Tubes and lines Flashcards
Feeding tubes
- Nasogastric, nasoduodenal, and nasojejunal
- PEG tube (percutaneous endoscopic gastrostomy) or PEJ tube (percutaneous endoscopic jejunoscopy)
- Total parenteral nutrition
Urine Drainage tubes
- Foley catheter
- Suprapubic/Nephrostomy
- Texas (condom) catheter applied externally to a drainage bag
- External female catheter
- Implications for PT: If kinked, unkink. If pulled out of position or pulled out, notify nursing. Maintain below level of insertion to prevent backflow or briefly occlude tubing to prevent backflow when repositioning.
Foley catheter
Foley catheter -can be tube into the urethra to bladder
Suprapubic/Nephrostomy
- surgically inserted at the lower abdominal (suprapubic) or low back (nephrostomy)area
Texas (condom) catheter
applied externally
goes to a drainage bag
External female catheter
wicks moisture into a collection container
Feces collection types nd implications for PT
- rectal catheter
- ostomies (colostomy/ileostomy)
- Implications for PT: Avoid tension on the bag. The bag must be changed immediately if a leak develops to protect the stoma and adjacent skin. Be careful with gait belts/compression
Rectal catheter
for collection of feces. You can assume entry point.
Ostomies (colostomy/ileostomy)
attached to an opening in the large intestine (stoma- which means “little mouth” for excretion/collection of feces.
Post surgical drain
- types and their implications for PT
- continuous suction to remove drainage from an operative site. Many types but these are 2 common ones.
- Hemovac – Self-contained post-op suction device
- Jackson Pratt – Bulb shaped
- Implications for PT: If surgical drain is accidentally removed, place immediate pressure over site and call for help. Usually not a problem and is removed a few days post surgery
Chest tubes/pleurovac
plus implications for PT
- Implications for PT: Chest tube collection system MUST remain upright and below the insertion site.
- Avoid disruption, disconnection, or occlusion.
- Avoid kinking or obstructing tubing. Patient can still perform positioning, coughing and mobility activities.
- Monitor vital signs especially respiratory status – RR, respiratory pattern, lung sounds, oxygen saturation
Sequential pressure devices
- Worn externally on LE’s to allow for improved venous return, DVT prevention
- May be removed for mobility, usually discontinued when patient is regularly OOB and ambulatory
Cardiovascular devices that can connect to a monitor
- Cardiac leads to a cardiac monitor, or temporary pacemaker.
- Temperature Monitoring: May be done continually in those who are unable to have an oral temp taken. Usually attached in the nose or rectally connected by the Foley catheter.
- BP Cuff and Pulse ox
- Pulse ox attached to finger, toe or ear.
- Arterial Lines/Central Lines
Intravenous lines
are thin flexible catheters usually inserted into forearm or hand, but any peripheral vessel can be used. Used for blood work, administer meds/fluids. Usually not used for monitoring.
Arterial lines
- Inserted by a physician or specialized nurse. They are indicated in the critically ill patient, inserted into an artery and connected to a transducer to allow for direct blood pressure monitoring. Used for administering vasoactive medications, monitoring arterial blood gases (ABG’s), monitoring arterial blood pressures,
- Mean arterial pressure (MAP). Usually inserted in brachial, radial, or femoral artery and usually changed every 4-5 days.
- Mean Arterial Pressure (MAP) – provides an average of the systolic and diastolic pressures on the circulatory system. Usually slightly less than the average because the diastolic phase lasts longer than systolic phase. Acceptable MAP between 70 and 110mmHG. A minimum of 60mmHg is needed to provide enough blood to nourish the coronary arteries, brain and vital organs. When MAP falls below 60 for a considerable amount of time, organs may become deprived of the oxygen they need.
