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Acute Care Final > Lines And Tubes > Flashcards

Lines And Tubes Flashcards

1
Q

What is the most important thing to remember when dealing with line and tubes?

A

SLACK!

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2
Q

Right side leads and pneumonic

A

White and green

Snow over grass

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3
Q

Left side leads and pneumonic

A

Black and red

Smoke over fire

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4
Q

What do you do if an EEG lead becomes disconnected? Not?

A

Ask a nurse to reapply

Not a life threatening situations

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5
Q

With a Ventriculostomy you should never _ the _ of the _, unless? What does it monitor

A

Never move the head of the bed unless a nurse is present

Monitors pressure in the brain

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6
Q

What is the most important thing to remember with shunts and catheters? If patient reports _ or _, you should?

A

Don’t pull them out

If patient reports headache or nausea you should let the nurse know immediately

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7
Q

If patient has a Camino bolt or epidural screw do not?

A

Move the head up and down

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8
Q

With a nasal cannula the nose plug points?

A

Caudally/ inferiorly

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9
Q

If you are moving a patient whose O2 sats are being monitored what should you do?

A

Replace with portable pulse ox

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10
Q

With a ventilator you should listen for? (2)

A

Changes in rhythm or alarm noises

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11
Q

In a patient with an endotrachial tube you should check? When? For ambulation?

A

You should check the number on the tube, before and after you treat the patient

When ambulating be sure to secure tube prior to getting patient up and moving

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12
Q

If a trach tube becomes dislodged you should? Be sure?

A

Notify the nurse immediately, be sure that they understand it is an emergency

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13
Q

A Naso-gastric/ dobhoff tube is a _ _ tube. It can be connected to the _ or _. Patient will be in a _ _ position, do not?

A

Temporary feeding tube

Can be connected to the stomach (nasogastric) or duodenum (dobhoff)

Will be in a semi-fowler position (35-45 degrees)

DO NOT lie the patient flat

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14
Q

A _ _ is a longer term feeding tube. Do not? If you do?

A

PEG tube

Do not pull, if you dislodge it must be surgically re-inserted

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15
Q

GI tubes are used with _ _, each tube has a _ _ of balloons and is usually used to stop a _. Are used in patients that require _, but have a _ problem.

A

Used with gastrointestinal bleeding

Each tube has a different configuration of balloons and is usually used to stop a bleed.

Are used in patients that require feeding but have a bleeding problem.

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16
Q

Patient position with GI tube? Do not? If GI tube gets pulled? (2(

A

Semi-fowler position, do NOT lie flat

IF tube gets pulled get help immediately, must be replaced by physician

17
Q

With a _ _ if dislodged it can cause rapid _. What should you do?

A

With a Minnesota tube, can cause rapid bleeding

Notify nurse/ physician immediately

18
Q

What should you do if a patients IV gets pulled?

A

Apply pressure and notify nursing staff

19
Q

With a PICC line, be sure to have plenty of _, and never?

A

Plenty of slack

Never take BP or vitals in the arm with the PICC line in it

20
Q

A central venous line is held in place by _, if pulled it can? Procedure?

A

Held in place by sutures, if pulled it can kill the patient

STOP, and get help immediately!

21
Q

If someone has a femoral artery sheath they are on?

A

Strict bed rest, do NOT move

22
Q

In a patient with a femoral arterial line you need to watch _ _, and do _ _ until _ _ are _.

A

Need to watch INR levels (international normalized ratio)

And do not move patient until INR levels are returned to normal

23
Q

With INR levels the higher the ratio? What is the normal INR ratio?

A

Higher the ratio, the higher the risk of bleed

Normal ratio is less than 1

24
Q

If a pulmonary artery catheter gets pulled you should? (2)

A

Apply pressure and call for help

25
Q

If patient has low cardiac output and a PAC treatment should consist of? Be sure to?

A

Treatment should consist of in bed activities

Be sure to check medical chart

26
Q

IF patient is recieving dialysis they are usually not? Tx? If dialysis tube gets pulled? (2)

A

Usually not ambulatory

Usually do not treat

If pulled, apply pressure and call for help immediately

27
Q

If a patient has an Intra-aortic balloon pump (IABP) they should be on?

A

Strict bed rest

28
Q

Foley catheter: precautions? If you must move? Check?

A

Maintain slack and do not lift above the level of the patients bladder.

If you must move be sure to pinch line before moving

Always check to see if catheter is full before moving, if so get nursing to drain/ change

29
Q

If patient has a rectal tube in place?

A

Don’t move

Acute Care Final (6 decks)

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