Equipment Flashcards
what is a hoyer lift?
a type of dependent lift
what is the purpose of an IV line?
used to deliver meds/fluids via peripheral vein
most often placed in the antecubital fossa in the median cubital vein
list some precautions for IV lines
- Don’t kink line
- Keep bag above level of insertion
- If possible take BP on non-IV side
- alert nursing if insertion site is red/swollen
what is the purpose of an A-line?
used to measure BP, withdraw blood, or admin meds
how can you ID an A-line from an IV-line?
if it has rigid sides, its an A-line
list some precautions for A-lines
- Avoid excess ROM around line
- maintain the insertion site level w/transducer
- Can be disconnected but check w/nursing
What is a PICC line and what is it’s purpose?
Peripherally Inserted Central Catheter
surgically inserted from UE vein to superior vena cava
used for long-term med admin
List some precautions for PICC lines
- avoid BP in same UE
- avoid axillary crutches
- Can be disconnected but check w/nursing
What is an NG tube and what is it used for?
Nasogastric Intubation
used for short-term feeding when pt cannot take in food/hydration PO
can be used to suction stomach contents
list some precautions for NG tubes
- avoid supine position for at least 30 min after feeding
- Can be disconnected but check w/nursing
what is a PEG tube and what is it used for?
Percutaneous endoscopic gastrostomy
tube inserted through abdominal wall into stomach
used for long-term delivery of nutrition, fluids, and meds
list some precautions for PEG tubes
- avoid supine for at least 30 min after feeding
- avoid placing gait belt over tube/insertion point
- Can be disconnected but check w/nursing and make sure tube is capped
what is the purpose of a nasal cannula?
supplemental O2
may be hooked up to wall device or portable tank
list some precautions for nasal cannulas
- pt attached to specialized device that may/may not be portable
- Cannot be disconnected, pt will need O2 especially during PT
List various methods of delivering O2 to a pt (types of masks)
- Low flow:
- nasal cannula
- face mask
- face tent
- High flow:
- venturi mask
- non-rebeather
what is the purpose of a Foley Catheter?
used to drain the bladder
what is the difference between a Foley catheter and a Texas catheter?
Foley - indwelling catheter inserted into urethra, held in place w/inflated ballon
Texas - held in place by condom (taped in place)
list precautions for a Foley Catheter
- empty bag before mobility
- check w/nursing 1st to see if they are measuring in/out
- avoid tension or pinching tubing
- Cannot be disconnected
what is one more precaution for a Texas catheter that a Foley Catheter doesn’t have?
Texas catheters can easily fall off if bag is heavy w/urine or tubing has tension on it
what is a Jackson-Pratt drain and what is it used for?
a surgical drain in a wound
used to remove pus, blood, or other fluids from wounds
often used to prevent accumulation of fluids that increase infection risk
T/F: a Jackson-Pratt drain can be removed/disconnected
FALSE
What is a chest tube? What is it’s purpose?
a tube inserted into pleural space and connects to chest drainage unit
used to drain fluid or maintain pulmonary inflation
list precautions for a chest tube
- avoid tipping over box
- avoid tension on tubing
- Cannot be disconnected
what is an epidural? What is it used for?
a type of continuous peripheral nerve block
used for regional pain relief – provides slow infusion of med into epidural space
what is an epineural? What is it used for?
used for regional pain relief - slow infusion of med over peripheral nerve
list some precuations for epineurals and epidurals
- check motor and sensory function prior to mobilization
- avoid tension on the line
- Cannot be disconnected
what is PCA?
Patient Controlled Analgesia
electronically controlled pump that delivers IV pain med when pt pushes button
system automatically stops providing meds at a set level to avoid overmedication
what is the purpose of Telemetry?
monitors electrical cardiac activity (ECG)
what is a wound-vac? What is it’s purpose?
vacuum-assisted closure, uses negative pressure on wound
foam or gauze dressing placed directly on wound, adhesive film covers/seals it
used to pull fluid from wound, reduce edema, clean wound, remove bacteria
list some precautions for wound-vacs
Usually cannot be disconnected (vac goes w/pt)
what is a sequential compression device? What is it’s purpose?
leg cuffs placed over calves/lower legs while pt lays in bed
used for compression assisstancein venous return to reduce DVT risk
can be used with or w/o Ted hose
T/F: sequential compression devices cannot be disconnected/removed?
FALSE
can easily be removed but must be reattached once pt is back in bed after PT
what is an ICP monitor?
Intracranial pressure monitor, can be either:
- EVD (extraventricular drain) - a catheter inserted through skull into lateral ventricles
- parenchymal monitor (intraparenchymal strain gauge or fiber optic monitor)
list precautions for an ICP monitor
- avoid positions that increase ICP (head down)
- Cannot be disconnected
what is the purpose of a mechanical vent?
breathing assistance
helps move air in and out
what is a trach tube?
tube inserted into trachea
used to deliver O2 to the lungs, bypasses airway obstruction, and/or remove secretions from airway
may be connected to mechanical ventilation
what is a central venous catheter?
a catheter placed in large vein (neck, chest, groin, if its placed in the arm it becomes a PICC line)
what is the purpose of the central venous catheter?
used to admin meds and fluids, obtain blood tests, and measure central venous pressure
List precautions for central venous catheters
Cannot be disconnected
List and describe several types of dialysis catheters
- Vas cath → specialed central venous catheter used in dialysis
- AV fistula → connects artery and vein to carry out dialysis
- Continuous renal replacement therapy (CRRT) → blood pumped through hemofilter; slower form of hemodialysis often used for pts who are hemodynamically unstable
List equipment that CAN be disconnected
- IVs
- A-Lines
- PICC lines
- NG tubes
- Sequential Compression devices (SCD)
- only one that you don’t need to check w/nursing first
List equipment that CANNOT be disconnected
- nasal cannula
- Foley Catheter
- Texas Catheter
- Jackson-Pratt drain
- Chest tube
- Epidurals
- Wound vac
- ICP monitors
- Central venous catheters
