Reading material Flashcards
What is the order in which the blood tubes should be filled?
- Blood culture
- Tube withOUT additives (red tubes)
- Tubes WITH additives
What are red tubes used for?
Chemistries, amylase, Igs
What are blue tops used for?
PT
PTT
INR
What are green tops used for?
Ammonia
CPK isozymes
What are purple top tubes used for?
CBC
ABO types
What are gray top tubes used for?
Ethanol
What are pink top tubes used for?
Cross matching
Which colored tube does not have any additives?
Red
True or false: you should not draw blood on the side of the body that a mastectomy was performed
True
True or false: when drawing blood on the side of an arm with an IV in place, you should draw above the IV site
False– I don’t know why though
What should you never do after cleaning a venipuncture site?
touch it
True or false: you should gently invert or shake the tubes of blood in a blood draw
False– NEVER shake. But the inverting bit is a good idea
What are the landmarks that should be palpated before doing a cricoidotomy?
Thyroid and cricoid cartilage (between them in the cricothyroid ligament)
What direction should the needle face when performing a needle cricoidotomy? When should you stop advancing the needle?
45 degrees inferiorly
Stop when air is aspirated into the syringe
How long can adequate ventilation be achieved with a needle cricothyroidotomy?
30-45 minutes
What is the age cutoff (lower bound) for surgical cricothyroidotomy?
12 yo
Central line placement for the IJV is on what side of the body? Subclavian?
IJV = right side Subclavian = left side
What are the landmarks used for placing a central line into the subclavian? How should the hands be placed? How should the needle be inserted?
Thumb on the sternal notch
Index finger on the intersection between the clavicle and the first rib. Insert needle lateral to the thumb, and beneath the clavicle.
What are the landmarks used for central line placement in the IJV?
Between the two heads of the SCM
What way should the tip of the J wire be inserted in an IJV central line?
Toward the heart
What must be monitored with a IJV central line placement? Why?
EKG for arrhythmias
What is the minimal amount of blood that can be seen on a CXR for a hemothorax?
300-500 ml
What should you do if draining more than 1500 ml of blood from a chest tube?
Get to OR for thoracotomy to control bleeding
What are the ribs that are used for landmarks for a chest tube placement with a pneumothorax? Where?
3 4 or 5 intercostal space along the anterior axillary line