Patient Monitoring Flashcards
what does a peripheral IV line deliver?
fluid, meds, and electrolytes
what does an A line do?
(blood pressure) = continuous monitoring of systolic, diastolic, and MAP
what is normal MAP? when do you get really concerned?
70-105 mmHg (under 60 is concerning)
what does a central line do? (5)
- delivers fluids
- delivers meds
- delivers nutrition
- delivers blood
- allows for repeat blood sampling
what is a PICC line?
(type of central line) = peripheral inserted central catheter
what is a mediport?
a type of central venous line - aka vascular access port
what is a hickman, groshong line?
a type of central venous line - aka tunneled central venous catheter
what is a central venous pressure catheter?
what does it do? (4)
a type of central venous line
- monitors r ventricle funciton
- monitors r atrial filling pressure
- measure blood pressure in large veins
- delivers fluids/meds/nutrition
what does a high CVP mean?
volume overload or R sided heart failure
what is a swan-ganz?
pulmonary artery catheter
what does a swan-ganz catheter do? (3)
- measure pulm artery pressure and pulm wedge pressure
- estimates L ventricle pressure
- measures diastolic pressure
what does a chest tube do? what is a consideration for a patient with a chest tube?
evacuates excess fluid or air; the cannisters must stay below the level of the body
whats FiO2 via NC on
- room air
- 1 L
- 2 L
- 3 L
- up to 6 L
- 0.21
- 0.24
- 0.28
- 0.32
- 0.44
which way should the hooks point on the NC?
down towards the airway
what is the O2 delivery range and FiO2 for a standard face mask?
6-10 L/m = 0.35-0.50
what is the O2 delivery range and FiO2 for a NRB?
6 L/m = 0.60
8-10 L/m = 0.80+
what is the advantage of a HFNC over a NC?
minimal room air entrainment = greater O2 delivery
what are the two types of advanced airways? whats the difference?
ETT (more emergency) and tracheostomy tube (more long term)
what does an ICP bolt do? what are the normal values?
monitors intracranial pressure
adult 0-15mmHg (ped <5mmHg)
keep it <25 always!!
what does an intraventricular catheter do?
it monitors ICP and provides access to drain excess CSF
what is a major consideration for treating patients who have an intraventricular catheter?
the drip chamber must be aligned 15cm above the EAM
what does an epidural catheter do?
delivers medicaiton to achieve regional anesthesia
what is an implication for the nasoenteric feeding tube, which feeds the stomach and/or small intestines?
keep HOB greater or equal to 30 deg to prevent aspiration
what does an NG tube do?
keeps the stomach empty
what are two implications for NG tubes?
- keep HOB >30 to prevent aspiration (same as NE tube)
- may have orders to disconnect for mobilization activities
whats a PEG tube?
gastrostomy tube for longer term feeding or gastric draining
whats a j tube?
jejunostomy tube - feeding tube directly into the jejunum
what are two options for indwelling catheters?
foley (urethral) or suprapubic
what are two options for external incontinence catheters
condom or purewick
what are two types of surgical drains
Jackson-Pratt (JP) drain and a hemovac
what are the two major causes of fluid deficits
dehydration and hypovolemia
what causes fluid excess?
excessive intake of soidum or water without proper elimination
