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Sp: Sim Lab 1 > Central Line Errors > Flashcards

Central Line Errors Flashcards

1
Q

IJ adjacent structures

A

carotid
phrenic
brachial plexus

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2
Q

carotid location

A

medial/deep to IJ

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3
Q

carotid needle error

A

inserted too medial
not directed ipsilateral nipple

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4
Q

carotid injury

A

hematoma
cerbral thromboembolism
airway obstruction

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5
Q

phrenic location (IJ)

A

behind IJ
on anterior scalenus anterior

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6
Q

phrenic error (IJ)

A

inserted too deep

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7
Q

phrenic injury (IJ)

A

hemidiaphragm paralysis

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8
Q

brachial plexus (IJ) location

A

the scalenus anterior is between IJ and plexus

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9
Q

brachial plexus erro (IJ)

A

too deep
too lateral
too inferior

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10
Q

brachial plexus injury (IJ)

A

motor sensory deficits in hand/arm

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11
Q

IJ placement table positionn

A

trendelenburg

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12
Q

IJ needle angle

A

30 degrees towards ipsilateral nipple

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13
Q

SCV adjacent structures

A

SCA
brachial plexus
parietal pleura
phrenic
thoracic duct

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14
Q

SCA location

A

posterior and anterior to SCV
(10-15mm)

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15
Q

SCA error

A

too deep
too lateral

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16
Q

SCA injury

A

hemorrhage
hematoma
hemothorax

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17
Q

brachial plexus location (SCV)

A

posterior to vein
(20 mm)

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18
Q

brachial plexus error (SCV)

A

too deep
too lateral

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19
Q

brachial plexus injury

A

motor sensory deficits

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20
Q

parietal pleura location

A

contacts posteoinferior side of SCV

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21
Q

parietal pleura error

A

above/below vein

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22
Q

parietal pleura injury

A

pneumothorax

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23
Q

phrenic locaiton (SCV)

A

contacts posteroinferior side of SCV

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24
Q

phrenic error (SCV)

A

above/below SCV

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25
Q

phrenic injury

A

paralysis of hemidiaphragm

26
Q

thoracic duct location

A

enters the superior margin of SCV

27
Q

thoracic duct error

A

above/below vein

28
Q

thoracic duct injury

A

lymphedema
chylothorax (left)

29
Q

SCV insertion positioning

A

trendelenburg

30
Q

SCV insertion needle locations

A

1cm lateral to clavicular head of sternocleomastoid muscle

31
Q

SCV needle angle

A

10 degree
towards sternal notch

32
Q

femoral vein adjacent structures

A

femoral artery
psoas
bowerl
sinovial capsule

33
Q

femoral artery location

A

lateral to femoral vein

34
Q

femoral artery error

A

too lateral

35
Q

femoral artery injury

A

hematoma

36
Q

psoas location

A

posterior to femoral vein

37
Q

psoas error

A

too deep

38
Q

psoas injury

A

hematoma
psoas abscess

39
Q

bowel location

A

proximal /deep to femoral vein

40
Q

bowel error

A

inserted too deep
above inguinal ligament

41
Q

bowel injury

A

enterotomy
peritonitis

42
Q

sinovial capsule location

A

deep to psoas
posterior to femoral vein

43
Q

sinovial error

A

too deep

44
Q

sinovial injury

A

arthritis
septic joint

45
Q

sinovial injury more common in what pts

A

peds

46
Q

femoral triangle

A

sartorius (lateral)
adductor longus (medial)
inguinal ligament (superior)

47
Q

femoral needle insetion

A

1 cm medial to artery
2 cm inferior to iinguinal ligament

48
Q

femoral needle angle

A

45 degrees cephalic

49
Q

right SCV depth formula

A

Ht/10 -2 cm

50
Q

left SCV depth

A

Ht/10 + 2 cm

51
Q

right IJ depth

A

Ht/10

52
Q

left IJ depth

A

Ht/10 +4 cm

53
Q

R SCV in SVC

A

96%

54
Q

R SCV in RA

A

4

55
Q

L SCV in SVC

A

97%

56
Q

L SCV in RA

A

2%

57
Q

R IJ in SVC

A

90%

58
Q

R IJ in RA

A

10%

59
Q

L IJ in SVC

A

94%

60
Q

L IJ in RA

A

5%

61
Q
A

Sp: Sim Lab 1 (23 decks)

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