Monitors and Pt Support Equipment - Class 4 Flashcards
Monitors and pt support equipment
swan-ganz catheter
arterial BP
chest tubes
pulse oximetry
oxygen delivery devices
nutrition support/feeding tubes
swan ganz catheter
used in ICU for hemodynamic monitoring
where is a swan ganz catheter put in
subclavian or internal jugular veins
what will swan ganz catheter measure
right arterial pressure
pulmonary artery pressure
cardiac output
arterial BP is monitored w/
indwelling peripheral catheter
arterial BP is referred to as an
a line
common sites for insertion –> arterial BP
radial artery
femoral artery
dorsalis pedis artery
what is typically limited near A line insertion
WB and joint mobilization
may be contraindicated
how can pt participate in PT with a line
positioning
airway clearance
mobilization
providing the pt is stable and line is secure
what happens if arterial blood catheter is dislodged
immediately apply direct pressure
call for assistance
chest tubes
large catheter placed w/in pleural space, mediastinum or pericardium to evacuate fluid +/or air
where is a chest tube usually placed
at 4th or 5th intercostal space
in the mid-axially or anterior axillary line
what must we be careful of with chest tube
not to kink it
wont be able to get things out
how can someone with a chest tube participate in PT
as long as the drainage system is maintained lower than the insertion site
what happens if the collection bottle falls over –> chest tube
immediately return to upright
alert medical/surgical team
pulse oximetry
non invasiv
continuous assessment of pulse rate and oxyhemoglobin saturation
can participate in PT
oxygen delivery devices
O2 is a medication
prescribed in specific dosages and delivery modes
PTs need a —> O2
prescription to modify the mode or dose of O2
what are O2 delivery devices
nasal prongs
cannula
face masks
when are oxygen delivery devices used
PaO2 < 55 or SaO2 < 88%
can one with an oxygen delivery device participate in PT
yes
may need to have portable O2
nutrition support/feeding tubes
nasogastric tube
percutaneous endoscopic gastrostomy (PEG)
nasogastric tube
inserted through a nostril and terminates in the stomach
NG tube
percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic jejunostomy (PEJ)
surgically inserted into the GI tract through the abdominal wall
can those will nutrition support/feeding tubes participate in PT
yes
can minimize risk of aspiration by maintaining head in the upright position
always make sure feeding tube is
well secured
