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Acute Care > Equipment > Flashcards

Equipment Flashcards

1
Q

what is a hoyer lift?

A

a type of dependent lift

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2
Q

what is the purpose of an IV line?

A

used to deliver meds/fluids via peripheral vein

most often placed in the antecubital fossa in the median cubital vein

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3
Q

list some precautions for IV lines

A
  1. Don’t kink line
  2. Keep bag above level of insertion
  3. If possible take BP on non-IV side
  4. alert nursing if insertion site is red/swollen
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4
Q

what is the purpose of an A-line?

A

used to measure BP, withdraw blood, or admin meds

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5
Q

how can you ID an A-line from an IV-line?

A

if it has rigid sides, its an A-line

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6
Q

list some precautions for A-lines

A
  1. Avoid excess ROM around line
  2. maintain the insertion site level w/transducer
  3. Can be disconnected but check w/nursing
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7
Q

What is a PICC line and what is it’s purpose?

A

Peripherally Inserted Central Catheter

surgically inserted from UE vein to superior vena cava

used for long-term med admin

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8
Q

List some precautions for PICC lines

A
  1. avoid BP in same UE
  2. avoid axillary crutches
  3. Can be disconnected but check w/nursing
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9
Q

What is an NG tube and what is it used for?

A

Nasogastric Intubation

used for short-term feeding when pt cannot take in food/hydration PO

can be used to suction stomach contents

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10
Q

list some precautions for NG tubes

A
  1. avoid supine position for at least 30 min after feeding
  2. Can be disconnected but check w/nursing
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11
Q

what is a PEG tube and what is it used for?

A

Percutaneous endoscopic gastrostomy

tube inserted through abdominal wall into stomach

used for long-term delivery of nutrition, fluids, and meds

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12
Q

list some precautions for PEG tubes

A
  1. avoid supine for at least 30 min after feeding
  2. avoid placing gait belt over tube/insertion point
  3. Can be disconnected but check w/nursing and make sure tube is capped
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13
Q

what is the purpose of a nasal cannula?

A

supplemental O2

may be hooked up to wall device or portable tank

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14
Q

list some precautions for nasal cannulas

A
  1. pt attached to specialized device that may/may not be portable
  2. Cannot be disconnected, pt will need O2 especially during PT
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15
Q

List various methods of delivering O2 to a pt (types of masks)

A
  1. Low flow:
    • nasal cannula
    • face mask
    • face tent
  2. High flow:
    • venturi mask
    • non-rebeather
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16
Q

what is the purpose of a Foley Catheter?

A

used to drain the bladder

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17
Q

what is the difference between a Foley catheter and a Texas catheter?

A

Foley - indwelling catheter inserted into urethra, held in place w/inflated ballon

Texas - held in place by condom (taped in place)

18
Q

list precautions for a Foley Catheter

A
  1. empty bag before mobility
    • check w/nursing 1st to see if they are measuring in/out
  2. avoid tension or pinching tubing
  3. Cannot be disconnected
19
Q

what is one more precaution for a Texas catheter that a Foley Catheter doesn’t have?

A

Texas catheters can easily fall off if bag is heavy w/urine or tubing has tension on it

20
Q

what is a Jackson-Pratt drain and what is it used for?

A

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

21
Q

T/F: a Jackson-Pratt drain can be removed/disconnected

22
Q

What is a chest tube? What is it’s purpose?

A

a tube inserted into pleural space and connects to chest drainage unit

used to drain fluid or maintain pulmonary inflation

23
Q

list precautions for a chest tube

A
  1. avoid tipping over box
  2. avoid tension on tubing
  3. Cannot be disconnected
24
Q

what is an epidural? What is it used for?

A

a type of continuous peripheral nerve block

used for regional pain relief – provides slow infusion of med into epidural space

25
Q

what is an epineural? What is it used for?

A

used for regional pain relief - slow infusion of med over peripheral nerve

26
Q

list some precuations for epineurals and epidurals

A
  1. check motor and sensory function prior to mobilization
  2. avoid tension on the line
  3. Cannot be disconnected
27
Q

what is PCA?

A

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

28
Q

what is the purpose of Telemetry?

A

monitors electrical cardiac activity (ECG)

29
Q

what is a wound-vac? What is it’s purpose?

A

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

30
Q

list some precautions for wound-vacs

A

Usually cannot be disconnected (vac goes w/pt)

31
Q

what is a sequential compression device? What is it’s purpose?

A

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

32
Q

T/F: sequential compression devices cannot be disconnected/removed?

A

FALSE
can easily be removed but must be reattached once pt is back in bed after PT

33
Q

what is an ICP monitor?

A

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)
34
Q

list precautions for an ICP monitor

A
  1. avoid positions that increase ICP (head down)
  2. Cannot be disconnected
35
Q

what is the purpose of a mechanical vent?

A

breathing assistance

helps move air in and out

36
Q

what is a trach tube?

A

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

37
Q

what is a central venous catheter?

A

a catheter placed in large vein (neck, chest, groin, if its placed in the arm it becomes a PICC line)

38
Q

what is the purpose of the central venous catheter?

A

used to admin meds and fluids, obtain blood tests, and measure central venous pressure

39
Q

List precautions for central venous catheters

A

Cannot be disconnected

40
Q

List and describe several types of dialysis catheters

A
  1. Vas cath → specialed central venous catheter used in dialysis
  2. AV fistula → connects artery and vein to carry out dialysis
  3. Continuous renal replacement therapy (CRRT) → blood pumped through hemofilter; slower form of hemodialysis often used for pts who are hemodynamically unstable
41
Q

List equipment that CAN be disconnected

A
  1. IVs
  2. A-Lines
  3. PICC lines
  4. NG tubes
  5. Sequential Compression devices (SCD)
    • only one that you don’t need to check w/nursing first
42
Q

List equipment that CANNOT be disconnected

A
  1. nasal cannula
  2. Foley Catheter
  3. Texas Catheter
  4. Jackson-Pratt drain
  5. Chest tube
  6. Epidurals
  7. Wound vac
  8. ICP monitors
  9. Central venous catheters

Acute Care (11 decks)

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