Critical Care Equipment Flashcards
What is a central line used for and where is it placed?
Also called the “Hickman”, it is an IV line placed in the great vessel of the neck.
It is used to administer fluid meds and provides for more of a direct admission
Mnemonic: hicks are found mostly in the center of the country
What exercise is permitted with a central line?
Cervical ROM OK
Shoulder ROM be cautious
What is an intravenous line used for and where is it placed?
INTO VEIN
- used to administer fluids, meds
It is placed on the dorsal aspect of the hand in the cubital fossa
Where is an arterial line placed and what is its purpose?
Usually the radial artery
-Monitors blood gasses, BP
What to be cautious of with arterial line?
The pt may be unable to bear weight through UE- so using a walker or a cane may be contraindicated.
Contact nurse prior about positioning and movement
What is the purpose of an endotracheal tube and where is it placed?
Inserted into the trachea to assist with breathing. It is usually temporary.
The pt will be unable to speak/communicate
What movement is permitted with an endotracheal tube?
Allow full cervical ROM, ability to sit and transfer
What is the purpose of a chest tube?
It assists in inflation of lungs and removes/measures debris.
The collection device needs to be positioned 1 inch below the chest AT ALL TIMES. If knocked over, turn upright and notify nurse.
- It is very important for the patient to move but can be very painful
What are the names of feeding tubes?
Nasogastric, gastromy, jejunum (J tube)- all named by location
What are the PT considerations when a pt has a feeding tube?
-Pt may be nauseous after a feed so wait 30 minutes
-Tubing must be disconnected during exercise and must confirm with nurse
-After feed, the HOB should never be below 30 degrees.
Who gives orders for exercise when a pt is on a mechanical vent?
All therapy must be permitted by MD.
Are PT’s allowed to change O2 or prescribe O2 to pt’s?
No. All prescribed and administered by MD.
When do we stop therapy when measuring pulse ox?
Saturation of 90% or less you must stop therapy
What should be considered with an ICP monitor?
The pt needs to stay level to the external auditory meatus. Pt is not able to move.
If PT is performed, the device needs to be recalibrated and nurse needs to be notified.
