Lecture 2

Question 1

what is a regional patient?

what are some common lines for these patients?

Answer 1

a patient that does not require constant physiological monitoring 
peripheral IV
foley catheter
nasal cannula tubing
PEG/NGT

Question 2

what type of patients require less monitoring than intensive care, but 24/7 physiological monitoring?
what are some common lines for these patients?

Answer 2

step down/progressive care patients
telemetry
NC
NRB
Venti mask
BiPap

Question 3

what are some common lines seen on a patient in the intensive care unit?

Answer 3

mechanical ventilation
PICC line
Arterial lines
Chest Tubes

Question 4

what is the name of the feeding tube that is short term? long term?

Answer 4

naso(oral)gastric tube

percutaneous endoscopic gastrotomy

Question 5

the head of the bed must be greater than many degrees in order to reduce the risk of aspiration in patients in the ICU

Answer 5

30

Question 6

4 places where the periphal IV can be placed

Answer 6

anticubital fossa
hand
neck
pedal

Question 7

lines which are placed in large vessel veins are known as what?
what are some of these veins? (3)

Answer 7

central lines
femoral
internal jugular
subclavian

Question 8

what is the difference between a tunneled and non-tunneled central line?

Answer 8

tunneled = inserted internally
non-tunneled = fixed at site of insertion

Question 9

name 3 purposes of central lines

Answer 9

chemotherapy, long-term antibiotics, frequent blood draws

Question 10

what is the most common type of catheter?

Answer 10

triple lumen catheter

Question 11

3 ways a surgical drain may drain a wound post surgery

Answer 11

1. wall suction
2. portable suction
3. drain naturally

Question 12

clinical implications of jackson pratt/blake drain, woudvac, and oxygen tanks

Answer 12

can fall out easily
must determine weight bearing status
nosebleeds

Question 13

what do you do if a patient is on a non-rebreather?

Answer 13

HOLD PT

Question 14

pneumonic, COPD, and Asthma patients would benefit from what kind of treatment?
what is the patients breathing like?

Answer 14

BiPap

patient cannot sustain demands of breathing, but has enough strength for assisted breathing

Question 15

after placement of a BiPap when is it ok to do physical therapy?

Answer 15

stable 2-3days (ask MD)

contraindicated during acute placement of BiPap

Question 16

when are patients placed on an invasive mechanical ventilator?

Answer 16

when they cannot breathe on their own

Question 17

what is a common cause of a high pressure alarm and what kind of sound does a low pressure alarm make on a vent?

Answer 17

biting the tube (high pressure)
fizzing sound (low pressure)

Question 18

what are 3 signs of oxygen toxicity?

Answer 18

vision loss
seizure
cough

Question 19

what are the 2 purposes of an arterial line?

Answer 19

gather real time blood pressure

gather arterial blood gases

Question 20

where is the line placed when you want to HOLD pt?

Answer 20

femoral line.

Question 21

if a patients heart rate is above what hold PT?

Answer 21

> 120 or if they have AFIB

Question 22

SaO2 < what hold pt?

if they have COPD?

Answer 22

90

80 if they have COPD

Question 23

what is leukocytosis indicative of?
leukopenia?
polycythemia?
anemia?
do these conditions have high or low RBC/WBC

Answer 23

infection/inflammation (high WBC)
immunodeficiency/cancer (low WBC)
decrease plasma/overactive bone marrow (high RBCs)
bleeding (low RBCs)

Question 24

RBC 10 what do to for PT?

Answer 24

10 ok

Question 25

what will a patient have difficulty doing if they have thrombocytopenia?

Answer 25

clot their blood

Question 26

name 3 levels which are observed during the metabolic screen/chem 7

Answer 26

electrolytes
kidney fcn
blood sugar