line and tubes

Question 1

a nasal canula can provide what rate of o2

Answer 1

typically < 6L O2

Question 2

what is the most common route of administration for 02

Answer 2

nasal canula

Question 3

if the O2 is over 6L O2 what is normally done to the air

Answer 3

can be humidified and/or heated

Question 4

when the patients are ambulating outside of their rooms what can you do to continue air supply?

Answer 4

change the course to a regulated bottle

Question 5

if the patient requires more than 6 L of oxygen what will they use to receive air

Answer 5

a mask will be involved

Question 6

T or False a PT can change volume, discontinue, or add o2 without permission?

Answer 6

false do not touch the but

Question 7

patients who can not breathe on their own will use what type of assistive device?

Answer 7

a ventilator either through a tube down their throat or through a tracheostomy

Question 8

how does the ventilator work?

Answer 8

the ventalotor has a tube that passes through the trachea and through a mechanical pump pushes breathable air into and out of your lungs

Question 9

what is the step down process for a ventilator

Answer 9

from tracy ventilation to teach collar

Question 10

when a patient requires oxygen but can not use the mouth or nose what is used

Answer 10

tracheostomy

Question 11

how is oxygen most commonly measured?

Answer 11

pulse oximeter

Question 12

the measurement of oxygen levels in the blood is?

Answer 12

oxygen saturation and there are three common devices to take this

Question 13

what is a Cather used for? what are the types?

Answer 13

With managing urine for those who have hospital stays longer than 24 hours, usually involving surgery, will have a catheter administered.

There are three types of catheters that you will encounter. They are Condom, Foley and Suprapubic, all of which will require care when handling your patients.

Question 14

what is the deal with catheter collection bags

Answer 14

At the end of the catheter is a collection bag. It will have measurements on it in milliliters. This device will typically be hooked to the bed on the patients right side. Urine output is normally measured and notated in the patients medical chart, confer with attending nurse before emptying—use urinal to get measurement.

Question 15

intravenous admission

Answer 15

Many of your patients will have an intravenous administration system in place. These applications are used for medications and other necessary fluids.

Also referred to as an “IV”, this system is used for a fast one time “PUSH” of medication, and/or a slow administration of meds or fluids, know as a “DRIP”.

You will see this process enter the body in many places. The most common of which, will be at the wrist, elbow and neck.

All of these different IV’s require specific attention and care!

The type of IV is typically determined by the time of application and type of fluids or meds being administered.

Question 16

what is the iv used when it is need for longterm use

Answer 16

CVC central venous catheter
normally placed in the chest

Question 17

what is PICC and where is it placed

Answer 17

peripherally inserted central Catheter placed superior and medial arm

Question 18

what is the reason for getting a port

Answer 18

When Long term administration of medications is necessary a “PORT” can be surgically implanted. This method is more practical for living outside the hospital and is less likely to have complications, like infection.

Question 19

CVCs are placed where and what does that do for the medication

Answer 19

All of these CVC’s allow for meds and fluids to be directly deposited into large veins, allowing for faster delivery. This process also allows for central venous pressure to be measured and monitored.

Question 20

what is a peripheral arterial line

Answer 20

A Peripheral arterial line (PAL) is administered when your patient has the need for acute measurement of blood pressure, or when there is a need for regular blood monitoring.
SThis medical application requires EXTREME CARE and CAUTION when moving your patient.

The primary concern is the disruption of blood flow to the extremity. Although, this line is directly inserted into an artery, either in the arm or leg, and if improperly removed—bleeding will be significant.

Note: You WILL UPSET your supervising and attending nurses without FAIL!

Question 21

What is a feeding tube

Answer 21

A feeding tube is a medical device used to provide nutrition to patients who cannot obtain nutrition by mouth, are unable to swallow safely, or need nutritional supplementation.

Question 22

what is a NPO?

Answer 22

There are several ways to feed your patient when nothing by mouth “NPO” is prescribed.

Question 23

what is a NG tube?

Answer 23

For short term or acute need for alternative feeding, an “NG TUBE” nasogastric tube will be used.

Question 24

what is a g-tube or peg tube

Answer 24

When long term or permanent feeding method alternatives are necessary, a Gastrostomy “G-TUBE” or “PEG TUBE” is used by placing a line through the abdominal wall, directly into the stomach or portion of the small intestine.

Question 25

what is a Jackson Pratt drain “JP drain”

Answer 25

is a medical device that is commonly used as a post-operative drain for collecting bodily fluids from surgical sites. The process of draining fluids in facilitated by squeezing the bulb causing mechanical suction to the surgical site.

Question 26

what does a chest tube do?

Answer 26

A chest tube (thoracic catheter, tube thoracostomy, or intercostal drain) is a flexible plastic tube that is inserted through the chest wall and into the pleural space. It is used to remove air or bodily fluids from the intrathoracic space.

Question 27

true or false drains are surgically placed so we should handle patients with special care and could be a medical emergency if pulled out?

Answer 27

true DO NOT PULL THEM OUT

Question 28

Before entering a patients room you should always?

Answer 28

Review your patients chart—Review the current pathologies, PMH, Last nurses entry, and the previous PT sessions.

Be particularly mindful of Orthostasis and Weight Bearing restrictions.

Always make contact with your nurse to make sure that the patient is OK for therapy and that you are not going to interfere when a patients is needed off the floor.

Always be aware of required PPE, i.e. glove, gown, mask. Hospitals are full of wonderful organisms like, MRSA, VRE, C-diff, Rhino Virus, and TB

Always be mindful that your patient is not feeling very well and should be treated as such. Keep voices down, have patience, and remember your patients will move slowly.

Always WASH YOUR HANDS!!!

Question 29

what are the ten steps to set up?

Answer 29

Step One: When entering the room, wash your hands or use hand sanitizer. You will be in a hospital, so put on gloves before touching anything in the room. This process will significantly reduce the transmission of nosocomial infection.

Step Two: Upon entering the patients room, Introduce your self and then observe and evaluate the different lines, tubes and drains.

Step Three: Figure out what your plan of care is going to consist of, and what side of the bed you want to work from.

Step Four: Inform your patient what “the plan” is before making any adjustments to the room. Your patient will feel more confortable with you if they know what you are doing.

Step Five: Prepare oxygen, by either attaching to bottle or remove oxygen from the equation. (this will need nurses approval).

Step Six: Move catheter to side of bed you are going to work from.

Step Seven: Prepare IV lines for patient movement. (lines will be tangled up) If there are several IV lines, ask the attending nurse if any can be

Step Eight: Before standing patient, put a gait belt on them, being conscious of abdominal incisions, tubes and drains. If there are abdominal interferences, put gait belt high on the chest – under the arms. Safety has to come first.

Step Nine: Hook catheter to walker, have IV stand ready to go, if O2 is necessary have enough hands to handle patient and equipment safely.
Note: If blood pressure is a concern, take vitals before and after therapy. If patient is on continuous O2, check pulse-ox before and after treatment.

Step Ten: Remember to be vigilant, patient and kind. Take a deep breath, everything is going to be OK!