before, during, and after treatment. Ensure line does not tangle and is securely fastened to the cuff from the machine for proper inflation

Diagnosis commonly encountered
- General populations

Question 21

Hemodynamic Monitoring

What is the Function of Telemetry and Cardiac Monitor/Leads?

Answer 21

• Wall mounted monitors, portible telemetry units to monitor HR and rhythm
• This is placed on the chest

Question 22

Hemodynamic Monitoring

With Telemetry and Cardiac Monitor/Leads, what are the precautions and what diagnosis commonly uses this?

Answer 22

Precautions
- If abnormal reading presents, check placement of leads and make sure they are secured. If abnormal reading persists, seek RN assistance. Do not disconnect.

Diagnosis commonly encountered
- Cardiopulmonary

Question 23

Hemodynamic Monitoring

What is the Function of the Pulse Oximetry?

Answer 23

• Basic monitoring of HR and SpO2 vital signs
• This is placed on the finger, forehead, earlobe or toe

Question 24

Hemodynamic Monitoring

With Pulse Oximetry, what are the precautions and what diagnosis commonly uses this?

Answer 24

Precautions
- Do not detach this monitor during mobility, as it is important to monitor vital sign response during functional activity and mobility

Diagnosis commonly encountered
- Particularly those presenting with cardiopulmonary pathologies, neurologic, and multi trauma

Question 25

# Hemodynamic Monitoring What is the Function of Arterial Line?

Answer 25

- Continuous measure of BP, and allow for repeated blood samples (such as blood gases) while avoiding repeated needle punctures - This is found in many available artery, most common placed A line is the Radial Artery

Question 26

# Hemodynamic Monitoring With Arterial Lines, what are the precautions and what diagnosis commonly uses this?

Answer 26

**Precautions** Exercise may be performed, but strong precautions must be taken to avoid dislodging or occluding the line. ROM should be limited near the line placement. If dislodged, immediate secure pressure must be placed on the site, and the nurse must be alerted through use of the call bell. Most importantly, do not panic, as you do mot want to alarm your patient. **Diagnosis commonly encountered** - Cardiopulmonary, neurologic injury, patients needing close cardiac monitoring

Question 27

# Hemodynamic Monitoring What is the Function of the Central Venous Catheter?

Answer 27

This is a long, flexible tube your provider inserts into a vein in your neck, chest, arm or groin. It leads to your vena cava, a large vein that empties into your heart. A CVC helps you receive drugs, fluids or blood for emergency or long-term treatment. It also helps with blood draws ## Footnote **Diagnosis commonly encountered**: Cardiopulmonary, respiratory dysfunction

Question 28

# Hemodynamic Monitoring What is the Function of the Pulmonary Artery Catheter (Swan Ganz Catheter)?

Answer 28

- This measures continuously the Pulmonary Artery pressure and can detect subtle changes in the CV system - This is placed through the internal jugular vein, subclavian vein or in the groin through the femoral vein. The yellow line then passes through the venous system to end in the pulmonary artery

Question 29

# Hemodynamic Monitoring With the Pulmonary Artery Catheter (Swan Ganz Catheter), what are the precautions and what diagnosis commonly uses this?

Answer 29

**Precautions** - Exercise may be performed with this catheter, but may need to be limited based on location of insertion. If placed in the Subclavian vein, shoulder flexion needs to be avoided, and overall shoulder movement limited. The femoral vein requires less than 30 degrees of hip flexion and limited hip abduction in order to maintain an accurate reading. - Timelines of inactivity are often ordered prior to initiating a patient OOB immediately post surgical placement. **Diagnosis commonly encountered** - Cardiopulmonary, respiratory dysfunction

Question 30

# Hemodynamic Monitoring What is the Function of the Intracranial Pressure Monitor?

Answer 30

- A line that monitors the pressure exerted on the skill by the brain tissue, blood and/or CSF - This is surgically placed through a hole drilled into the skull to access the lateral ventricle of the brain

Question 31

# Hemodynamic Monitoring With the Intracranial Pressure Monitor, what are the precautions and what diagnosis commonly uses this?

