Special Equipment & Patient Care Environment

Question 1

o Most common bed used in hospitals
o Can be adjusted using electrical controls

Answer 1

Standard Adjustable

Question 2

Controls may be located at the head or foot of the
bed, on the side rail, or attached to a special cord
o Can be raised or lowered, can be folded

Answer 2

Standard Adjustable

Question 3

Cost-efficient
o Gives basic needs

Answer 3

Standard Adjustable

Question 4

This bed has three divisions to accommodate the ____– upper portion of the bed s elevated 55 to 60 deg, facilitates chest expansion

Answer 4

Has three divisions to accommodate the Fowler’s
position – upper portion of the bed s elevated 55
to 60 deg, facilitates chest expansion

Question 5

o Aka Poster wedge
o To immobilize patients with spinal injuries

Answer 5

Turning / Stryker Wedge Frame

Question 6

For skeletal stability
o Facilitates horizontal turning

Answer 6

Turning / Stryker Wedge Frame

Question 7

To facilitate the Trendelenburg position

Answer 7

Turning / Stryker Wedge Frame

Question 8

Pro and Con of the Turning bed

Answer 8

Pro: Easier access to areas to be treated
Cons: Patient may develop contractures, Has weight and height limit

Question 9

Aka Keane Roto-Rest
o For patients that has multiple fractures to be immobilized

Answer 9

Post-trauma Mobility Bed

Question 10

Prevents pressure ulcers
o A form of restraint
o Has side to side motion

Answer 10

Post-trauma Mobility Bed

Question 10

Con of Post-trauma Mobility bed

Answer 10

Cons: Patient may experience motion sickness

Question 11

Has segmented and separated air bladders
o Amount of air pressure in each bladder can be controlled individually depending on the patient’s size, weight, and shape

Answer 11

Low Air Loss Therapy Bed

Question 12

Mechanical ventilators / Respirators
❖ Ensures adequate air movement in and out of the lungs

Answer 12

Ventilators

Question 13

Long term support – has a predetermined gas that will be delivered during INSPIRATION
o For patients that has COPD, post thoracic surgeries, CNS disorder, and some musculoskeletal disorders that affect respiration

Answer 13

Volume-Cycled Ventilators

Question 14

short-term ventilation – intermittent positive- pressure breathing

o For selected patients with: neuromuscular or musculoskeletal distress

Answer 14

Presure-Cycled Ventilators

Question 15

Atmosphere/Environmental pressure is higher than the thoracic pressure to allow air to enter
o Primarily for persons with poliomyelitis

Answer 15

Negative Pressure Device

Question 16

Mode of Ventilation:
Trigger from pt, assist in the deliver of gasses

Answer 16

Assist mode

Question 17

Mode of Ventilation:
synchronized with pt.’s breathing

Answer 17

Synchronized intermittent mandatory ventilation mode

Question 17

Mode of Ventilation:
pressure positive, better absorption of gas

Answer 17

Positive end- expiratory pressure (PEEP) mode

Question 17

Mode of Ventilation:
Time based

Answer 17

Control

Question 17

Mode of Ventilation:
high pressure

Answer 17

Continuous Positive airway pressure mode

Question 18

Mode of Ventilation:
During inhalation and time based

Answer 18

Assisted Control

Question 19

Mode of Ventilation:
minimum number of breathes

Answer 19

Intermittent mandatory ventilation mode

Question 20

Shows the Blood Pressure, Respiratory Rate, Temperature, Blood gases, Cardiac pattern

Answer 20

Vital Signs Monitor

Question 21

Measures oxygen saturation (SaO2) o Attachment: patient’s finger or ear

Answer 21

Oximeter

Question 21

Define: Ventricular catheter: ➢ Subarachnoid screw: ➢ Epidural sensor:

Answer 21

Ventricular catheter: most accurate and allows withdrawal of CSF. ➢ Subarachnoid screw: accurate but does not allow withdrawal of CSF. ➢ Epidural sensor: poor reliability = rarely used

Question 21

(Swan-Ganz Catheter) internal jugular or the femoral vein o Right atrial pressure, PAP, and pulmonary capillary wedge pressure

Answer 21

Pulmonary Artery Catheter

Question 22

Pressure exerted against the skull by brain tissue, blood, or cerebrospinal fluid (CSF)

Answer 22

Intracranial Pressure Monitor

Question 23

Types of Intracranial Pressure Monitor (3)

Answer 23

Ventricular catheter: most accurate and allows withdrawal of CSF. Subarachnoid screw: accurate but does not allowwithdrawal of CSF. Epidural sensor: poor reliability = rarely used

Question 24

A plastic tube inserted through a nostril that terminates in the patient's stomach.

