ICU Flashcards

1
Q

5 locations for arterial catheter

A
femoral
radial
axillary
brachial
dorsalis pedis
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2
Q

purpose of arterial catheter

A

continuous monitoring of BP + ABGs

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3
Q

3 locations for venous catheter

A

femoral
jugular
subclavian

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4
Q

purpose of venous catheter

A

peripheral IV

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5
Q

intra-arterial line location

A

radial or brachial artery

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6
Q

a-line transducer needs to be in line with the..

A

r atrium

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7
Q

minimum MAP for early mob/organ function

A

65 mmHg

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8
Q

2 uses for peripheral IVs

A

blood draws

administering things

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9
Q

pulmonary artery catheter aka

A

swan-ganz catheter

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10
Q

purpose of swan-ganz

A

evaluates cardiac function and effects of meds

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11
Q

2 locations for swan ganz

A

subclavian

IJ –> pulm artery

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12
Q

PICC line

A

peripherally inserted central catheter

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13
Q

PICC line location

A

cephalic vein to R atrium or SVC

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14
Q

how to confirm placement of PICC line

A

chest xray

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15
Q

what to avoid for a pt with a PICC line

A

taking BP in that extremity

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16
Q

IABP

A

intra-aortic balloon pump

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17
Q

where does IABP go

A

femoral artery –> aortic arch

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18
Q

two purposes of IABP

A

increase myocardial o2 supply and cardiac output

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19
Q

a pt with an IABP is not…

A

stable

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20
Q

TLC

A

triple lumen catheter

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21
Q

purpose of central venous line

A

monitors CVP - pressure in thoracic vena cava

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22
Q

temporary dialysis catheter use

A

short term dialysis and continual renal replacement therapy (CRRT)

23
Q

common treatment in burn pts

A

CRRT

24
Q

intraventricular catheter purpose

A

measures intracranial pressure or drains CSF

25
Q

intraventricular catheter transducer needs to be level with…

A

pts ear

26
Q

intravent cather pts HOB should be at what position?

A

30º

27
Q

caution for intravent catheter pts

A

cervical ROM

28
Q

inserted into surgical site for drainage of edema, bleeding

A

hemovac

29
Q

NGT

A

nasogastric tube

30
Q

NGT pts are ___

A

NPO

31
Q

PEG

A

percutaneous endoscopic gastrostomy

32
Q

why do we not want a PEG pt to lie flat?

A

risk of aspiration - keep HOB at > 30º

33
Q

JP drain description

A

suction bulb inserted into surgical site

34
Q

keep foley below level of ________

A

bladder

35
Q

pts with pleural CTs should be encouraged to…

A

ROM of shoulders + deep breathing

36
Q

two places for chest tube

A

mediastinum or pleural cavity

37
Q

CT presents risk for __________ after removal

A

pneumothorax

38
Q

3 parts to chest tube collection chamber

A
  1. drainage
  2. suction
  3. water seal chamber prevents air from entering pleural cavity
39
Q

if pt can’t be weaned off vent….

A

tracheostomy

40
Q

2 most freq seen ventilator modes

A
  1. Pressure regulated vol control

2. CPAP

41
Q

term for full vent support, delivery based on airway pressure

A

pressure regulated vol control

42
Q

CPAP used as a ____ mode

A

weaning

43
Q

PAP

A

pulmonary artery pressure

44
Q

frothy sputum tinged w blood can indicate…

A

pulmonary edema

45
Q

PICS

A

post-intensive care syndrome

46
Q

______ can help PICS

A

early mob

47
Q

CIM

A

critical illness myopathy

48
Q

primarily a myopathy; dx by muscle biopsy

A

CIM

49
Q

CIP

A

critical illness polyneuropathy

50
Q

axonal neuropathy w inflammatory response from sepsis or multiorgan failure

A

CIP

51
Q

main contributor to persistent disability

A

CIP

52
Q

which is more common: CIP or CIM?

A

CIP

53
Q

usually if a pt is on vasopressors…

A

we don’t get them up