Lines and Tubes Flashcards
blue line
PERIPHERAL INTRAVENOUS LINE (PIV)
hydration
medication
temporary
purple line
PERIPHERALLY INSERTED CENTRAL CATHETER (PICC) LINE
long term
parenteral nutrition
monitor central pressure
cannot get wet
red line
ARTERIAL LINE
inserted in the OR into artery
monitor BP
ABG monitoring
emergency if dislodged
written consent from MD to work with pt
white line
LONG TERM CENTRAL LINES (MEDIPORT, DIALYSIS CATHETER)
subclavian vein
inserted surgically
no restriction after placement
limited resistance ex after removal
what is this?
JACKSON PRATT (JP) AND HEMOVAC DRAINS
in surgical site
drain excess fluid
know where the drains are at
numbered multiple drains
CHEST TUBES
drain excess fluid
decrease swelling
keep bellow chest level
yellow line
NASOGASTRIC TUBE
through nose
drain stomach
feed pt
keep head of bed elevated after feeding
what is this?
FOLEY CATHETER
into bladder
keep bellow level of bladder
rectal tube and ostonomys
- rectal tube:
- no restrictions
- easily disloged
- ostonomy:
- into colon
- prone may be uncomfortable
WOUND VAC
no restrictions
cannot be disconnected
green line
types?
respiratory support
- Nasal cannula: lower flow of O2
- Non rebreather: higher concentration of O2
types of RESPIRATORY SUPPORT WITH PRESSURE
-
CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP):
- SINGLE PRESSURE THROUGHOUT
-
BILEVEL POSITIVE AIRWAY PRESSURE (BIPAP):
- DIFFERENT PRESSURES FOR INHALE AND EXHALE
ventilators
- AMBULATION WITH VENTILATOR IS:
- SAFE
- FEASIBLE
- EFFECTIVE
“EARLY PHYSICAL AND OCCUPATIONAL THERAPY IS FEASIBLE FROM THE ONSET OF MECHANICAL VENTILATION DESPITE HIGH ILLNESS ACUITY AND PRESENCE OF LIFE SUPPORT DEVICES. ADVERSE EVENTS ARE UNCOMMON, EVEN IN THIS HIGH-RISK GROUP.”
BLOOD PRESSURE CUFF, CONSIDERATIONS FOR PT
- MAY WANT TO KEEP IN PLACE FOR SUPINE → SIT → STAND FOR FIRST
TIME OUT OF BED - TAKE PRESSURE IN EACH POSITION
PULSE OX
CONSIDERATIONS FOR PT
- BRING A PORTABLE MONITOR IF YOU ARE CONCERNED
- IF STICKER STYLE, DISCONNECT WIRE
TELEMETRY
- 12 lead
- 5 lead
- monitor cardiac waveform, HR
- could be long term monitoring
- check with RN before disconnecting
EEG
ELECTROENCEPHALOGRAM
- MONITOR ELECTRICAL ACTIVITY OF THE BRAIN
- MAY BE ACCOMPANIED BY VIDEO MONITORING IF SEIZURE ACTIVITY IS SUSPECTED
- INPATIENT OR OUTPATIENT
- CONSIDERATIONS FOR PT:
- CHECK WITH RN
- PUSH BUTTON
SCD
- SEQUENTIAL COMPRESSION DEVICE
- USES:
- MAINTAIN CIRCULATION
- PREVENT DVT
- CONSIDERATION FOR PT:
- REMOVE FOR SESSION
- REPLACE WHEN PATIENT RETURNS TO BED
