Lines, Tubes, and Drains Flashcards
Oxygen Administration
Nasal Cannula: Typically < 6L O2
Most common method of O2 administration
Can be humidified and/or heated, particularly if over 6 L O2
When patients require O2 outside of their room, you will be required to change the source to a ____
regulated bottle
When your patient requires more than 6L O2 there will be a ___ involved
mask
You CAN NOT change volume, discontinued, or add O2 without ___
permission
Patients who can not breath on their own, will be put on a ___, either through a ____ or through a ___
ventilator
tube down their throat
tracheostom
The ventilator has a tube that passes into your ___ and through ____, pushes breathable air into and out of your lungs
trachea
mechanical pump
There is a step down process from trach-ventilation to ____
trach-collar
When our patients require assisted oxygen with _____, you will see a tracheostomy used to allow for this
bypass of the mouth or nose for long term
The measurement of oxygen happens most commonly through a device called a ____
Pulse Oximeter
measurement of oxygen levels in blood is called, ____ and is commonly measured with ___ different types of devices
“Oxygen Saturation”
three
With managing urine for those who have hospital stays longer than 24
hours, usually involving surgery, will have a ___ administered
catheter
There are three types of catheters that you will encounter:
Condom, Foley and Suprapubic
all of which will require care when handling your patients
At the end of the catheter is a ____. It will have
measurements on it in ___. This device will typically be hooked to the bed on the patients ___ side. Urine output is normally
measured and notated in the patients medical chart, confer with attending nurse ___ emptying— use urinal to get measurement
collection bag
milliliters
right
before
Many of your patients will have an ____ in place. These applications are used for medications and
other necessary fluids
intravenous administration system
Also referred to as an “IV”, this system is used for a fast one time ___, and/or a slow administration of meds or
fluids, know as a ___
“PUSH” of medication
“DRIP”
You will see this IV process enter the body in many places. The most common of which, will be at the ____
wrist, elbow and neck
All of these different IV’s require ____
specific attention and care!
The type of IV is typically determined by the ____ of fluids or meds being administered
time of application and type
Time comes into play when deciding what type and placement of an IV system. For LONG term use you will see a _____.
“CVC” central venous
catheter
The CVC is typically placed in the chest
A ___ is a form of a CVC but is placed in the ___ and ___ portion of the arm
peripherally inserted central catheter line “PICC”
superior, medial
When Long term administration of medications is necessary a ___ can be surgically implanted. This method is more practical for living
outside the hospital and is less likely to have complications, like infection
“PORT”
All of these CVC’s allow for meds and fluids to be directly deposited into large veins, allowing for faster delivery. This process also allows
for central venous pressure to be ___
measured and monitored
When moving patients with IV’s in play, you will use a ____
IV pole
Some IV’s can be detached for out-of-room ambulation. Ask your ____ to assist you with this process
supervising nurse
A ___ is administered when your patient
has the need for acute measurement of blood pressure, or when there is a need for regular blood monitoring
Peripheral arterial line (PAL)
PAL medical application requires ___ when moving your patient
EXTREME CARE and CAUTION
The primary concern is the disruption of blood flow to the extremity in PAL. Although, this line is directly inserted into an artery, ____ , and if improperly removed—bleeding will be significant
either in the
arm or leg
Note: You WILL UPSET your supervising and attending nurses
without FAIL
A ___ is a medical device used to provide nutrition to patients who cannot obtain nutrition by mouth, are unable to swallow safely, or need nutritional supplementation
feeding tube
There are several ways to feed your patient when ___ is prescribed
nothing by mouth
“NPO”
For short term or acute need for alternative feeding, an ____ will be used
“NG TUBE”
nasogastric tube
When long term or permanent feeding method alternatives are necessary, a ____ is used by placing a line through the abdominal wall, directly into the stomach or portion of the
small intestine
Gastrostomy “G-TUBE” or “PEG TUBE”
Depending on your patients pathology requiring a feeding tube, feeding may be prescribed on a ____ or ____
24 hour basis
on a particular
schedule
A ____ is a medical device that is
commonly used as a post-operative drain for collecting bodily fluids from surgical sites. The process of draining fluids in facilitated by
squeezing the bulb causing mechanical suction to the surgical site
Jackson-Pratt Drain “JP DRAIN”
A ____ is a flexible plastic tube that is inserted through the chest wall and into the pleural space. It is used to remove air or bodily fluids
from the intrathoracic space.
chest tube (thoracic catheter, tube thoracostomy, or intercostal
drain)
Drains:
surgically placed and therefore should be handled with Special Care
improper removal of these medical devises
will create a medical emergency
These drains can be hooked to the wall to add ___ to the process
suction
You will need to fasten the JP drains to ____ This is typically done with large safety pins
your patients gown
Before entering the patients room, you should ALWAYS:
Review your patients chart—Review the current pathologies, PMH, Last nurses entry, and the previous PT sessions.
Be particularly mindful of Orthostasis and Weight Bearing restrictions.
Always make contact with your nurse to make sure that the patient is OK for therapy and that you are not going to interfere when a patients is needed off the floor.
Always be aware of required PPE, i.e. glove, gown, mask. Hospitals are full of wonderful organisms like, MRSA, VRE, C- diff, Rhino Virus, and TB
Always be mindful that your patient is ___ and should be treated as such. Keep voices down, have patience, and
remember your patients will move slowly
not feeling very well
Always ____
WASH YOUR HANDS!!!
Step One:
When entering the room, wash your hands or use hand sanitizer
You will be in a hospital, so put on gloves before touching anything in the room.
This process will significantly reduce the transmission of nosocomial infection.
Step Two:
Upon entering the patients room, Introduce your self and then observe and evaluate the different lines, tubes and drains.
Step Three:
Figure out what your plan of care is going to consist of, and what side of the bed you want to work from
Step Four:
Inform your patient what “the plan” is before making any adjustments to the room. Your patient will feel more confortable with
you if they know what you are doing
Step Five:
Prepare oxygen, by either attaching to bottle or remove oxygen from the equation. (this will need nurses approval).
Step Six:
Move catheter to side of bed you are going to work from
Step Seven:
Prepare IV lines for patient movement. (lines will be tangled up) If there are several IV lines, ask the attending nurse if any can be disconnected for therapy. The nurse will do this for you if
possible
Step Eight:
Before standing patient, put a gait belt on them, being conscious of abdominal incisions, tubes and drains. If there are abdominal interferences, put gait belt high on the chest – under the
arms. Safety has to come first.
Step Nine:
Hook catheter to walker, have IV stand ready to go, if O2 is necessary have enough hands to handle patient and equipment safely
Note: If blood pressure is a concern, take vitals _____. If patient is on continuous O2, check pulse-ox _____
before and after therapy
before and after treatment
Step Ten:
Remember to be vigilant, patient and kind. Take a deep breath, everything is going to be OK!
