ICU Flashcards
5 locations for arterial catheter
femoral radial axillary brachial dorsalis pedis
purpose of arterial catheter
continuous monitoring of BP + ABGs
3 locations for venous catheter
femoral
jugular
subclavian
purpose of venous catheter
peripheral IV
intra-arterial line location
radial or brachial artery
a-line transducer needs to be in line with the..
r atrium
minimum MAP for early mob/organ function
65 mmHg
2 uses for peripheral IVs
blood draws
administering things
pulmonary artery catheter aka
swan-ganz catheter
purpose of swan-ganz
evaluates cardiac function and effects of meds
2 locations for swan ganz
subclavian
IJ –> pulm artery
PICC line
peripherally inserted central catheter
PICC line location
cephalic vein to R atrium or SVC
how to confirm placement of PICC line
chest xray
what to avoid for a pt with a PICC line
taking BP in that extremity
IABP
intra-aortic balloon pump
where does IABP go
femoral artery –> aortic arch
two purposes of IABP
increase myocardial o2 supply and cardiac output
a pt with an IABP is not…
stable
TLC
triple lumen catheter
purpose of central venous line
monitors CVP - pressure in thoracic vena cava
temporary dialysis catheter use
short term dialysis and continual renal replacement therapy (CRRT)
common treatment in burn pts
CRRT
intraventricular catheter purpose
measures intracranial pressure or drains CSF
intraventricular catheter transducer needs to be level with…
pts ear
intravent cather pts HOB should be at what position?
30º
caution for intravent catheter pts
cervical ROM
inserted into surgical site for drainage of edema, bleeding
hemovac
NGT
nasogastric tube
NGT pts are ___
NPO
PEG
percutaneous endoscopic gastrostomy
why do we not want a PEG pt to lie flat?
risk of aspiration - keep HOB at > 30º
JP drain description
suction bulb inserted into surgical site
keep foley below level of ________
bladder
pts with pleural CTs should be encouraged to…
ROM of shoulders + deep breathing
two places for chest tube
mediastinum or pleural cavity
CT presents risk for __________ after removal
pneumothorax
3 parts to chest tube collection chamber
- drainage
- suction
- water seal chamber prevents air from entering pleural cavity
if pt can’t be weaned off vent….
tracheostomy
2 most freq seen ventilator modes
- Pressure regulated vol control
2. CPAP
term for full vent support, delivery based on airway pressure
pressure regulated vol control
CPAP used as a ____ mode
weaning
PAP
pulmonary artery pressure
frothy sputum tinged w blood can indicate…
pulmonary edema
PICS
post-intensive care syndrome
______ can help PICS
early mob
CIM
critical illness myopathy
primarily a myopathy; dx by muscle biopsy
CIM
CIP
critical illness polyneuropathy
axonal neuropathy w inflammatory response from sepsis or multiorgan failure
CIP
main contributor to persistent disability
CIP
which is more common: CIP or CIM?
CIP
usually if a pt is on vasopressors…
we don’t get them up
