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Special equipment 2
IPTA
| Question | Answer |
|---|---|
| What does A-line measure? | Blood pressure |
| What to be careful with when a pt. has an A-line | Bending wherever A-line is Do not pull out/tug on it |
| What to do when A-line is pulled out? | Put pressure on it and get help |
| Central venous pressure catheter (CVP) or Central line measure | pressure in right atrium |
| What to be careful with CVP | Flexion >90 of where it is Limited neck movement LIFE THRETENING |
| Hickman | Indwelling Right Atrial Catheter |
| When is a Hickman used | Long term for meds and nutrition |
| What to be careful with Hickman | Limited shoulder movement Limited pool Avoid soft tissue mobilization over area |
| Swan-Ganz | Pulmonary Artery Catheter |
| What does Swan-Ganz measure | Pulmonary artery pressure |
| What to be careful with Swan-Ganz | Head, neck, shoulder, and hip movement LIFE THRETENING |
| Intracranial Pressure Monitor (ICP) measurement | Pressure of brain |
| What to be careful with ICP | Notify nursing before PT Careful w/ positions |
| Nasogastric (NG) tube function | Short term feeding, meds, and stomach emptying |
| What to be careful with NG tube | Position wait 30 min after meal |
| Gastronomy (G) tube function | Long term feeding |
| What to be careful with G tube | Avoid Supine during eating Can be disconnected |
| Jejunostomy (J-tube) use | into small intestine for long term feeding |
| What to be careful with J-tube | Avoid Supine during eating Can be disconnected |
| Intravenous Line (IV) function | short term fluid, med, and nutrition delivery (in vein) |
| What to be careful with IV | Avoid taking BP on that arm Avoid bending bring pole and keep bag high |
| PICC line function | Long term meds and fluids |
| What to be careful with PICC line | Avoid taking BP on that arm Avoid axillary crutches- risk of DVT |
| Urinary Catheter types | suprapubic Foley Condom |
| What to watch with catheters | Altered mental status = UTI monitor for infection |
| Endotracheal tubes function | mechanical breathing (nonsurgical) |
| What to be careful with endotracheal tubes | limited head movement |
| Tracheostomy tube function | Surgical opening to provide mechanical ventilation Remove secretion in airway Meds |
| What to be careful with tracheostomy | Avoid head/neck movements 7+days |
| Mechanical ventilators function | positive pressure to inflate lungs |
| What to be careful with mechanical ventilators | Displacement= LIFE THRETENING may need non-verbal communication |
| Balanced suspension traction function | Usually for commuted femur fractures |
| Balanced suspension traction careful | prolonged immobilization complications |
| External fixation function | Surgically drilled into bones |
| What to be careful of with External fixation | Infection no blood flow |
| When is external fixation better than internal fixation | Slow healers Early mobility |
| Internal fixation function | Surgically fix commuted or displaced fractures |
| What to be careful with internal fixation | infection NWB for 6 weeks |
| Chest tube function | suction out air, fluid, or puss into catheter |
| What to be careful with chest tube | Keep bag below insertion if displaced= LIFE THRETENING |
| Post surgical drain (Hemovac) function | take out extra blood from surgeries |
| Ostomy function | Surgical insertion to excrete solids or urine |
| Pt. controlled Analgia (PCA) function | IV med pain relief pt. controls after surgery |
| What to be careful of PCA | make sure pt. is alert Over medication |