Monitors and Pt Support Equipment - Class 4 Flashcards

1
Q

Monitors and pt support equipment

A

swan-ganz catheter

arterial BP

chest tubes

pulse oximetry

oxygen delivery devices

nutrition support/feeding tubes

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2
Q

swan ganz catheter

A

used in ICU for hemodynamic monitoring

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3
Q

where is a swan ganz catheter put in

A

subclavian or internal jugular veins

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4
Q

what will swan ganz catheter measure

A

right arterial pressure

pulmonary artery pressure

cardiac output

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5
Q

arterial BP is monitored w/

A

indwelling peripheral catheter

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6
Q

arterial BP is referred to as an

A

a line

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7
Q

common sites for insertion –> arterial BP

A

radial artery

femoral artery

dorsalis pedis artery

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8
Q

what is typically limited near A line insertion

A

WB and joint mobilization

may be contraindicated

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9
Q

how can pt participate in PT with a line

A

positioning

airway clearance

mobilization

providing the pt is stable and line is secure

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10
Q

what happens if arterial blood catheter is dislodged

A

immediately apply direct pressure

call for assistance

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11
Q

chest tubes

A

large catheter placed w/in pleural space, mediastinum or pericardium to evacuate fluid +/or air

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12
Q

where is a chest tube usually placed

A

at 4th or 5th intercostal space

in the mid-axially or anterior axillary line

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13
Q

what must we be careful of with chest tube

A

not to kink it

wont be able to get things out

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14
Q

how can someone with a chest tube participate in PT

A

as long as the drainage system is maintained lower than the insertion site

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15
Q

what happens if the collection bottle falls over –> chest tube

A

immediately return to upright

alert medical/surgical team

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16
Q

pulse oximetry

A

non invasiv

continuous assessment of pulse rate and oxyhemoglobin saturation

can participate in PT

17
Q

oxygen delivery devices

A

O2 is a medication

prescribed in specific dosages and delivery modes

18
Q

PTs need a —> O2

A

prescription to modify the mode or dose of O2

19
Q

what are O2 delivery devices

A

nasal prongs

cannula

face masks

20
Q

when are oxygen delivery devices used

A

PaO2 < 55 or SaO2 < 88%

21
Q

can one with an oxygen delivery device participate in PT

A

yes

may need to have portable O2

22
Q

nutrition support/feeding tubes

A

nasogastric tube

percutaneous endoscopic gastrostomy (PEG)

23
Q

nasogastric tube

A

inserted through a nostril and terminates in the stomach

NG tube

24
Q

percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic jejunostomy (PEJ)

A

surgically inserted into the GI tract through the abdominal wall

25
Q

can those will nutrition support/feeding tubes participate in PT

A

yes

can minimize risk of aspiration by maintaining head in the upright position

26
Q

always make sure feeding tube is

A

well secured