Lines/tubes Flashcards
A-line
continuous BP monitoring, deliver medications
What should be avoided with pt who has A-line in femoral artery?
hip flexion > 60-80 deg.
Swan-Ganz catheter
measures PAP, PAQP, LAP, RAP, CVP, cardiac output
What should be avoided for pt with a PA/swan-ganz catheter?
head/neck/ extremity movements (usually bed rest)
AV graft/fistula
hemodialysis access
Clinical implications of AV graft/fistula or central line?
no BP on involved extremity
Central (venous) line
total-pariental nutrition, blood sampling or administration of fluids/nutrients
Chest tube
removes air/fluid from pleural space & provides - IPP (pneumothorax/hemothorax)
Clinical implications of chest tube
VERY painful
drainage system should be below level of tube insertion
avoid tipping collection reservoir
If dislodged, notify nurse immediately (upright position in possible)
prevent kinks in line
Nasoenteric feeding tube (Dobbhoff tube)
when pt unable to take in adequate nutrition by mouth
What precautions may pt with Dobbhoff tube be on?
aspiration precautions
before laying flat, make sure no feeding occurring
Nasogastric tube
keeps stomach empty after surgery & prevents passage through bowels
PEG/PEJ tube
long-term access for feeding
Clinical implications of PEG/PEJ tube
place feedings on hold when laying flat
Suprapubic catheter
drains bladder temporarily after bladder/gyn surgeries or if blocked urethra due to tumor
