COMPS:Lines, Drains, Tubes in Functional Mobility: Exam 1 Flashcards
Central Lines–Venous System
External Caths, Hickman or Broviac Caths
- under skin INTO major vessel
- typ. Heart
- LT admin meds==chemo drugs
Central Lines–Venous System
External Caths, Hickman or Broviac Caths
Precautions
- DIRECT PRESSURE TO INSERTION SITE
- Avoid tugging on ext pieces to dec risk of internal mvmt
- HIGH infection risk/ensure dressing placed right
- avoid touching w/out clean gloves
Peripherally Inserted Central Venous Line
PIIC
- inserted into vein in upper arm that terms in Sup. Vena Cava
- LT admin meds/fluids
Peripherally Inserted Central Venous Line
PIIC
Contraindications
- axillary crutches
- NO BP on the UE w/ the PIIC
- occludes BP
Peripherally Inserted Central Venous Line
PIIC
Considerations:
- ROM to involved limb is permitted
Intravenous Line
IV
- thin, flex tube/cath inserted into peripheral vein
- admin of drugs/fluids
- forearm OR back of hand
IV
Precautions
- NO BP on arm w/ IV
- drip bag should remain ABOVE LVL OF INSERTION
- avoid kinking or occluding tubing
- avoid direct contact/pressure to insertion site
- some IVs can be heplocked or temp disconnected for mobility
- always ask nurse to do this!!!
- alert nurse if swelling, red, pain to insertion site
Patient Controlled Analgesia
PCA
- Electronic pump delivers set amt of pain meds
- pt controls
- controls built in to prevent ODing
Pt controlled Analgesia
PCA
Considerations
-
Mobility is best timed in conjuction w/ pt admin of pain meds
- 10 mins before they see you!!!
- want them to be in “therapeutic window”
PCA
Precautions
SAME AS FOR IV
Catheters—GI/Urinary
Purpose/Use
Drainage of bladder for various medical reasons
Catheters
2 types:
-
Indwelling
* inserted into urethra- m and f
- tube taped to inner thigh—-check for their tape before mobility
-
Indwelling
-
Condom
* device fitted over outside of penis
-
Condom
Catheters
Precautions
- bag must remain BELOW LVL OF BLADDER
- Do NOT perform mobility acts w/ pt whos catheter is FULL
- do NOT dislodge catheter
Suprapubic Catheter
- inserted directly into bladder thru incision in lower abdomen
Suprapubic Catheter
Precautions
- Direct pressure to insertion site, PRONE may be uncomfortable
- watch to not pull/tug on tubing
Ostomy/Ostomy Bags
- helps divert stool or urine AWAY from damaged tissue in body thru a stoma (hole) in abd. wall
-
TYPES:
- Colostomy
- Urostomy
- Iliestomy
-
TYPES:
Ostomy/Ostomy Bags
Precautions
WATCH gait belt placement
AVOID direct press. to stoma/bag site
Ostomy/Ostomy Bags
see pics
Naso-Gastric Tube
NG Tube
- tube thru nose into stomach
- transport of food or meds in indiv:
- unable to swallow
- intubated
- extra nutrition
NG Tube
Precautions
- EASILY PULLED OUT OF PLACE
- DO NOT attempt to push tub back into place
- must be trained properly
- DO NOT attempt to push tub back into place
Percutaneous Endoscopic Gastrostomy Tube
PEG Tube
- inserted into stomach thru abd. wall
- aka G-Tube
- means of feeding when indiv. is unable to eat by mouth
PEG Tube
Precautions
Gait belt placement
PEG Tube
Considerations
- Prone is allowed BUT
- may be uncomfortable if tube newly inserted
Jackson-Pratt “JP” Drains and Hemovacs
- plastic tube connected to suction collecting bulb
-
PURPOSE:
-
drains excess fluid from surgical site
- bulb pinned down to pts gown
-
drains excess fluid from surgical site
