Lines and tubes Flashcards
Name - Pulse Oximeter Function - Measures blood saturation, HR Diagnosis - Cardiac Placement - Finger, forehead, ear Precautions - Do not remove when mobilizing
Name - Swan Ganz catheter
Function - Measures pulmonary artery pressure
Diagnosis - Cardiac patients
Placement - Femoral vein, Subclavian vein, jugular vein
Precautions - Subclavian - abduction limited. femoral less than 30 degrees hip flexion, limited abduction
Name - Intracranial pressure monitor
Function - pressure within the skull
Diagnosis - Closed head injuries, cerebral
hemorrhage, brain tumor, or overproduction of cerebrospinal fluid
Placement - Hole drilled in skull
Precautions - limited physical mobility, avoid Valsalva or isometric, limit neck flexion, hip flexion greater than 90, prone, below 15 degrees horizontal
Name - Arterial line
Function - Measures blood pressure and takes blood samples
Diagnosis - Close cardiac monitoring
Placement - Radial artery
Precautions - ROM limited near line placement
Name - Hickman catheter
Function - Administer medications, remove blood, measure central venous pressure
Diagnosis - Bone marrow, cancer, trauma
Placement - Upper chest wall
Precautions - Avoid occluding the line, avoid ROM near
Name - Foley Catheter
Function - Drain urine
Diagnosis - Surgery, lost control of bladder function
Placement - Urethra, balloon holds in place
Precautions - Empty if full, avoid pulling or kinking, below level of bladder
Name - Nasogastric tube
Function - remove fluid or gas, evaluate digestive activity, medications, specimens, food, treatment
Diagnosis - Dysphagia, consciousness disorders
Placement - Nares to the stomach
Precautions - Avoid cervical flexion and excess rotation, do not lay down less than 30 degrees while feeding
Name - Gastric tube
Function - Nutrients, medications, remove fluids
Diagnosis - Swallowing disorders, comas
Placement - over the stomach
Precautions - Do not punch or irritate, secure, ensure closure, place feeding on hold before mobilization
Name - Intravenous infusion line
Function - Fluids, nutrients, electrolytes, infusions
Diagnosis - General populations
Placement - Superficial veins
Precautions - Hold medication during PT session
Name - Nasal canula Function - Administer oxygen Diagnosis - CP limitation Placement - Nose Precautions - Monitor O2 sat during activity
Name - Tracheostomy mask Function - Oxygen administration Diagnosis - CP limitations Placement - Over the trachea Precautions - Monitor O2 sat during activity
Name - Chest tube
Function - Remove air, blood, fluid
Diagnosis - alterations in fluid reduction or retention, CP issues
Placement - outer chest wall
Precautions - keep below level of chest, not placed on its side, closely monitor patient response
Name - Mechanical ventilation
Function - Pushes air into the patient’s lungs
Diagnosis - Disorders of consciousness, interference of gas exchange
Placement - Orally or tracheostomy
Precautions - Ensure tubing is not obstructed
Name - Sequential compressive devices Function - Prevent DVT Diagnosis - Immobile patients Placement - Over lower legs Precautions - Remove before exercise, replace after
Name - External ventricular device
Function - Monitors intracranial pressure, drains blood and CSF
Diagnosis - Closed head injuries, cerebral
hemorrhage, brain tumor, or overproduction of cerebrospinal fluid
Placement - On the top of the scull
Precautions - Must be leveled with the ear
Name - Jackson Pratt drain
Function - Drain fluids from surgeries
Diagnosis - Post surgical drainage that needs to be contained
Placement - Various places
Precautions - Make sure stopper does not come undone
Name - Vacuum assisted closure
Function - uses pressure to promote healing and prepare wound for closure
Diagnosis - Patients with wounds
Placement - over wound areas anywhere on the body
Precautions - Careful if wound is on a weightbearing segment
Name - Suprapubic catheter
Function - Hold urine
Diagnosis - Bladder or gynecologic surgeries
Placement - Over the lower abdomen
Precautions - avoid removing it, below level of the bladder
Name - Simple Oxygen Mask
Function - Supplemental O2
Diagnosis - When supplemental o2 is indicated
Placement - over the face
Precautions - may dry out the patient’s face, educate on not removing it
Name - Non rebreather mask
Function - Delivers Highest concentration of O2
Diagnosis - When supplemental O2 is required
Placement - Face
Precautions - PT differed with this type of device
Name - Vascular access port
Function - Long term Chemotherapy or other intermitted infusion therapy
Diagnosis - Cancer
Placement - Implanted subcutaneously, upper chest
Precautions -
Name - Yankauer suction
Function - Clears secretions from oral cavity
Diagnosis - Patients with decreased cough reflex or dysphagia or on ventilation
Placement - In the mouth
Precautions - If patient bites down, wait for patient to relax before removing
Name - Bi-level positive airway pressure
Function - Provides inspiratory and expiratory pressures
Diagnosis - Obstructive sleep apnea
Placement - Over the face
Precautions - Patients may feel claustrophobic, noisy, unit may be turned off or used during physical therapy
Name - Percutaneous endoscopic line Function - Long term nourishment Diagnosis - Confused, unable to tolerate food by mouth Placement - In the mouth Precautions - clogs easily
