Unit 7: catheters, lines, & devices Flashcards
peripheral venous access
-elbow
-wrist
-hand
IV
-requires continuous infusion to remain open
Heparin/saline lock
-iv access but not attached to an IV drip
Central lines
-line terminates in/near the hear
-long term access
-many have one or more lumen
locations for central lines
-jugular vein
-subclavian vein
-umbilical vein & artery
-femoral vein
PICC
-peripherally inserted central catheter
-long term
-insertion in arm
subclavian
-central line
-significant risk of PTX due to insertion point
-directly through skin into vein
hickman-broviac-groshong
-very long term
-tunneled insertion is distant from vein insertion point
port-a-cath
-very long term
-completely internal
-easy venous access
swan-ganz
-terminates in pulmonary artery
-used for cardiac patients
interosseous infusion
-fluids infused into marrow
ECMO
-extra corporeal membrane oxygenation
-lung bypass
Infiltration & extravasation
-fluid leaking into surrounding tissue instead of vein
extravasation
-vesicant fluid
ex. contrast
infiltrate
-nob-vesicant fluid
ex. saline
Phlebitis
-inflammation of the walls of a vein
air embolism
-bubble of air in an artery or vein
Nasogastric tube
-nose to stomach (below diaphragm)
-often connected to wall suction
-administer fluids
feeding tubes
-thinner than NG
-end in duodenum
-deliver TPN
chest tubes
-lets air/blood out
-hemothorax
-pneumothorax
Urinary catheters
-placed to drain urine
foley bag
-must be kept below pt level
-#1 cause of nosocomial infections
Ostomies
surgical opening connecting internal systems to outside the body
colostomy
diversion of colon/large intestine
