Tubes, Lines, and Medical Equipment Flashcards
Arterial Lines (A lines)
- Should you apply blood pressure cuffs over this line?
- How should you grasp the IV support line?
- Activities in which position should be avoided for patients that have an A line?
- Is exercise possible for patients with an A line?
- No
- Grasp pole to keep the infusion site at heart level
- activities that have the patient have their infusion site be above their heart for long periods of time
- exercise is possible but avoid disturbing the apparatus area
Is exercise possible with patients who have a Swan-Ganz catheter (Pulmonary Artery Catheter)?
Yes but avoid disturbing the site of catheter insertion
What is a Nasogastric Tube?
What is it used for?
a plastic tube inserted through a nostril that extends into the stomach
used for short term liquid feeding, medication administration, or to remove gas from the stomach
What is a Gastric Tube?
What is it used for?
a tube inserted through a small incision in the abdomen into the stomach
can be used for long term feeding in the presence of difficulty with swallowing due to an anatomic or neurologic disorder or to avoid risk of aspiration
What is a Jejunostomy Tube?
What is it used for?
tube inserted through endoscopy into the jejunum via the abdominal wall
can be used for long-term feeding for patients that are unable to receive food by mouth
What is a Intravenous system feeding device?
What is it used for?
consists of a sterile fluid source, a pump, a clamp, and a catheter insert into a vein
can be used to infuse fluids, electrolytes, nutrients, and medication for patient’s who’s GI system cannot digest or absorb food
What is an arterial line used to monitor?
What should a therapist do if it becomes displaced?
blood pressure or obtain blood samples
Therapist should apply pressure to limit blood loss and call for assistance
What is a Central Venous Pressure Catheter used to monitor?
- measuring pressures in the right atrium or the superior vena cava by means of an indwelling venous catheter and a pressure manometer
- can evaluate right ventricular function
- right atrial filling pressure
- circulating blood volume
What is an Indwelling right atrial catheter (Hickman Catheter)?
catheter inserted through the cephalic or internal jugular vein and threaded into the superior vena cava and right atrium
used for long term administration of substances and medications into the venous system
What type of monitoring is performed by epidural sensors, subarachnoid bolts, and intraventricular catheters?
Intracranial Pressure Monitoring
What is a Pulmonary Artery Catheter (Swan-Ganz Catheter)?
What is it used for?
What should patient’s avoid with this catheter?
a soft, flexible catheter that is inserted through a vein into the pulmonary artery
used to provide continuous measurements of pulmonary artery pressure
avoid excessive movement of the head, neck, and extremities to avoid disrupting the line at the insertion site
What is a nasal cannula?
oxygen therapy using tubes inserted one centimeter into each nostril and can deliver up to 6 liters of oxygen per minute
What is an Oronasal Mask?
oxygen therapy using a facepiece that covers the mouth and nose
can also be used to administer medications, mucolytic detergents, or adjust humidity
What is an Oxygen Therapy Tent?
a canopy placed over the head and shoulders or entire body for the purpose of delivering oxygen at a higher level than normal
What is a tracheostomy mask?
mask placed over the stoma or tracheostomy for the purpose of administering supplemental oxygen
What is balanced suspension skeletal traction?
What is is most commonly used for?
Are there any drawbacks?
traction that requires pins, screws, and wires to be surgically inserted into bone for purpose of applying a traction force using an externally applied weight
Most commonly used for comminuted femur fractures
Requires prolonged immobilization and therefore increases the incidence of secondary complications such as contractures or skin breakdown
What is External Fixation Skeletal Traction?
a surgical procedure where holes are drilled into uninjured areas of bone surrounding the fracture and the fracture is then set into the desired alignment using an external frame to maintain the bony fragments in the desired alignment
Enhances stability and allows for earlier mobility while maintaining the desired alignment
What is Internal Fixation Skeletal Traction?
a surgical procedure that attempts to promote the healing process of bone without appliances being applied external to the skin which includes metal plates, rods, wires, and screws
usually has less post-operative complications than other skeletal traction surgeries and allows for early mobilization
What is an external urinary catheter?
a catheter that is applied over the shaft of the penis and is held in place by a padded strap or adhesive tape
What is an Foley urinary catheter?
an indwelling urinary tract catheter that has a balloon attachment at the indwelling end which can be filled with air or sterile water and must be deflated before removal
What is a suprapubic urinary catheter?
an indwelling urinary catheter that is surgically inserted directly into the patient’s bladder under general anesthesia
What is a chest tube used for?
a plastic tube inserted into the chest via an incision and used to suction out air, fluid, or pus from the intrathoracic space
What is an ostomy device?
a method of collecting waste from a surgically produced opening in the abdomen called a stoma which extends into the small intestine
patient can lead an active lifestyle with ostomy bag still attached due to it being air and water tight
