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Surgery Lab > Lines, Drains and Fluids > Flashcards

Lines, Drains and Fluids Flashcards

1
Q

What are the Types of acess?

A

Peripheral Access

Central access

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2
Q

What are the types of Peripheral Access?

A

IV
PICC
Intra arterial line

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3
Q

What are the types of Central Access?

A 
Central Venous Cath
Cordis- PA catheter
Hemodialysis cath
Hickman Cath
Venous access port
Arterial Stick
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4
Q

What is IV access used for?

A

Routine medication admin

Routine Fluid resusc

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5
Q

WHat are the complications of IV access?

A

Pain
Infection
Hematoma
Infiltration

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6
Q

What are the Uses of PICC lines?

A

Long term meds
Poor IV acess
Not indicated for rapid fluids

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7
Q

What are rhe complications of PICC lines?

A

Venous thrombosis
Malposition/dislocation
Infection

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8
Q

WHat is the Location of PICC lines?

A

Antecubital

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9
Q

WHat is the Location of CVC lines?

A

Internal Jugular
Subclavian
Femoral

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10
Q

What are rhe complications of CVC lines?

A

Pneumothorax
Infection
Arterial puncture

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11
Q

What are the Uses of CVC lines?

A 
Fluid Resusc (rapid)
Multiple med lines
Invasive monitoring (central venous pressure)
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12
Q

What are the uses of Cordis Lines?

A 
Fluid Resusc
PA cath
Invsive monitoring 
Surg with possible blood loss
Multiple med lines if CVC fed through
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13
Q

What are rhe complications of Cordis lines?

A

Pneumothorax

Massive Hemorrhage

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14
Q

What are rhe complications of PA catheters?

A

PA rupture
Papillary muscle damage
Valvular damage

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15
Q

What are the uses of PA Catheters?

A 
Critically ill with cardiac instability
Major CV surgery
Hemodynamic Monitoring
-Cardiac Output
-Systemic Vasc Res
-Pulm Cap Wedge Pressure (volume status)
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16
Q

What is the location of a Hemodialysis Catheter?

A

IJ
Subclavian
Femoral

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17
Q

What is the USE of a Hemodialysis Catheter?

A

Acute Hemodialysis

Chronic Hemodialysis

18
Q

What is the Complications of a Hemodialysis Catheter?

A

Clotting

Bleeding

19
Q

What is the location of a Hickman Catheter?

A

Subclavian

IJ

20
Q

What is the USE of a Hickman Catheter?

A

Long term med Administration

21
Q

What are the Complications of a Hickman Catheter?

A

Pneumothorax
Bleeding
Infection

22
Q

What are the Complications of a Venous Access Port Catheter?

A

Dislocation

Breakage

23
Q

What are the Uses of a VAP Catheter?

A

A port with a line
Prolonged IV access
Long medication admin (chemo)

24
Q

What are the locations of a VAP Catheter?

A

Subclavian

IJ

25
Q

What are the different types of Drains?

A 
Penrose
Hemovac
Chest Tube/Pleurovac
T-Tube
Enteral Feeding Tubes
-NG/OG
-Gastrotomy tube
-Jejunostomy Tube
26
Q

What is the penrose tube?

A

A flat rubber tube that is easliy cut/perforated

Free drainage of dependent fluid in neck or extremity

27
Q

What is the JP/Blake tube?

A 
Semi rigid plastic attached to a suction device
Various sizes and shapes
Post-op drainage
PC drainage
(turn off suction first!)
28
Q

What is the Hemovac?

A

Self contained unit
External chamber for suction
Post-op drainage

29
Q

What is the Chest Tube/Pleurovac?

A

Chest tube draining device

  • suction vs water seal
  • collection chamber
  • tidaling and air leak
30
Q

What is the use of the Chest Tube/Pleurovac?

A

Trauma
Pneumothorax
Hemothorax
Post-op

31
Q

What are the different types of T-Tubes?

A

Cholecystectomy tubes
Percutaneous Transhepatic Cholangiocatheter (PCT)
T-Tube

32
Q

What are the uses of T-Tubes?

A

Drain biliary tract
Post op CBD exploration
Drain obstructed biliary tract
Acute cholecystitis

33
Q

WHat are the uses of a G-tube?

A

Enteral feeding
Drainage of the stomach
Fixation of stomach to abd wall

34
Q

WHat are the Complications of a G-tube?

A

Infection/Abcess formation
Fall out/pulled out
Leakage

35
Q

What is a J tube? used for?

A

Red rubber catheter from abdominal wall to jejunum
Surgical placement
Use: Feeding for patietns w/ upper GI malignancy whenG tube is CI.

36
Q

What is an NG/OG tube? Use?

Complications?

A

Small lumen tube from Nose/mouth into stomach
Use: Enteral Feeding, Medications
Aspiration

37
Q

WHat are the Standard Rates of IV fluid?

A

Adult: UOP 1/2 ml/kg/hr
Child: UOP 1 ml/kg/hr
Infant (up to 1 yr): UOP 2 ml/kg/hr

38
Q

How is Maintenence fluid calculated?

A

(100/50/20)
100 ml/kg for 1st 10 kg
50 ml/kg for next 10 kg
20 ml/kg for additional kg

39
Q

How is Maintenence fluid per hour calculated?

A

(4/2/1)
4 ml/kg for 1st 10 kg
2 ml/kg for next 10 kg
1 ml/kg for additional kg

40
Q

What is the maximum amount of K+ replacement can be given through a peripheral IV?
Central Line?

A

10 mEq/hr

20 mEq/hr

Surgery Lab (2 decks)

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