Exam 2 - lines and monitors

Question 1

Endotracheal tube (ET tube)

Answer 1

used to protect airway or as means to provide mechanical ventilation

• potential for laryngeal injury to tracheal injury

Question 2

Tracheostomy tube (trach tube)

Answer 2

• placed surgically
• used to protect airway or as means to provide mech ventilation
• avoids laryngeal complications/injuries (avoids structures unlike ET tube)

Question 3

Speaking valves

Answer 3

-one way valve. only lets air in.
***if used while internal cuff is inflated pt cannot exhale and will not be able to breathe.
-

Question 4

Nasal cannula

Answer 4

• used to supple supplemental oxygen

- not recommended for > 6 liter/min flow

Question 5

Hi-flow nasal cannula

Answer 5

• special tubing etc allows for up to 60 liters/min

- 100 % FiO2

Question 6

Simple oxygen mask

Answer 6

• provides supplemental o2
• 35-55% FiO2
• 5-10 L/min depending on flow rate

Question 7

Venturi mask

Answer 7

• supplemental o2
• 24-50% FiO2
• 4-10 L/min flow

Question 8

partial or non-rebreather

Answer 8

• supplemental o2
• partial rebreather = 40-60% FiO2
• non-rebreather = 60-80% FiO2

Question 9

Trach collar

Answer 9

-to provide higher FiO2 to the track site

Question 10

Peripheral IV

Answer 10

• No ROM restriction
• placed in peripheral vein
• provides fluid or meds

Question 11

Peripherally inserted central catheter line (PICC line)

Answer 11

• No ROM restrictions
• stitched in
• 1,2, or 3 ports
• used in pt with difficult vein access

Question 12

Central line

Answer 12

• venous line
• gives central venous pressure (CVP)
• either in the jugular, subclavian, or femoral
• can do ROM stuff but double check with RN/MD

Question 13

Arterial line

Answer 13

• stitched into artery
• for blood draws
• ** provides continuous monitoring of BP
• Limit ROM at involved joint.
• ** if line is pulled, apply pressure to site.

Question 14

Dialysis Catheter

Answer 14

• large lumen central line used for hemodialysis
• red and blue capped ports
• Restrict ROM of ipsilateral joint where it is attached.

Question 15

Pulmonary artery catheter (swan Ganz)

Answer 15

• goes to pulmonary artery
• measures lots of heart stuff
• Restrict ROM

Question 16

Chest tube

Answer 16

• placed when there is excess fluid or air in pleural space or mediastinum
• for draining

Question 17

Jackson-Pratt (JP) drains

Answer 17

• grenade-like
• used after surgery
• drains fluid from surgical site
• keep below level of insertion

Question 18

Foley catheter

Answer 18

• collects urine

- keep below.

Question 19

condom catheter

Answer 19

• very similar to foley

Question 20

Rectal tube

Answer 20

• temporary collects feces

- keep below level of insertion

Question 21

colostomy bag

Answer 21

• collects poo

- watch for gait belt placement

Question 22

nasogastric tube

Answer 22

• removes gastric contents
• can also be feeding tube
• keep bed head up 30 degrees

Question 23

Catheterization sheaths

Answer 23

• placed for access during cardiac catheterization or PTCA/stent placement
• no ROM to ipsilateral hip.

Question 24

intra-aortic balloon pump

Answer 24

• used to assist pt heart with EF and coronary artery filling
• NO ROM at affected joint

Question 25

Intracranial pressure monitor (ICP)

Answer 25

• monitors intracranial pressure

- do not lay pt flat

Question 26

Pulse oximeter

Answer 26

• gives HR and SpO2

Question 27

Non-invasive blood pressure (NIBP)

Answer 27

• don’t use over other lines.

Question 28

telemetry leads

Answer 28

• gives cardiac rhythm and rate

Question 29

Ventilators

Answer 29

know when they are on.