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Surgery and other stuff > Lines, Drains, and Fluids > Flashcards

Lines, Drains, and Fluids Flashcards

1
Q

What are the three types of peripheral access lines?

A

IV
PICC
Intraarterial

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2
Q

What are the different central line accesses?

A

CVC
COrdis

HD cath
VAP

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3
Q

What are the complication associated with IV? (4)

A

infx
Hematoma
infiltrate
Pain during administration

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4
Q

What are the uses for an IV?

A

Routine med administration of fluids

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5
Q

What are the sites for IVs?

A

Any visible and/or palpable veins

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6
Q

What is the relationship between gauge and size?

A

Inverse

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7
Q

Where are PICC lines usually placed?

A

Antecubital fossa

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8
Q

What are the uses for PICC lines?

A

Long term administration

Poor IV access

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9
Q

What are PICC lines NOT used for? Why?

A

Fluid resuscitation– small lines

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10
Q

What are the three major complications with PICC lines?

A

Venous thrombosis
Malposition/dislocation
Infection

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11
Q

Where are central venous catheters placed? (3)

A

IJV
Subclavian
Femoral

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12
Q

Are CVC used for fluid resuscitation?

A

Yes

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13
Q

What are the three common complications with CVC?

A

Pneumothorax
Infx
Arterial puncture

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14
Q

What are the three uses for CVCs?

A

Fluid resuscitation
Multiple med lines
Invasive monitoring

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15
Q

What are the three locations for a cordis?

A

IJ
Subclavian
Femoral

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16
Q

What are the uses for Cordis?

A 
Fluid resuscitation
Pulmonary artery cath
Invasive monitoring
SUrgery with rapid blood loss
Multiple med line
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17
Q

What are the two major complications with Cordis?

A

Pneumothorax

Massive hemorrhage

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18
Q

What are the locations of the PA cath?

A

Subclavian or IJV

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19
Q

What are the uses for a PA cath?

A

Critically ill with cardiac instability
Major cardiac surgery
Hemodynamic monitoring

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20
Q

What are the three major complications with PA caths?

A

Pulmonary artery rupture
Papillary muscle damage
Valvular damage

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21
Q

What are the hemodialysis caths used for?

A

IVJ
Subclavian
Femoral

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22
Q

What are the three major uses of hemodialysis caths?

A

Acute hemodialysis

Chronic hemodialysis

23
Q

What are the two complications with hemodialysis catheters?

A

Clotting

Bleeding

24
Q

What are the two locations of Hickman caths?

A

Subclavian

IJV

25
Q

What is the major use of Hickman Caths?

A

Long term med

26
Q

What are the three major complications with Hickman Caths?

A

Pneumothorax
Bleeding
Infx

27
Q

What are the two locations for vascular access ports (VAPs)?

A

Subclavian

IJV

28
Q

What are the two uses of VAPs?

A

Prolonged IV access

Long term chemo

29
Q

What are the two major complications with VAPs?

A

Dislocation

Breakage

30
Q

What are the six different types of drains?

A
  1. Penrose
  2. Jackson-pratt
  3. Hemovac
  4. chest tube
  5. Enteral feeding tubes
31
Q

What is a Penrose drain? uses?

A

Rubber tubing placed in the neck or extremity to allow for free drainage of dependent fluids

32
Q

What is a JP/Blake drain? Uses?

A

Semi-rigid plastic tubings that are attached to a suction device, to allow for postoperative drainage of a potential space or percutaneous drainage

33
Q

What are hemovacs? What are they used for?

A

Self contained spring loaded drain that are used for suction post-op

34
Q

What are chest tubes/pleuro vacs? Uses?

A

Drainage devices for hemothorax or pneumothorax

35
Q

What are T-tubes, and what are their uses?

A

Cholecystotomy tubes or percutaneous transhepatic cholangiocatheter

36
Q

What are the uses of T-tubes?

A

Drains biliary tract
Post-op CBD expansion
Acute cholecystitis

37
Q

What are the three different types of enteral feeding tubes?

A
  1. G tube
  2. J tube
  3. NG/OG
38
Q

What are G tubes?

A

Enteral feeding tubes that are placed through the abdominal wall into the gastric lumen, and are used for feeding or draining the stomach

39
Q

What are PEG tubes?

A

Percutaneous endoscopic gastrostomy (G-tube)

40
Q

What are J tubes?

A

Red rubber catheter from abdominal wall into the Jejunum for feeding

41
Q

Are G tubes used for drainage? J tubes?

A

G tubes yes, J tubes No

42
Q

How are J tubes placed?

A

Surgically

43
Q

What are NG/OG tubes?

A

Nasogastric or orogastric tubes to used for enteral feedings/meds

44
Q

What is the common complications with NG/OG tubes?

A

Aspiration d/t going through the LES

45
Q

What are the electrolyte contents of NS? pH?

A

154 mEq for Na and Cl, at a pH of 4-5

46
Q

What is the rate of IVF administration for adults, children, and infants?

A 
Adults = UOP 1/2 ml/kg/hr
Child = 1 ml/kg/hr
Infants = 2 ml/kg/hr
47
Q

How do you calculate the 24 hour IVF maintenance?

A

100 ml for first 10 kg
50 for next 10 kg
20 for additional kg

48
Q

How do you calculate the maintenance fluid required per hour?

A

4 ml/kg for first 10 kg
2 ml/kg for next 10
1 ml/kg for additional kg

49
Q

What two types of fluids are used for boluses?

A

NS or LR

50
Q

Do you ever bolus dextrose or KCl?

A

never

51
Q

What is the maximum amount of KCl that can be given through a peripheral IV? Central line

A

10 mEq/hr for peripheral

20 mEq/hr for central

52
Q

10 mEq if IV K raises serum K by how much?

A

0.1 mEq/L

53
Q

What are the electrolytes and concentrations for D5 half NS?

A

77 Na
77 Cl
50 Glu
450 free H2O

54
Q

What are the electrolytes and their concentrations for LR?

A 
130 Na
110 Cl
4 K
100 Free H2O
28 mEq lactate

Surgery and other stuff (25 decks)

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