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Cardiopulmonary - Final > 8B: Lines and ICU > Flashcards

8B: Lines and ICU Flashcards

1
Q

What are the precautions for a wound vacuum?

A
  • Mobilization depends on the location
  • LE or foot can be a contraindication for movement
  • Carry vac if you can move patient
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2
Q

What are the three types of surgical drains?

A
  1. Jackson-Pratt
  2. Hemovac
  3. Penrose Drain
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3
Q

What is the function of a surgical drain?

A

Drain excess blood and fluid from inside

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4
Q

What are precautions for a surgical drain?

A
  • Keep drain gravity dependent
  • Do not kink lines
  • Watch for active bleeding
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5
Q

What are the precautions for surgical fixation?

A
  • Check with MD
  • Stabilize area to prevent pain during mobility
  • WB restrictions
  • Static positioning for best comfort
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6
Q

What is the use of an osetomy bad?

A
  • Intestinal draining
  • Surgical removal or intestine, poor motility, improper ability to remove waste
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7
Q

What are the two most common types of osteomy bag?

A

Colostomy and Ileostomy

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8
Q

What are two types of osteomy bags that are not as common?

A

Urostomy and nephrostomy

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9
Q

What are precautions for an osteomy bag?

A
  • Do not kink or pull down
  • Watch positioning to not put pressure on it
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10
Q

What is a PCA pump?

A

Patient Controlled Anesesthia - used after surgery or trauma so pt can dose their own pain medication

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11
Q

How is a PCA pump regulated?

A

There is a max amount that can be dosed per hour

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12
Q

What are PCA pump precautions?

A
  • Battery or plugged in
  • Have pt dose themselves prior to PT
  • Leave within pt’s reach after session
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13
Q

What are the CVP effects of bed rest?

A
  • Loss of fluid volume
  • Higher DVT risk
  • Decreased lung volumes
  • Increased V/Q mismatch
  • Stasis of pulmonary fluids or sputum
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14
Q

What are the MSK effects of bed rest?

A
  • Atrophy and weakness
  • Muscle fiber changes
  • Postural changes
  • Decreased bone density
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15
Q

What are the effects of bed rest on the kidneys?

A

Increased stress can lead to renal insufficiency

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16
Q

What are additional effects of bed rest?

A
  • Increased insulin resistance
  • Urine stasis
  • Skin issues
  • Decreased GI motility
  • Decreased reflexes
  • Sleep disturbances
  • Mood changes
  • Reduced immunity
17
Q

Do CVP or MSK changes happen more quickly and why?

A

CVP declines at a faster rate - aerobic capacity decreases faster than muscle and is slower to recover after bed rest stopped

18
Q

What at the CVP effects of mobilization?

A
  • Increase V/Q matching
  • Regulate RR and depth
  • Tolerance to upright
  • Increase circulation
  • Decrease venous stasis
19
Q

What is the progression for mobilization?

A
  1. Elevating HOB
  2. Sitting EBO
  3. Standing
  4. OOB to chair
  5. Amb
  6. Stairs and exercise
20
Q

What should you monitor with mobility?

A

HR, BP, RR, O2, EKG - watch for signs of intolerance

21
Q

What are three factors that impact mobilization?

A
  • Lines and tubes
  • Level of assistance needed
  • Aerobic capacity, weakness, prolonged hospitalization
22
Q

What are the steps of enironmental management?

A
  • Document pt status
  • Set up environment
  • Arrange lines and tubes
  • Move pt
  • Leave pt and document status
23
Q

What are sub-max tests that can be done in the acute setting?

A

30 STS, 5x STS, step test, TUG, SPPB

24
Q

What are the appropriate vitals to initiate exercise?

A

HR < 120
BP < 200/100
O2 > 90

25
Q

What are the appropriate vital responses to exercise?

A
  • HR increased 20-30
  • SBP increase 20-30
  • DBP increase 5-10
  • O2 at least 90
26
Q

What is the intensity of exercise in acute care indicated by RPE?

A

10-12

Cardiopulmonary - Final (12 decks)

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