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Patient Care > Care of Patients w/ tubes, etc. (Ch. 15) > Flashcards

Care of Patients w/ tubes, etc. (Ch. 15) Flashcards

1
Q

When is the most vulnerable time for dislodgement of a tube or line on patient?

A

During patient transfers ( ex. from stretchcer to table)

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2
Q

Any device today will be safe in a what type of magnet regarding the MRI studies?

A

3-t magnet

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3
Q

What needs to be checked before doing MRI studies on a patient?

A

Make sure tube, catheter, pace-makers, etc are compatible with the magnet

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4
Q

Explain what an Implanted device is and an example

A
  • It is surgically implanted under the skin and may or may not be present outside of the body
  • Ex: Cardiac pacemaker
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5
Q

When are endotracheal tubes used?

A

-when there is a need for mechanical ventilation or oxygen delivery( during general anesthesia), severe airway obstruction, shock, impending gastric acid reflux, or in coma induced patients

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6
Q

tracheal Intubation is achieved through what?

A

laryngeal (mouth) or nasal

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7
Q

For long term ventilation for endotracheal tubes, what is performed?

A

Tracheostomy- an incision made in the windpipe to relieve an obstruction to breathing
(7-10 days)

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8
Q

Some endotracheal tubes require what?

A

Respirators

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9
Q

What is produced in patients that have endotracheal tubes and trachs?

A

secretions

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10
Q

How are the secretions maintained from patients with endotracheal tubes and trachs?

A

Through suctioning and catheters - this clears out the airways of the patient and helps them to breathe better

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11
Q

If a tube becomes filled with secretions, what happens?

A

The patient isn’t able to breathe

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12
Q

Thoracostomy (chest) tubes are used to do what?

A

They are used to re-establish negative pressure in the pleural cavity

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13
Q

What diseases are treated by thoracostomy tubes?

A

Pneumothorax, hemothorax, pleural effusion, and empyema

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14
Q

What are thoracostomy tubes always attached to?

A

Pleuovac or Heimlick valve

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15
Q

What types of situations involve the need to place a thoracostomy tube in a patient?

A

Trauma, complication of a lung biopsy, infection, rib fracture, open heart surgery

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16
Q

Where should the pleuovac always be placed?

A

It should be lower than the chest to prevent reflux of drainage into the pleurospace

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17
Q

What is hemothorax?

A

Blood in the thorax

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18
Q

What is pneumothorax?

A

the presence of air or gas in the cavity between the lungs and the chest wall, causing collapse of the lung
*People can live with pneumothorax

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19
Q

What is pleural effusion?

A

excess fluid that accumulates in the pleural cavity, the fluid-filled space that surrounds the lungs.

20
Q

What is empyema?

A

the collection of pus in a cavity in the body, especially in the pleural cavity.

21
Q

What should happen if a chest tube is dislodged?

A

A vaseline dressing should be placed over the site to seal the puncture site

22
Q

How does the Heimlich vac operate?

A

It pushes air out and doesn’t let it back into the chest area keeping the pleural area negative

23
Q

What are two types of Gastrointestinal tubes?

A

NG - nasogastric and PEG tubs - used for feeding

24
Q

When are NG tubes used?

A

They are used after gastrointestinal surgery

  • it suctions the secretions
  • can also be used for feeding
25
Q

What are 3 Urological tubes?

A
  • Foley catheter
  • Suprapubic tube
  • nephrostomy tube
26
Q

Foley catheter

A
  • inserted into bladdar via urethra
  • held in bladdar with a balloon
  • attached to a drainage bag
27
Q

Where do you keep the drainage bag that is attached to a foley catheter?

A

The drainage bag of a foley catheter should be kept at a level below the bladder to prevent reflux back into bladder

28
Q

Suprapubic tube

A

Tube that is surgically placed into the bladder
-Also attached to a drainage bag
(directly placed from the skin into the bladder)

29
Q

When are suprapubic tubes most commonly used?

A

After prostate surgery

30
Q

Nephrostomy tube (where is it inserted)

A

Percutaneously insert into the calyx of the kidney

31
Q

Function of a Nephrostomy tube

A

To drain kidney when an obstruction is present in the ureter ex: kidney stones

32
Q

Where is the drainage bag kept at for a Nephrostomy tube?

A

Below level of the kidney

33
Q

Vascular Access Catheters

A

Are traditional intravenous catheters, always covered with a protective dressing

34
Q

Why are Other types of lines that are used to administer fluids, meds, and blood 9 used?

A

Used for patients where a peripheral intravenous line is unable to be maintained

35
Q

Examples of other types of lines besides vascular access catheters for patients

A

PICC (peripherally inserted central catheter), PORT, CVC’s (central venous catheters), Arterial lines

36
Q

Most common insertion site for a CV catheter is what?

A

The subclavian vein

-other common sites include the internal jugular and femoral veins

37
Q

Ports are commonly used for patients receiving what?

A

Chemotherapy

38
Q

PICC’s (peripherally inserted central catheter)

A

used where peripheral IV access is difficult or not possible

-also placed when long term IV access is needed ex: for long term antibiotic administration

39
Q

Arterial Line (art line)

A

used mainly for monitoring, and frequent blood drawing

40
Q

Tissue Drains

A

Used to drain collections of fluid, blood, or infectious matter
-placed after surgery to prevent collection of fluid or blood within a wound

41
Q

Types of tissue drains

A

Jackson Pratt Drains, Hemovac

42
Q

Pain Balls

A

used to provide a continuous infusing to a wound for pain control

43
Q

Where is a Greenfield filter (IVC filter) placed and what does it do?

A

in the Inferior vena cava - traps blood clots and prevents them from reaching the heart and lungs

44
Q

How is a Greenfield filter inserted?

A

through the femoral vein and placed just below the kidneys usually in interventional radiology settings

45
Q

Caution must be taken with Greenfield filters in what setting?

A

MRI

Patient Care (5 decks)

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