Answer 31

**Precautions** - Limited physical mobility can be performed when this monitoring is in place. It relies on a transducer that is position dependent and must require repositioning of this transducer is the patient is moved form supine to sitting or standing in order to ensure accurate readings. Avoid activities that will increase ICP such as Valsalva or isometric exercise. - Limit neck flexion, limit hip flexion greater than 90 degrees, laying prone or laying below the level of 15 degrees below the horizontal. Ensure proper monitoring of the line so as to avoid disruption, dislodging or malplacement. **Diagnosis commonly encountered** - Closed head injury, cerebral hemmorahge, brain tumor or overproduction of cerebrospinal fluid

Question 32

# Hemodynamic Monitoring What is the Function of the External Ventricular Device?

Answer 32

- This is inserted surgically into the brain to monitor intracranial Pressure. This also drains CSF and blood that is in excess from the ventricles in the brain to reduce swelling and help attain a more normal ICP reading - This is placed in the brain and ventricles; Nursing is responsible for managing the EVD device once in place. The patients head must be aligned with the transducer, which must be leveled at the external meatus of the ear

Question 33

# Hemodynamic Monitoring With the External Ventricular Device, what are the precautions and what diagnosis commonly uses this?

Answer 33

**Precautions** - With specific orders from the physician indicating the patient is safe to have the EVD clamped and realigned for mobility then allows us to help improve functional mobility in these patients. - Communication with nursing is essential in that the nurse will be the one to clamp and unclamp the drain, as well as reposition during mobility and at termination when you are finished. - While working with a patient with an EVD, the doctors may begin trials where the drain remains clamped. It is important to know when this is occurring and to monitor behavior and cognition for abnormal signs, such as irritability, confusion or even HA and vomiting. If this were to occur while the EVD is clamped, it may signify the patient is not ready to have the catheter removed. **Diagnosis commonly encountered** - Patients with acquired brain injury having had an intracranial or subarachnoid hemorrhage, a traumatic brain injury, meningitis, hydrocephalus, or tumor

Question 34

# Medical Surgical Management Device What is the Function of the Chest Drainage Tube?

Answer 34

To remove air, blood, and/or fluid from the pleaural cavity - These tubes are surgically inserted into the pleaural cavity

Question 35

# Medical Surgical Management Device With the Chest Drainage Tube, what are the Precautions and what diagnosis commonly uses this?

Answer 35

**Precautions** The container in which the fluid is connected is gravity dependent and must be below the level of the chest cavity and cannot be laid on its side. - It is important to not pull on these flexible tubing. Exercise is permitted and encouraged with close monitoring of patient vitals and subjective response, as well as careful organization and handling of the containers and tubing. - If the tubing is also connected to a suction container on the wall, request permission from the nurse to hold the suction component while mobilizing your patient out of bed. **Diagnosis Commonly Encountered** - Those who have alterations in their fluid production and retention, likely due to cardiopulmonary pathology or trauma

Question 36

# Medical Surgical Management Device What is the Function of the Lumbar Drain?

Answer 36

This drains CSF from subarachnoid space in the lumbar spine; treat CSF leaks or dural tears

Question 37

# Medical Surgical Management Device With the Lumbar Drain, what are the Precautions and what diagnosis commonly uses this?

Answer 37

**Precautions** - Must communicate with RN about position of the device, bag, and ICP. May encounter these patients on bed rest. Monitor changes in neurologic status. **Diagnosis Commonly Encountered** - S/p lumbar surgery, neurologic diagnoses

Question 38

# Medical Surgical Management Device What is the Function of the Jackson Pratt Drain (Surgical drain)?

Answer 38

Implanted at surgical incisoin to drain excess fluid - This is placed on post-surgical sites such as the abdomen, knee, hip, lumbar spine

Question 39

# Medical Surgical Management Device With the Jackson Pratt Drain, what are the Precautions and what diagnosis commonly uses this?

Answer 39

**Precautions** - Observe the locations of each drain and secure the tubing and bulb to ensure no tugging, pulling or dislodging occurs during activity. The bulbs must have slight compression so as to create suction to drain the fluid. - Be sure to note if the stopper comes undone, and re-secure as indicated. **Diagnosis Commonly Encountered** - Post surgical general population, common s/p mastectomy, gastric bypass, orthopedic

Question 40

# Medical Surgical Management Device What is the Function of the Nasogastric Tube (NG)?

Answer 40

This removes fluid or gas, evaluates the digestive activity, administers medications, provides food to the patient as well as provide treatments and obtains specimens from the gastric system - This is placed in the Nares and leads through the esophagus to the stomach

Question 41

# Medical Surgical Management Device With the Nasogastric Tube (NG), what are the Precautions and what diagnosis commonly uses this?

