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Acute > Lines & Leads > Flashcards

Lines & Leads Flashcards

1
Q

IV precautions

A
  • keep bag above level of insertion
  • avoid kinking tub
  • take BP elsewhere
  • notify nurse if area around insertion is red or swollen
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2
Q

What is PCA?

A

patient controlled analegsia

- takes about 5 minutes vs oral pain meds that take 30-45 min

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3
Q

What is PICC? Precautions?

A

Peripherally inserted central catheter from UE vein to superior vena cava

  • avoid BP
  • avoid axillary crutches
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4
Q

What is NG tube? Precautions?

A

nasogastric tube

  • notify nurse if movement noted
  • can be disconnected temporarily for mobility
  • avoid supine position for at least 30 min after feeding
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5
Q

What is used for long-term tube feeding? Short-term tube feeding? Precautions?

A

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!
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6
Q

What should be documented if patient is on O2?

A

liters per minute

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7
Q

nasal cannula lpm and FiO2

A

1-6 lpm

24-44% FiO2

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8
Q

salter high flow nasal cannula lpm and FiO2

A

up to 15 lpm

54-75% FiO2

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9
Q

high flow nasal cannula lpm and FiO2

A

up to 60 lpm

p to 100% FiO2

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10
Q

partial rebreather mask lpm and FiO2

A

6-10 lpm

60-80% FiO2

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11
Q

non-rebreather mask lpm and FiO2

A

10-15 lpm

60-80% FiO2

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12
Q

catheter precautions

A
  • 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
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13
Q

What is Jackson-Pratt/Bulb or Hemovac used for? Precautions?

A

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)
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14
Q

chest tube precautions

A
  • 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
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15
Q

epineural and epidural precautions

A
  • check motor and sensory function every time you mobilize the patient
  • do not allow tension to be placed on catheter
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16
Q

What are SCDs? Precautions

A

sequential compression device - used to prevent DVTs

  • disconnect for mobility
  • put back on if patient not as mobile
17
Q

arterial line precautions

A
  • 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

18
Q

What is ICP monitor? Precautions

A

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
18
Q

What is ICP monitor? Precautions

A

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
19
Q

What does central venous pressure (CVP) monitor? Low vs high CVP meaning. What is normal?

A

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

20
Q

What is always red and blue and usually inserted via the subclavian or jugular vessels?

A

vas cath - central venous catheter for dialysis

21
Q

T/F - You cannot mobilize a patient who is receiving continuous renal replacement therapy.

A

false - you can mobile patients

If in femoral - do other leg and BUE
If in subclavian - can sit at EOB, etc.

Acute (14 decks)

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