Lines & Leads Flashcards
IV precautions
- keep bag above level of insertion
- avoid kinking tub
- take BP elsewhere
- notify nurse if area around insertion is red or swollen
What is PCA?
patient controlled analegsia
- takes about 5 minutes vs oral pain meds that take 30-45 min
What is PICC? Precautions?
Peripherally inserted central catheter from UE vein to superior vena cava
- avoid BP
- avoid axillary crutches
What is NG tube? Precautions?
nasogastric tube
- notify nurse if movement noted
- can be disconnected temporarily for mobility
- avoid supine position for at least 30 min after feeding
What is used for long-term tube feeding? Short-term tube feeding? Precautions?
long term - PEG - percutaneous endoscopic gastrostomy
short term - Dobhoff tube
- feedings paused 30 minutes prior to supine activity
- do not place gait belt over tube or insertion point
- Don’t forget to cap!
What should be documented if patient is on O2?
liters per minute
nasal cannula lpm and FiO2
1-6 lpm
24-44% FiO2
salter high flow nasal cannula lpm and FiO2
up to 15 lpm
54-75% FiO2
high flow nasal cannula lpm and FiO2
up to 60 lpm
p to 100% FiO2
partial rebreather mask lpm and FiO2
6-10 lpm
60-80% FiO2
non-rebreather mask lpm and FiO2
10-15 lpm
60-80% FiO2
catheter precautions
- empty urine collected in tube into bag before mobility
- if weight of bag is causing tension, empty before mobility
- avoid any tension on tubing
- condom catheters fall off frequently
What is Jackson-Pratt/Bulb or Hemovac used for? Precautions?
suction to pull excess fluid from an injury or surgical site
- avoid tension on tubing
- have nurse empty if over 1/2 full and have container supported (safety pins)
chest tube precautions
- do not allow box to tip
- do not place tension on tubing
- removal from wall requires MD order
- container must be lower than the patient
- will need pain medication at peak effectiveness before mobility
epineural and epidural precautions
- check motor and sensory function every time you mobilize the patient
- do not allow tension to be placed on catheter
What are SCDs? Precautions
sequential compression device - used to prevent DVTs
- disconnect for mobility
- put back on if patient not as mobile
arterial line precautions
- limit ROM around line
- Do not dislodge
- if it is disrupted, apply firm pressure and get help
- maintain the insertion site level w/ transducer
- Avoid excess ROM around the line
more rigid sides compared to flexible IV line
What is ICP monitor? Precautions
intracranial pressure monitor
- talk to nurse before treating
- expect fluctuations in ICP w/ mobility, but have nurse relevel the transducer to assess pressure once stationary again
- avoid anything that will increase intracranial pressure (head down) - need to check and see if the patient is clear for PT
What is ICP monitor? Precautions
intracranial pressure monitor
- talk to nurse before treating
- expect fluctuations in ICP w/ mobility, but have nurse relevel the transducer to assess pressure once stationary again
- avoid anything that will increase intracranial pressure - need to check and see if the patient is clear for PT
What does central venous pressure (CVP) monitor? Low vs high CVP meaning. What is normal?
measures pressure in the right atrium - estimation of preload and right atrial pressure
low CVP - volume depletion
high CVP - myocardial contractile dysfunction and/or fluid retention
normal - 8-12 mmHg
What is always red and blue and usually inserted via the subclavian or jugular vessels?
vas cath - central venous catheter for dialysis
T/F - You cannot mobilize a patient who is receiving continuous renal replacement therapy.
false - you can mobile patients
If in femoral - do other leg and BUE
If in subclavian - can sit at EOB, etc.
