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Special equipment 2

IPTA

QuestionAnswer
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
Created by: ZanderLuna
 

 



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