Answer 41

**Precautions** - This person is not allowed food or drink by mouth. Exercise is indicated and may occur while tube feeding is running. - Also, while the tube feed is running, the patient is not to be laid down less than 30 degrees. **Diagnosis Commonly Encountered** - Your patients with dysphagia, inability to swallow and those with disorders of consciousness

Question 42

# Medical Surgical Management Device What is the Function of the Percutaneous Endoscopic Gastrostomy/Jejunostomy Tube (PEG/PEJ)?

Answer 42

This administers nutrients, medications, as well removes fluids or obtains specimens from GI tract - This is placed in the stomach or jejunum

Question 43

# Medical Surgical Management Device With the Percutaneous Endoscopic Gastrostomy/Jejunostomy Tube (PEG/PEJ), what are the Precautions and what diagnosis commonly uses this?

Answer 43

**Precautions** - As a PT it is indicated to perform activity and functional mobility training with these patients, but awareness of the tubing is critical so as to not dislodge, pinch or create irritation - It is important to inspect the tubing area when working with patients to ensure it is not draining or inserted abnormally, or showing signs of infection. Pay attention to patient complaints of discomfort in this area. - We must secure the tubing, ensure it is closed if the tube is not connected to a feeding, and we may also receive permission to apply an abdominal binder around the core to ensure security. If the tube is still connected to a feeding, make sure the feeding is placed on hold while mobilizing the patient out of bed due to the precaution that patients cannot lay supine below 30 degrees while the feeding is running. **Diagnosis Commonly Encounted** - Swallowing disorders and most commonly those in prolonged disorders of consciousness

Question 44

# Medical Surgical Management Device What is the Function of the Hickman - Indwelling Right Atrial Catheter?

Answer 44

This line allows for administration of medications, removal of blood for testing without multiple punctures, and measuring central venous pressure - This is placed directly into the right upper chest wall through the internal jugular vein or upper arm through the cephalic vein, then through the superior vena cava in order to keep the tip of this catheter into the right atrium of the heart

Question 45

# Medical Surgical Management Device With the Hickman - Indwelling Right Atrial Catheter, what are the Precautions and what diagnosis commonly uses this?

Answer 45

**Precautions** - Exercise should be performed with care and absolute caution so as not to dislodge or pull the catheter from the site. Take note to avoid occluding the line, and avoid ROM near the line placement if placed through the upper arm. **Diagnosis Commonly Encountered** - Patients receiving bone marrow transplant, other cancers, or severe trauma will require placement of such a line

Question 46

# Medical Surgical Management Device What is the Function of the Vascular Access Port?

Answer 46

For long-term chemotherapy, hemodialysis, TPN, or other infusion therapy needs - This is subcutaneously implanted in the subclavian

Question 47

# Medical Surgical Management Device With the Vascular Access Port, what are the Precautions and what diagnosis commonly uses this?

Answer 47

**Precautions** - No limitations in activity once healed **Dignosis Commonly Encountered** - Oncological diagnoses, kidney failure

Question 48

# Medical Surgical Management Device What is the Function of the Arteriovenous Fistula (AV)?

Answer 48

Access for long term hemo-dialysis - This is placed in the forearm

Question 49

# Medical Surgical Management Device With the Arteriovenous Fistula (AV), what are the Precautions and what diagnosis commonly uses this?

Answer 49

**Precautions** - Within 24 hours of placement, there is non WB and elevation of the extremity. No BP measurements on the limb and avoid pressure over the sight. Observe for signs of infection. **Diagnosis Commonly Encountered** - Kidney failure

Question 50

# Medical Surgical Management Device What is the Function of the Intravenous Infusion Line?

Answer 50

Used to provide fluids , nutrients, electolytes and medications. They are often placed in superficial veins of the arms and legs. (Wrist, hand, antecubitial fossa, dorsom of the foot, etc.)

Question 51

# Medical Surgical Management Device With the Intravenous Infusion Line, what are the Precautions and what diagnosis commonly uses this?

Answer 51

**Precautions** - Be aware of the location and security of the line when mobilizing the patient. Be sure to not pinch the lines. If able, ask the RN to hold the medication/fluid during the PT session so as to not have to manage an additional line. If this is not possible, then you must be aware of the placement of the IV pole in relation to the mobility training you are performing. **Diagnosis commonly encountered** - General populations

Question 52

# Medical Surgical Management Device What is the Function of Peripheral Inserted Central Catheter (PICC Line)?

Answer 52

Provides IV access to administer total parenteral nutrition (TPN), medications, fluid, blood products or chemotherapy. - Placed on the Basilic, cephalic, brachial vein and terminates in the superior vena cava

Question 53

# Medical Surgical Management Device With the Peripheral Inserted Central Catheter (PICC Line), what are the Precautions and what diagnosis commonly uses this?

