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Gen Med > Gen Med: Lecture 1- Lines and Monitors > Flashcards

Gen Med: Lecture 1- Lines and Monitors Flashcards

1
Q

What does PIV stand for?

A

Peripheral IV

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2
Q

What are PIV lines used for?

A

Deliver intravenous fluids and medications

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3
Q

Where are PIV lines commonly placed?

A

Dorsal hand/wrist
Cubital fossa
Dorsal foot

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4
Q

What are central lines used for?

A

Monitor central venous pressure
Monitor right atrial pressure
Medication delivery
Fluid administration
Blood sampling
TPN

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5
Q

What veins are central lines often placed in?

A

Jugular
Subclavian
Femoral

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6
Q

What are Mahurkar and Permacath lines examples of?

A

Dialysis Catheters

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7
Q

What type of central line allows for long term access?

A

Tunneled

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8
Q

Where are PICC lines typically placed?

A

Upper arm

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9
Q

What type of Catheter is also known as a Pulmonary Arterial Catheter?

A

Swan Ganz Catheter

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10
Q

What is the path of the Swan Ganz Catheter?

A
  1. Central vein
  2. Superior Vena Cava
  3. Right Atrium
  4. Right Ventricle
  5. Pulmonary Artery
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11
Q

What does the Swan Ganz Catheter measure?

A

CVP
Right Atrial Pressure
Pulmonary Artery Pressure
Pulmonary Wedge Pressure
Cardiac Output
Cardiac Index
Systemic and Pulmonary Vascular Resistance
Temporary Pacing

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12
Q

What are some potential complications of the Swan Ganz Catheter?

A

Malignant Arrhythmias
Pulmonary Artery Rupture
Pulmonary Valve Tear
Infection

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13
Q

Where are arterial lines usually placed?

A

Radial artery
Femoral artery

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14
Q

What can Arterial lines monitor?

A

Blood Pressure
Mean Arterial Pressure
Arterial blood Gases

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15
Q

What needs to be done with Arterial lines to ensure an accurate reading?

A

Transducer must be at level of right atrium

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16
Q

What is important to consider when repositioning a patient with an arterial line?

A

Change in position can cause transducer to no longer be at level of right atrium leading to inaccurate readings

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17
Q

Where are ICP lines typically placed?

A

Epidural space
Subarachnoid space
Directly into ventricle

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18
Q

What can an ICP line do?

A

Measure pressure
Drain CSF

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19
Q

What is normal ICP?

20
Q

What is the risk of an ICP line?

A

High infection risk

21
Q

What are Chest tubes used for?

A

Drain excess air or fluid form pleural space or mediastinum

22
Q

What two settings can a Chest Tube be set at?

A

Suction
Water seal

23
Q

What is the purpose of a drain?

A

Drain fluid from body cavity or surgical site

24
Q

What makes up a drain?

A

Small collection tube draining into a collection container

25
Q

What methods do drains use to collect fluids?

A

Suction
Gravity

26
Q

What are some examples of drains?

A

JP drain
Hemovac
J-Vac
Wound Vac

27
Q

What is the path of a Foley Catheter?

A

Inserted in urethera and placed in bladder

28
Q

How are Foley Catheter’s held in place?

A

Balloon inflated in bladder

29
Q

What is the path of an NG/NJ tube?

A

Enters through nose and ends in stomach or small intestines
NG= Stomach
NJ= Small intestines

30
Q

What can an NG/NJ tube do?

A

Suction
Provide nutrients

31
Q

When is it common to use an NG/NJ tube for suction?

A

After surgery

32
Q

What are some methods of supplemental oxygen delivery?

A

Nasal Cannula
High flow nasal cannula
Simple mask
Aerosol mask
Venturi mas
Reservoir mask
BiPAP/CPAP
Ventillator

33
Q

What can be done to supplemental oxygen to improve comfort?

A

Humidified

34
Q

How much oxygen can be delivered through high flow nasal cannula?

A

Up to 60 L/min

35
Q

What is different with High Flow Nasal Cannulas compared to Nasal Cannulas?

A

Oxygen is heated and humidified
Larger diameter tubing
Snug nasal prongs

36
Q

What are some examples of High Flow Nasal Cannulas?

A

Optiflow
Vapotherm

37
Q

What does CPAP and BiPAP stand for?

A

Continuous/Bilevel Positive Airway Pressure

38
Q

What is used as short term ventilatory support and used to prevent or wean off mechanical ventilation?

A

CPAP/BiPAP

39
Q

What are the different tubes used for mechanical ventilation?

A

Oral/Nasal Endotracheal Tube
Tracheostomy Tube

40
Q

What are Speaking Valves?

A

Valves placed over tracheostomy pening to allow patient to vocalize

41
Q

Can a patient receive supplemental oxygen with a speaking valve?

42
Q

What is required to allow the use of restraints?

A

MD order updated every 24 hours

43
Q

What is required when using restraints once the MD has them ordered?

A

Use for shortest amount of time
Use least restrictive option
Use alternative if able

44
Q

Once a patient is restrained, what needs to be done?

A

Patient must be monitored for proper positioning and possible pressure sites

45
Q

What are some common restraint alternatives?

A

Hand mitts
Bed sensors

Gen Med (9 decks)

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