Lines And Tubes Flashcards
What is the most important thing to remember when dealing with line and tubes?
SLACK!
Right side leads and pneumonic
White and green
Snow over grass
Left side leads and pneumonic
Black and red
Smoke over fire
What do you do if an EEG lead becomes disconnected? Not?
Ask a nurse to reapply
Not a life threatening situations
With a Ventriculostomy you should never _ the _ of the _, unless? What does it monitor
Never move the head of the bed unless a nurse is present
Monitors pressure in the brain
What is the most important thing to remember with shunts and catheters? If patient reports _ or _, you should?
Don’t pull them out
If patient reports headache or nausea you should let the nurse know immediately
If patient has a Camino bolt or epidural screw do not?
Move the head up and down
With a nasal cannula the nose plug points?
Caudally/ inferiorly
If you are moving a patient whose O2 sats are being monitored what should you do?
Replace with portable pulse ox
With a ventilator you should listen for? (2)
Changes in rhythm or alarm noises
In a patient with an endotrachial tube you should check? When? For ambulation?
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
If a trach tube becomes dislodged you should? Be sure?
Notify the nurse immediately, be sure that they understand it is an emergency
A Naso-gastric/ dobhoff tube is a _ _ tube. It can be connected to the _ or _. Patient will be in a _ _ position, do not?
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
A _ _ is a longer term feeding tube. Do not? If you do?
PEG tube
Do not pull, if you dislodge it must be surgically re-inserted
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.
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.
Patient position with GI tube? Do not? If GI tube gets pulled? (2(
Semi-fowler position, do NOT lie flat
IF tube gets pulled get help immediately, must be replaced by physician
With a _ _ if dislodged it can cause rapid _. What should you do?
With a Minnesota tube, can cause rapid bleeding
Notify nurse/ physician immediately
What should you do if a patients IV gets pulled?
Apply pressure and notify nursing staff
With a PICC line, be sure to have plenty of _, and never?
Plenty of slack
Never take BP or vitals in the arm with the PICC line in it
A central venous line is held in place by _, if pulled it can? Procedure?
Held in place by sutures, if pulled it can kill the patient
STOP, and get help immediately!
If someone has a femoral artery sheath they are on?
Strict bed rest, do NOT move
In a patient with a femoral arterial line you need to watch _ _, and do _ _ until _ _ are _.
Need to watch INR levels (international normalized ratio)
And do not move patient until INR levels are returned to normal
With INR levels the higher the ratio? What is the normal INR ratio?
Higher the ratio, the higher the risk of bleed
Normal ratio is less than 1
If a pulmonary artery catheter gets pulled you should? (2)
Apply pressure and call for help
If patient has low cardiac output and a PAC treatment should consist of? Be sure to?
Treatment should consist of in bed activities
Be sure to check medical chart
IF patient is recieving dialysis they are usually not? Tx? If dialysis tube gets pulled? (2)
Usually not ambulatory
Usually do not treat
If pulled, apply pressure and call for help immediately
If a patient has an Intra-aortic balloon pump (IABP) they should be on?
Strict bed rest
Foley catheter: precautions? If you must move? Check?
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
If patient has a rectal tube in place?
Don’t move