Answer 53

**Precautions** - Axillary crutch may be contraindicated as pressure needs to be avoided in the area of the PICC. Must be covered during bathing, do not get wet or submerge. **Diagnosis commonly encountered** - General populations, oncological diagnoses, failure to thrive.

Question 54

# Medical Surgical Management Device What is the Function of the Rectal Pouch/Tube?

Answer 54

Temporarily collects stool into external collection bag and used also for infection control for C-diff. - Placed on the Rectum

Question 55

# Medical Surgical Management Device With the Rectal Pouch/Tube, what are the Precautions and what diagnosis commonly uses this?

Answer 55

**Precautions** - Very easily dislodged especially during bed mobility and scooting. Collection bag must be kept below level of insertion. Sitting upright may be limited due to pressure and discomfort. **Diagnosis commonly encountered** - Infection control of C-diff, disorders of consciousness, spinal cord injury

Question 56

# Medical Surgical Management Device What is the Function of the Colostomy Bag?

Answer 56

Surgical procedure creating an opening for the colon through abdomen to eliminate stool into an external collection bag. May be permanent or reversible. - Placed in the Lower Abdomen

Question 57

# Medical Surgical Management Device With the Colostomy Bag, what are the Precautions and what diagnosis commonly uses this?

Answer 57

**Precautions** - Monitor stoma for infection; do not dislodge during mobility, precaution when mobilizing toward the side of the colostomy bag. **Diagnosis commonly encountered** - Injury to the colon, infection such as diverticulitis, colon cancer, birth defect, blockage

Question 58

# Medical Surgical Management Device What is the Function of the Texas Catheter (Condom Catheter)?

Answer 58

To drain urine from the bladder - Externally placed over the penis

Question 59

# Medical Surgical Management Device With the Texas Catheter (Condom Catheter), what are the Precautions and what diagnosis commonly uses this?

Answer 59

**Precautions** Be aware of the contents in the bag, request emptying of the bag prior to mobility if it is full, avoid kinking or pulling on the catheter line during movement, and ensure the bag is always placed below the level of the bladder as this is a gravity dependent system. **Diagnosis commonly encountered** - Those who have lost control of bladder function, perhaps from a spinal cord injury, or other neuromuscular diagnosis affecting bladder function may require a catheter for the length of stay in the hospital.

Question 60

# Medical Surgical Management Device What is the Function of the Foley Urinary Catheter?

Answer 60

To drain urine from the bladder - Catheter is inserted through the urethra and remains in place due to a tiny balloon at the end of the tubing that has been inserted. There is a balloon port in which nurses use a syringe to pump saline or air to increase the size or deflate the balloon for removal.

Question 61

# Medical Surgical Management Device With the Foley Urinary Catheter, what are the Precautions and what diagnosis commonly uses this?

Answer 61

**Precautions** - Be aware of the contents in the bag, request emptying of the bag prior to mobility if it is full, avoid kinking or pulling on the catheter line during movement, and ensure the bag is always placed below the level of the bladder as this is a gravity dependent system. **Diagnosis commonly encountered** - Those whom have lost control of bladder function, perhaps from a spinal cord injury, or other neuromuscular diagnosis affecting bladder function may require a foley catheter for the length of stay in the hospital

Question 62

# Medical Surgical Management Device What is the Function of the Venriculoperitoneal Shunt?

Answer 62

Drains excessive CSF from ventricles into the abdomen/peritoneum or the right atrium of the heart - Begins within the ventricles and leads to the abdomen or right atrium of the heart.

Question 63

# Medical Surgical Management Device With the Venriculoperitoneal Shunt, what are the Precautions and what diagnosis commonly uses this?

Answer 63

**Precautions** Check activity orders as may be on bed rest for extended period of time. Do not supply pressure over the catheter placement, which can be felt under the skin. Must monitor neurologic status and ICP. **Diagnosis commonly encountered** - Hydrocephalus

Question 64

# Medical Surgical Management Device What is the Function of the Sequential Compression Devices (SCD)?

Answer 64

- Preventative piece of equipment provided to patients while hospitalized. The secondary prevention of deep vein thrombosis is essential, and when patients are spending more time immobile than mobile the SCD’s may provide an external pumping mechanism that may mimic that of the muscles to help ensure blood flow is adequate in the lower extremities.

