Alt Med Treatment Flashcards
What are NG Tubes? (Where is it inserted?)
Plastic/rubber tubes inserted through nasopharynx into stomach
What are NG tubes used for?
Administer medication; Gastric decompression/ removal of gas (flatus) & fluids from stomach after intestinal obstruction/major trauma
What is the most common NG tube?
Levin Tube
Who is responsible for inserting NG tube? (What should be prevented?)
Physician or Nurse; must prevent accidental withdrawal of tube after insertion
What is a Sump tube?
Salem-sump tube; double-lumen tube with an air vent; blue extension is 2nd lumen, remaining open for air to enter stomach, allowing tube to free float
What are Nasoenteric Tubes? (Where are they inserted?)
Made of same material as NG tubes; Inserted like NG tube but passes through duodenum & small intestines by peristalsis & weighted metal tip
What are NE tubes used for?
Decompression, Diagnosis, Treatment
What is an Entriflex/Dobhoff tube?
Single narrow lumen w/ removable wire stylet; placed in duodenum/jejunum; more thin & flexible than NG tubes; leave in for long periods of time
What is a Gastronomy Tube? (Definition, placement & purpose)
Surgical creation of opening into stomach; tube placed inside stomach to external abdominal wall; feeds patient who cannot tolerate oral food intake
What is the most common Gastronomy tube?
PEG (percutaneous endoscopic gastronomy)
What are Central Venous Lines? (Alternate name, types, insertion area, position)
Central venous catheters or venous access devices; single, double or multi-lumen; Catheters inserted into large vein (most common subclavian; internal jugular/femoral); placed in superior vena cava (2-3cm above right artium opening)
What are Central Venous Lines used for?
Chemotherapy and parenteral nutrition; Administer variety of drugs, Manage fluid volume, Conduit for blood analysis/transfusion, Monitor cardiac pressure
What is a Pulmonary Arterial (PA) Catheter?
Swan-Ganz catheters; single or multi lumen Central Venous lines; has small electrode @ distal end to monitor arterial pressure
How is a Pulmonary Arterial (PA) Catheter inserted?
Distal tip in one of the two pulmonary arteries; enters through right internal jugular and ends in right PA
What is a PICC line? (Who inserts it, where is it inserted)
Peripherally inserted central catheter; inserted by nurse, radiologist or specially trained radiographer; inserted in patients arm @ advanced until tip is in central vein
What is an implanted access port? (Alternate names, who needs them, material)
Port-A-Cath, Infusa Port, Mediport; Pts with long term illnesses, requiring frequent IV meds/transfusions; made of plastic, titanium or stainless steel
Where are access ports implanted?
Into subcutaneous tissue of chest; catheter from port and inserted into subclavian or internal jugular vein
What are indications for suctioning and its purpose?
To prevent aspiration/respiratory arrest; profuse vomiting in pts who cannot change position, rattling/gurgling, respiratory distress
Suctioning contraindications
Head/face injuries, nasal deformities, trauma, cerebral aneurysms, tight wheezing
What are the suctioning catheter sizes?
10F - 18F for adults; 5F - 8F for children
What is a tracheostomy?
Opening in trachea to provide temporary/permanent artificial airway; provides airway during upper airway obstruction
What are tracheostomy indications?
Traumatic injury, paralysis, unconscious/suffering respiration disease
What is a mechanical ventilator?
Artificial airway connected to mechanical ventilator (endotracheal tube or tracheostomy tube)
What are endotracheal tube indications?
Need mechanical ventilation or oxygen; upper airways obstruction; diseases that impair gas exchange; gastric acid reflux or aspiration
