ICU

Question 1

In the ICU you need to look at _ on monitor and make sure that they match _ _.

Answer 1

Waveforms on monitor should match patient presentation

Question 2

Always follow _ and know where they are _. Also watch _ in vitals/ meds to make sure?

Answer 2

Follow lines and know where they are going

Also watch trends to make sure patient is stable

Question 3

Which machine is the most important line to check? Why? Typically?

Answer 3

Ventilators, usually is the shortest line (non-moveable)

Typically on the opposite side as other lines (IV’s etc)

Question 4

What are the only 2 buttons on the ventilator that a therapist can use?

Answer 4

Silence (quiets alarm- not recommended to push) and FIO2 (increase FIO2 to 100% for 2 min) allows patient time to recover and PT time to assess what happened (return/ not return to bed)

Question 5

Coughing, patient biting or breathing against vent, kink or condensation in tubing, displacement of artificial airway, or disease process can all cause?

Answer 5

High pressure alarms to go off

Question 6

Disconnection of tubing, cuff lead, leak in circuitry or over-breathing can all cause?

Answer 6

Low pressure ventilator alarms to go off

Question 7

What should PT know when treating a patient on a ventilator? (3)

Answer 7

Reason they are on the ventilators, medications and med trends and where the ambu bag is

Question 8

Central Line/ Central Venous catheter is inserted into the _ _ or _ vein or sometimes the _ vein (not optimal) and it threaded into the?

Answer 8

Internal jugular or subclavian or sometimes the femoral vein

Threaded into the SVC/ right atrium

Question 9

The _ is a long term central line with _ and _ properities.

Answer 9

JACC- jugular axilla-subclavian catheter with anti microbial and antithrombolytic properties.

Question 10

A _ line is inserted into the peripheral vein. Better for long term use due to decreased _ _.

Answer 10

PICC- peripherally inserted central line

Better in the long term due to decreased infection risk

Question 11

A _ _ is used to measure CVP, PAP, cardiac output, SCVO2, for administering dialysis/ plasmapheresis/ aphoresis, rapid fluid resuscitation, rapid blood transfusion, delivery of vasoactive drugs and chemotherapy as well as long term antibiotic/ nutrition.

Answer 11

Central line (or PICC or JACC or port a Cath)

Question 12

At _ _ _ is an implanted venous access device, used for the delivery of long term chemotherapy or IV drug therapy.

Answer 12

Port a Cath

Question 13

3 complications of a central line/ PICC line/ Port a Cath?

Answer 13

PIT

Pneumothorax
Infection
Thrombosis

Question 14

An _ _ measures continuous BP. Also needed for patients that require monitoring of cardiac parameters. Helpful in patients that require frequent? How long is it usually in place?

Answer 14

Arterial line

Helpful in patients that require frequent ABG changes/ adjustments

Usually in place for 5 days only, then switched to other arm if still required

Question 15

The _ _ can be used for dialysis catheter however it is not preferred because?

Answer 15

Femoral route

Not preferred because it is a ‘dirty site’ aka high risk for infection

Question 16

A _/ _ tube is most commonly used for short term feeding and PO medication delivery while patients are intubated. Can also be placed to _ or _ _. Be sure to?

Answer 16

An OG/ NG tube

Can also be placed on continuous or intermittent suction

Be sure to check placement before working with patient

Question 17

A _ _ is used to remove air (pneumothorax), fluid (pleural effusion), or pus (empyema) from the intrathroacic cavity. May be set to _ _ or _ _.

Answer 17

Chest tube

May be set to continuous suction or water seal

Question 18

If patient is set to suction you will need?

Answer 18

Need and MD order to place on water seal in order to ambulate patient and verify if they should be switched back to suction after treatment