Question 65

# Medical Surgical Management Device With the Sequential Compression Devices (SCD), what are the Precautions and what diagnosis commonly uses this?

Answer 65

**Precautions** (medical and pertaining to mobility) - Be sure to remove these from the legs prior to initiating exercise in bed and out of bed, as you must check the skin integrity, and remove as a potential safety hazard due to the tubing attached to the pump machine. - When finished with your treatment session, replace the SCD’s as appropriate and indicated, using clinical judgement re: safety and considering further mobilization by the patient themselves or other hospital staff. **Diagnosis commonly encountered** - General population

Question 66

# Medical Surgical Management Device What is the Function of the Yankauer Suction?

Answer 66

External suction device to clear secretions from oral cavity - Connected to the wall and needs to remain close to the patient to access for regular suctioning

Question 67

# Medical Surgical Management Device With the Yankauer Suction, what are the Precautions and what diagnosis commonly uses this?

Answer 67

**Precautions** (medical and pertaining to mobility) - Ensure it remains as clean as possible by keeping it in the sleeve; check patient’s need for use prior to mobilization to clear secretions. Do not pull if the patient bites down, wait until they become relaxed then remove. **Diagnosis commonly encountered** - Swallowing disorders, dysphagia, decreased cough reflect, respiratory dysfunction.

Question 68

# Medical Surgical Management Device What is the Function of the Vacuum Assisted Closure (Wound VAC)?

Answer 68

Uses negative pressure and a medical sponge inserted into a wound to promote healing and prepare the wound bed for closure. The negative pressure will reduce edema, promote perfusion and remove exudate and infectious material from the wound space. - Wound vacs can be placed anywhere on the body you may encounter a wound. For example, the sacrum from a pressure ulcer, the stomach after an abdominal surgery, the chest s/p CABG.

Question 69

With the Vacuum Assisted Closure (Wound Vac), what are the Precautions and what diagnosis commonly uses this?

Answer 69

**Precautions** (medical and pertaining to mobility) - This is managed by nursing, but as the PT mobilizing patients with these wound vacs, we must be sure to monitor the location of the tubing, as well as ensure the suction is intact over the wound area. - These are often powered by using an outlet in the wall, but can be removed for mobility out of the room as long as the battery is charged. Take note in the medical chart of any weight bearing precautions present if this device is on an extremity. **Diagnosis commonly encountered** - General population with a wound that fails to close or heal.

Question 70

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 70

O2 Nasal Cannula

Question 71

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 71

Open Face Tent

Question 72

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 72

Closed Fask Mask

Question 73

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 73

Transtracheal Oxygen Catheter

Question 74

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 74

Tracheostomy Collar

Question 75

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 75

Endotracheal and Tracheostomy Tubes

Question 76

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 76

Air Entrainment Mask (Vent-Mask)

Question 77

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 77

Bi-Level Positive Airway Pressure (BiPAP)

Question 78

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 78

Dynamap and BP Cuff

Question 79

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 79

Telemetry and Cardiac Monitor/Leads

Question 80

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 80

Pulse Oximetry

Question 81

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 81

Arterial Line

Question 82

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 82

Central Venous Catheter

Question 83

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 83

Pulmonary Artery Catheter: Swan Ganz Catheter

Question 83

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 83

Intracranial Pressure Monitor

Question 84

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 84

External Ventricular Device

Question 85

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 85

Chest Drainage Tube

Question 86

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 86

Lumbar Drain

Question 87

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 87

Jackson Pratt Drain (Surgical Drain)

Question 88

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 88

Nasogastric Tube (NG)

Question 89

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 89

Percutaneous Endoscopic Gastrostomy/Jejunostomy Tube (PEG/PEJ)

Question 90

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 90

Hickman - Indwelling Right Atrical Catheter

Question 91

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 91

Vascular Access Port

Question 92

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 92

Arteriovenous Fistula (AV)

Question 93

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 93

Intravenous Infusion Line

Question 94

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 94

Peripheral Inserted Central Catheter (PICC Line)

Question 95

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 95

Rectal Pouch/Tube

Question 96

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 96

Colostomy Bag

Question 97

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 97

Texas Catheter (Condom Catheter)

Question 98

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 98

Foley Urinary Catheter

Question 99

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 99

Ventriculoperitoneal Shunt

Question 100

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 100

Sequential Compression Devices (SCD)

Question 101

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 101

Yankauer Suction

Question 102

In this Pic, what is the name of the Equipment, Line or Tube?

Answer 102

Vacuum Assisted Closure (Wound VAC)