Lines Flashcards
State the function and location of an arterial line.
Measures ABGs and BP. Usually in the radial, brachial or dorsalis pedis arteries.
State special considerations for a patient with an indwelling arterial line.
i) Infusion bag above w/ short cord
ii) ROM restrictions at that joint - do not want to dislodge.
State the function and location of a central venous line (PICC line).
Monitors RA pressure, venous tone and blood volume. Large role in fluid and drug administration. Inserted into large central vein until it sits above heart (confirmed w/ CXR).
State the function an location of a pulmonary arterial line (usually Swan Ganz catheter).
Balloon-tipped catheter measures pulmonary arterial pressure (15-25/8-15 mmHg), RA pressure and pulmonary capillar wedge pressure (indicates LA &LV and EDP via balloon). Enters large central vein into vena cava, RA and PA.
Note: can cause arrhythmia when passing through.
State the location, function and one special consideration of IV lines.
Superficial vein, fluid and drug administration, bag must always remain above insertion.
Name one special consideration when mobilizing a pt with a Foley or other urinary catheter.
The bag must always be below the insertion to prevent back flow and UTIs.
State the function and locations of a nasogastric tube.
Functions as feeding/nourishment, drug administration, lavage gastric system, or can suction to relieve distension. Enters the nose to the stomach.
What are the two settings for a pacemaker?
Set rate or set length of time without endogenous beat that pacemaker will fire.
State the function and location of an intra-aortic balloon pump.
Aorta, obviously - inserted through left femoral artery.
i) Inflates during diastole to push blood into the coronary arteries.
State the function and location of a chest tube.
Into the chest cavity to drain fluid/gas/blood from the pleura or mediastinum. Will be with or without suction.
State the function and location of an ICP monitor.
Monitored by a subarachnoid screw (through the skull) or an intradural catheter introduced into a lateral ventricle. Normal is below 15mmHg. HOB raised!
