Lecture 2 Flashcards
what is a regional patient?
what are some common lines for these patients?
a patient that does not require constant physiological monitoring peripheral IV foley catheter nasal cannula tubing PEG/NGT
what type of patients require less monitoring than intensive care, but 24/7 physiological monitoring?
what are some common lines for these patients?
step down/progressive care patients telemetry NC NRB Venti mask BiPap
what are some common lines seen on a patient in the intensive care unit?
mechanical ventilation
PICC line
Arterial lines
Chest Tubes
what is the name of the feeding tube that is short term? long term?
naso(oral)gastric tube
percutaneous endoscopic gastrotomy
the head of the bed must be greater than many degrees in order to reduce the risk of aspiration in patients in the ICU
30
4 places where the periphal IV can be placed
anticubital fossa
hand
neck
pedal
lines which are placed in large vessel veins are known as what?
what are some of these veins? (3)
central lines
femoral
internal jugular
subclavian
what is the difference between a tunneled and non-tunneled central line?
tunneled = inserted internally non-tunneled = fixed at site of insertion
name 3 purposes of central lines
chemotherapy, long-term antibiotics, frequent blood draws
what is the most common type of catheter?
triple lumen catheter
3 ways a surgical drain may drain a wound post surgery
- wall suction
- portable suction
- drain naturally
clinical implications of jackson pratt/blake drain, woudvac, and oxygen tanks
can fall out easily
must determine weight bearing status
nosebleeds
what do you do if a patient is on a non-rebreather?
HOLD PT
pneumonic, COPD, and Asthma patients would benefit from what kind of treatment?
what is the patients breathing like?
BiPap
patient cannot sustain demands of breathing, but has enough strength for assisted breathing
after placement of a BiPap when is it ok to do physical therapy?
stable 2-3days (ask MD)
contraindicated during acute placement of BiPap
when are patients placed on an invasive mechanical ventilator?
when they cannot breathe on their own
what is a common cause of a high pressure alarm and what kind of sound does a low pressure alarm make on a vent?
biting the tube (high pressure) fizzing sound (low pressure)
what are 3 signs of oxygen toxicity?
vision loss
seizure
cough
what are the 2 purposes of an arterial line?
gather real time blood pressure
gather arterial blood gases
where is the line placed when you want to HOLD pt?
femoral line.
if a patients heart rate is above what hold PT?
> 120 or if they have AFIB
SaO2 < what hold pt?
if they have COPD?
90
80 if they have COPD
what is leukocytosis indicative of? leukopenia? polycythemia? anemia? do these conditions have high or low RBC/WBC
infection/inflammation (high WBC)
immunodeficiency/cancer (low WBC)
decrease plasma/overactive bone marrow (high RBCs)
bleeding (low RBCs)
RBC 10 what do to for PT?
10 ok