Answer 24

Nasogastric (NG) tube

Question 25

Pressure in the right atrium or the superior vena cava o Inserted into an artery (radial, dorsal pedal, axillary, brachial, femoral)

Answer 25

Central Venous Pressure Catheter

Question 26

Blood pressure or to obtain blood samples without repeated needle punctures

Answer 26

Arterial Line (A line)

Question 27

Cephalic or internal jugular vein and passes through the superior vena cava to near the tip of the right atrium

Answer 27

Indwelling Right Atrial Catheter (Hickman)

Question 28

Most common being to prevent clots after surgery - Heparin - Coumadin - Plavix Lovenox - Arixtra Aspirin

Answer 28

Anticoagulation

Question 29

IV feeding techniques used to permit infusion of large amounts of nutrients

Answer 29

Intravenous Feeding, Total Parenteral Nutrition, And Hyperalimentation Devices

Question 29

Functions: ➢ Removing fluid or gas from the stomach and GIT ➢ Evaluating digestive function and activity in the GI tract. ➢ Administering medications directly into the GIT ➢ Providing a means to feed the patient. ➢ Allowing treatment in the upper portion of the GIT ➢ Obtaining gastric specimens.

Answer 29

Nasogastric (NG) tube

Question 29

A medical device used to remove urine from the bladder when a patient has lost voluntary control of urination.

Answer 29

Urinary Catheter

Question 30

A __ is a plastic tube that is inserted directly into the stomach through an incision in the patient’s abdomen.

Answer 30

Gastric Tube

Question 31

Used for infusion of nutrients, fluids, electrolytes or deliver medications intravenously

Answer 31

Intravenous Infusion Lines

Question 31

Function: ➢ Many of the purposes described for the NG tube also apply to the G tube.

Answer 31

Gastric Tube

Question 31

How to Operate a Gastric Tube: ➢ Insert the tube through an incision directing it toward the stomach.

Answer 31

Gastric Tube

Question 31

Components: ➢ infusion pump which will administer fluid and nutrients ➢ audible alarm

Answer 31

Intravenous Feeding, Total Parenteral Nutrition, And Hyperalimentation Devices

Question 31

Function: ➢ Means to deliver nutrients intravenously to patients who are unable to, should not, or refuse to eat

Answer 31

Intravenous Feeding, Total Parenteral Nutrition, And Hyperalimentation Devices

Question 32

Any form of trauma, disease, disorder affecting the neuromuscular control of the bladder sphincter or such, may require the use of a?

Answer 32

Urinary Catheter

Question 32

Components of the __system: ➢ solution/Fluid container device that measures the number of drops of fluid administered per minute ➢ Roller clamp ➢ Needle ➢ Infusion pumps (special cases)

Answer 32

Intravenous Infusion Lines

Question 33

A small, sterile tube used to drain urine from the bladder.

Answer 33

FOLEY CATHETER

Question 33

Applied over the shaft of the penis and is held in place by an adhesive applied to the skin

Answer 33

EXTERNAL CATHETER

Question 34

Inserted directly into the bladder through an incision in the lower abdomen and bladder.

Answer 34

SUPRAPUBIC CATHETER

Question 34

For patients who require additional oxygen due to various conditions, such as MI or cardiac problems, respiratory diseases, or inadequate lung function. ❖ Essential for post-surgery recovery, cardiac problems, respiratory diseases, or inadequate lung function

Answer 34

Oxygen Therapy Systems

Question 34

aids in the post- operative or post- procedural recovery of patients ➢ used to assist patients experiencing difficulty breathing, facilitate improved respiratory function, and enhance their overall quality of life.

Answer 34

Oxygen Therapy Systems

Question 34

preventing potential complications arising from respiratory issues, including severe conditions like heart failure and stroke. ➢ used in symptom management, contributing to longer and healthier lives.

