COMPS:Lines, Drains, Tubes in Functional Mobility: Exam 1 Flashcards
1
Q
Central Lines–Venous System
External Caths, Hickman or Broviac Caths
A
- under skin INTO major vessel
- typ. Heart
- LT admin meds==chemo drugs
2
Q
Central Lines–Venous System
External Caths, Hickman or Broviac Caths
Precautions
A
- 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
3
Q
Peripherally Inserted Central Venous Line
PIIC
A
- inserted into vein in upper arm that terms in Sup. Vena Cava
- LT admin meds/fluids
4
Q
Peripherally Inserted Central Venous Line
PIIC
Contraindications
A
- axillary crutches
- NO BP on the UE w/ the PIIC
- occludes BP
5
Q
Peripherally Inserted Central Venous Line
PIIC
Considerations:
A
- ROM to involved limb is permitted
6
Q
Intravenous Line
IV
A
- thin, flex tube/cath inserted into peripheral vein
- admin of drugs/fluids
- forearm OR back of hand
7
Q
IV
Precautions
A
- 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
8
Q
Patient Controlled Analgesia
PCA
A
- Electronic pump delivers set amt of pain meds
- pt controls
- controls built in to prevent ODing
9
Q
Pt controlled Analgesia
PCA
Considerations
A
-
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”
10
Q
PCA
Precautions
A
SAME AS FOR IV
11
Q
Catheters—GI/Urinary
Purpose/Use
A
Drainage of bladder for various medical reasons
12
Q
Catheters
2 types:
A
-
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
13
Q
Catheters
Precautions
A
- bag must remain BELOW LVL OF BLADDER
- Do NOT perform mobility acts w/ pt whos catheter is FULL
- do NOT dislodge catheter
14
Q
Suprapubic Catheter
A
- inserted directly into bladder thru incision in lower abdomen
15
Q
Suprapubic Catheter
Precautions
A
- Direct pressure to insertion site, PRONE may be uncomfortable
- watch to not pull/tug on tubing
18
Q
Ostomy/Ostomy Bags
A
see pics
20
Q
NG Tube
Precautions
A
- 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
21
Q
Percutaneous Endoscopic Gastrostomy Tube
PEG Tube
A
- inserted into stomach thru abd. wall
- aka G-Tube
- means of feeding when indiv. is unable to eat by mouth
24
Q
Jackson-Pratt “JP” Drains and Hemovacs
A
- 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
