Unit 7: Tubes, Lines, And Catheters Flashcards

1
Q

Discuss common location for peripheral access

A

Typically in the arm ( antecubital region, wrist, or the hand)

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2
Q

Discuss the needle vs the catheter

A

Only the plastic catheter remains in the patient, the needle is removed

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3
Q

Discuss the difference between heparin lock and a saline lock

A

An saline lock is an IV access nut it’s not attached to a continuous drip like the heparin lock

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4
Q

What is the purpose of a central venous line

A

Line that terminates in the heart for long term access

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5
Q

Where are common locations for central venous lines to be inserted

A

Jugular vein
Subclavian vein
Umbilical vein and artery
Femoral vein

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6
Q

What is a PICC line

A

It’s a peripherally inserted central catheter used for long term access for meds, TON, and antibiotics

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7
Q

Discuss a subclavian PICC line

A

Central line that goes directly from skin into vein
Has significant risk of a pneumothorax

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8
Q

Discuss a Hickman-Broviac- Groshong PICC line

A

Long term line mainly used for dialysis patients
Tunneled under the skin before entering the bloodstream

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9
Q

Discuss a port-a-cath

A

It’s completely internal and has a easy venous access

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10
Q

Discuss a swan-ganz PICC line

A

Used for cardiac patients
Terminates in the pulmonary artery

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11
Q

What is an interosseous infusion

A

Used If an IV access is not an option
Fluids will get fused into marrow

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12
Q

Define ECMO

A

Extra Corporeal Membrane Oxygeneation

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13
Q

What does ecmo do

A

It’s a lung bypass that allows time for underlying conditions to resolve

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14
Q

What is infiltration and extravasating

A

Fluid leaking into surrounding tissue instead of the vein

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15
Q

What is the difference between extravasation and infiltrate

A

The difference is the fluids

Extravasation is vesicant fluid like medication like contrast
Infiltrate is non vesicant like saline

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16
Q

What is phlebitis

A

Inflammation of the walls of a vein

17
Q

What is an air embolism

A

A bubble or air in an artery or vein

18
Q

Discuss drug incompatibility

A

Some drugs don’t mix well with certain solutions or other drugs

19
Q

What is low fluid level

A

When the fluid in the container is at a low level

20
Q

Discuss a nasogastric tube

A

NG tube goes from nose to the stomach and is used to remove gastric contents band remove air

21
Q

Discuss feeding tubes

A

Through the nose and ends in the duodenum and is used to deliver TPN

22
Q

Discuss chest tubes

A

Used if patient has pneumothorax or hemothorax

23
Q

Discuss urinary catheters

A

Used to drain urine

24
Q

Discuss a foley bag

A

Used to drain urine for long term use and must be kept below patient level to prevent backwash

25
Q

Discuss ostomies

A

Surgical openings connecting to internal systems outside the body

Colostomy: diversion of colon/ large intestine
Ileostomy: diversion into small intestine
Tracheotomy

26
Q

Discuss oxygen

A

Oxygen is a drug that you must have doctors order to use
If the tank is <500 = empty