Answer 34

Oxygen Therapy Systems

Question 35

Amount of air the Nasal Cannula supplies

Answer 35

Low to moderate of oxygen

Question 36

o Has two plastic prongs (tips) that are inserted into the patient’s nostrils and is connected with a plastic connector that rests below the nose and above the patient’s upper lip o Secured by a tubing positioned above the ears

Answer 36

Nasal Cannula

Question 37

a triangular plastic device with small vent hose in to expel exhaled air o Covers the patient’s nose and mouth

Answer 37

Oronasal Mask

Question 38

Amount of oxygen the oronasal mask supplies

Answer 38

Short periods, moderate oxygen Concentrations

Question 39

can be inserted through the nasal passage to the nasopharyngeal junction o located just below the level of the soft palate use of it is similar to those described for the nasal cannula

Answer 39

Nasal Catheter

Question 39

Encloses the patient’s trunk and head o Edges must be properly sealed and must be frequently monitored by a nursing personnel restless, very young, uncooperative, or extremely ill

Answer 39

Tent

Question 40

Can be temporary or permanent o Can be administered by a mask over or catheter inserted into the stoma o Depends on the case of the Patient

Answer 40

Tracheostomy Mask or Catheter

Question 41

Tubes inserted within the chest through an incision and are connected by suction systems.

Answer 41

Chest Drainage Systems

Question 41

give individuals with chronic respiratory disease to be mobile even with their illness.

Answer 41

Oxygen Therapy Systems

Question 41

Essential for treating both acute and chronic conditions. mainly used in variety of healthcare settings such as hospitals, nursing homes, and residences. ➢ it improves oxygen levels in the blood

Answer 41

Oxygen Therapy Systems

Question 41

Function: Remove air, blood, purulent matter, or other undesirable material from the chest

Answer 41

Chest Drainage Systems

Question 41

reduces shortness of breath ➢ improves sleep quality reduces risk of complications lifeline which provides essential support for a patient’s vital function

Answer 41

Oxygen Therapy Systems

Question 41

Types of Chest Drainage Systems

Answer 41

One-bottle system ➢ Two-bottle system ➢ Three-bottle system

Question 41

These are devices that accommodates the surgically produced opening in the abdomen allowing elimination of feces.

Answer 41

Ostomy Devices

Question 41

To help patients who underwent ostomy eliminate feces via an artificial stoma in the small intestine

Answer 41

Ostomy Devices

Question 41

What is the significance of the Different placement for different types of drainage: Anterior or lateral chest wall Inferiorly and posteriorly - Mediastinal tubes -

Answer 41

Anterior or lateral chest wall - removal of air Inferiorly and posteriorly - removal of fluids and blood Mediastinal tubes - drain blood and fluid (for open chest surg)

Question 41

for displaced or comminuted femoral fx ❖ utilizes splints and involves inserting a pin or wire through the tibial plateau ❖ Importance: treats femoral fractures effectively

Answer 41

BALANCED SUSPENSION TRACTION

Question 41

Types of To help patients who underwent ostomy eliminate feces via an artificial stoma in the small intestine

Answer 41

Ostomy device

Question 41

Types of collecting devices: (ostomy) and their differences

Answer 41

One-piece pouch - directly attached to the skin entirely Two-piece pouch - attached to the skin with twodifferent parts Adhesive-backed pouch - has an adhesive backing

Question 42

D: maintain alignment & stability after fx reduction ❖ KC&F: hardware applied internal ❖ Importance: shorter period of immobilization, maintains local circulation rapid return to functional activities

Answer 42

INTERNAL FIXATION

Question 42

System that allows the patient to self-administer a small predetermined dose of pain medication intravenously, as frequently as every 6 mins. ❖ patient can wear it on the wrist or has on the bedside only deliver the pre-measured dose

Answer 42

PATIENT-CONTROLLED ANALGESIA

Question 42

D: Equipment used by tongs positioned into small holes drilled in outer layer of the skull. ❖ KC&F: Used for patients with a fracture or dislocation of one or more cervical vertebrae. ❖ Importance: Help to reduce the fracture and dislocation. ❖ PT needs to immobilize the part of the head

Answer 42

SKULL TRACTION

Question 42

stabilization with frames ❖ applied externally to pt.’s extremities ❖ Importance: allow earlier & greater, mobility, alignment

Answer 42

EXTERNAL FIXATION

Question 42

Importance: Lessen the workload of the healthcare professional, records the number of request made by the patient

Answer 42

PATIENT-CONTROLLED ANALGESIA

Question 42

for patient’s with acute or end-stage renal disease. ❖ 2 primary methods: hemodialysis and peritoneal

Answer 42

DIALYSIS TREATMENT