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Cardiopulmonary - Final > 7A: Lines and Tubes > Flashcards

7A: Lines and Tubes Flashcards

1
Q

Can a pt get up if they have an ICP monitor?

A

No - not even into sitting

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2
Q

What are normal ICP levels in upright positions?

A

7-15 mmHg

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3
Q

What patients will have an ICP monitor?

A

Head injury, brain surgery, intracranial hemorrhage

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4
Q

What is an ICP monitor and why is it important?

A

Monitors pressure to make sure there is less risk of further damage

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5
Q

What does IABP stand for?

A

Intra Aortic Balloon Pump

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6
Q

Can you get up with an IABP?

A

Mostly not

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7
Q

Hows does an IABP work?

A

Treaded up to the aorta and opens it more. Will inflate and deflate with the heart

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8
Q

What does an IABP do?

A

Allows less pressure for the heart to pump against and takes stress off of the heart

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9
Q

How will the pt’s condition change if it is inserted through the axilla?

A

Pt is able to move and possibly ambulate

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10
Q

Where is a Swan-Ganz Catheter inserted?

A

Right side of the heart and threaded into the pulmonary artery

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11
Q

What does a Swan-Ganz Catheter monitor?

A

Heart function and blood flow

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12
Q

What patients will have a Swam-Ganz Catheter?

A

Very ill, mostly in the ICU

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13
Q

Can you move a pt with a Swan-Ganz Catheter?

A

No ambulation - may be able to sit up in bed

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14
Q

What is the purpose of a peripheral IV?

A

Administer saline or other medications

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15
Q

What is the purpose of a triple lumen IV?

A

Able to administer multiple IV medications

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16
Q

What pt’s will have a triple lumen IV?

A

Post-op cardiothoracic or other diagnoses

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17
Q

Can you move a patient with a triple lumen?

A

Yes, just need to bring along the IV pole

18
Q

What is an art line?

A

Arterial line - measures present time BP in the artery

19
Q

What motion should be avoided with an art line?

A

Elbow flexion so you do not kink the line

20
Q

With MD approval, how can you move a patient with an art line?

A

Nursing has to disconnect it and then reconnect it after and zero it to reset it

21
Q

Without MD approval, can you move a patient with an art line?

A

Can get out of bed, but need to stay in or right next to bed

22
Q

What is a PICC line?

A

IV that is positioned in a large vein near the chest or heart

23
Q

What is a benefit of a PICC line?

A

Lower risk of infection since the line is really long

24
Q

When is a PICC line indicated?

A

Long term IV needs

25
Q

Can you mobilize a patient with a PICC line?

A

Yes

26
Q

What is the function of a CT?

A

Drain the chest cavity

27
Q

For standard use, where will a CT be located?

A

On the side that it is needed on

28
Q

Following cardiothoracic surgery, where will a CP be located?

A

In the middle to drain both sides of the chest

29
Q

How should you educate a pt about red fluid coming from their CT following surgery?

A

They are not actively bleeding, it is just excess fluids that need to be drained following the surgery

30
Q

How can you mobilize a patient if their CT is hooked to wall suction?

A

Need MD approval to disconnect, if not, then you have to stay in the room but can still be mobile

31
Q

Describe pt positioning with a CT

A

Needs to stay in a gravity dependent position relative to the chest

32
Q

How will a nasal cannula be manipulated during PT?

A

Taken off to see how much the pt will desaturate and wean them off over time

33
Q

What is important to keep in mind when mobilizing a patient with a catheter?

A

Need to keep it gravity dependent

34
Q

What type of EKG will typically be on a cardiac patient to monitor them?

A

5 electrodes - 3 leads

35
Q

Can you ambulate a pt with an EKG in the ICU?

A

Yes, you are able to disconnect for a few minutes and then re-connect them after ambulating

36
Q

What is an NG tube?

A

Placed into stomach via nose, used to put feeds into pt or to drain contents

37
Q

Can you mobilize a patient with an NG tube?

A

Yes - just bring the feeds with you

38
Q

Can you mobilize a pt if they have an NG tube being used for draining stomach contents?

A

Need MD approval to have nursing disconnect them from wall suction

39
Q

Can you mobilize a pt with Intermittent Pneumatic Compression Devices?

A

Yes - take them off for ambulation and then put them back on

40
Q

If a pt’s Intermittent Pneumatic Compression Device is not on them when you enter the room, what should you do?

A

Do not put them back on, consult with nursing to see how long they have been off

41
Q

Do Ace wraps or slipper socks have an effect on your ability to mobilize a patient?

A

No - need to have either slipper socks or other shoes on in order to get out of bed

Cardiopulmonary - Final (12 decks)

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