SCOREBUILDERS Lines; Tubes; Equipment Flashcards
What are the 4 important things to remember with an A line (arterial line, radial artery - used for BP readings)
- Apply BP cuff BELOW the infusion site (never above).
- Grasp the IV line support pole so infusion site is at heart level - when the patient is moved, you must recalibrate the axis.
- Avoid activities which require infusion site to be above the level of the heart for a prolonged period (there is a blockage of femoral A-line if hip is flexed to 90 degrees for prolonged periods of time).
- Exercise IS possible - but avoid disturbing the apparatus. Also - wait FOUR HOURS for clotting before getting pt out of bed after line is pulled.
Caution : If line is pulled out, severe bleeding (artery)
What is an A line used for? Where is it placed?
An A-line/Art-Line/arterial line is a thin, flexible tube (catheter). It’s put into an artery (OFTEN RADIAL ARTERY RIGHT BESIDE THE THUMB or FEMORAL ARTERY) An arterial line makes it easy to check your blood pressure. This is needed during certain hospital procedures when your blood pressure may go up and down a lot.
It is sutured in place, and axis must be recalibrated if patient is moved.
Exercise is possible with Swan-Ganz Catheters - T/F. What is a Swan-Ganz catheter used for?
True! Mobility may be restricted near the catheter insertion)
-Line will need to be recalibrated after tx for PHLEBOSTATIC AXIS, or the readings are not accurate
What is a PICC line used for, where do we find it?
PICC lines are in antecubital fossa (elbow pit) - ends in superior vena cava via the subclavian vein, brachiocephalic vein, or axillary vein.
Used for prolonged AB, Chemo, NOT SUTURED - so slips out during abduction/flexion of shoulder
What are precautions of PICC lines?
- Do not move pt until after X-ray confirms placement (it goes into subclavian vena cava)
- Do not take BP in the arm it is in
- Limit excessive UE exercises
- Do not use axillary crutches if possible. You don’t want to irritate the PICC line in any route (axillary vein –> Brachiocephalic vein –> Subclavian –> VC)
What is a Swan-Ganz catheter (usually yellow)
Swan-Ganz is a PULMONARY ARTERY catheter. It’s tip lies IN THE HEART at the left or right branch of the pulmonary artery. It is USUALLY YELLOW.
Used in critically ill patients to monitor heart fx and pressure
What are normative values measured by a Swan-Ganz Catheter?
Systolic Arterial Pressure = 25mmHg
Diastolic Arterial Pressure = 8mmHg
Mean Arterial Pressure (MAP) = 15mmHg
What exercises should be avoided with someone whose intracranial pressure is being monitored?
- Valsalva maneuver increases ICP
- Isometric exercise increases ICP
- Neck flexion, hip flexion > 90 degrees and lying down in a prone position should be avoided
- Always elevate the bed to 30 degrees for venous drainage
- Momentary elevation of intracranial pressure is normal - but sustained is ABNORMAL and needs to be reported
What angle should the bed be elevated to, in order for maximal venous drainage?
30 degrees
Enteral feedings (nasogastric tube NG tube) can be temporarily disconnected for mobility (T/F)
True
What exercises should be avoided with an NG tube?
NG tube : Nasogastric tube
-Avoid movements of the head and neck, like forward bending (this would back up food into the tube)
Patient can have a drink of water during exercise mobility with a nasogastric tube. (T/F)
False. A person cannot eat or drink fluids by mouth with an NG tube.
A G tube (gastronomy tube) is inserted directly into the stomach for nutrition (T/F)
True
A G tube’s enteral feeding SHOULD be stopped before mobility exercise (T/F)
True
Urinary Catheter bag/tube must be ABOVE the urethral opening during exercise (T/F)
False. The bag and tubing rely on gravity. Must be below the bladder, and the bag should not be raised above the bladder for long.
