5159154
| Question | Answer |
| Arterial Line (A Line) | -Avoid applying a BP cuff above the infusion site -Grasp the IV line support pole so the infusion site is at least at heart level -Avoid activities that require the infusion site to be above the level of the heart for a prolonged time -Exercise is possible with the line, but avoid disturbing the apparatus -PRIMARY PURPOSE: measure BP -Purpose: measure oxygen staturation |
| Swan-Ganz Catheters (Pulmonary Artery Catheters) | -Exercise is possible with the line, but mobility may need to be restricted near the catheter insertion -PURPOSE: Measures R atrial pressure, pulmonary pressure -Inserted through femoral, brachial, or jugular vein into pulmonary artey |
| Total Parenteral Nutrition, Hyperalimentatoin Devices (Intravenous Feeding) | -Alarm sound indicates the fluid source is empty or the system has become unbalanced -Disruption or disconnection may result in an air embolus -Shoulder motion on the side of the infusion site may be restricted primarily flexion and abduction -Exercise is possible with the line, but mobility may need to be restricted near the catheter insertion |
| Intracranial Monitoring | -Isometric exercises an the valsalva maneuver should be avoided since these activities increase intracranial pressure -Avoid neck flexion, hip flexion > 90*, and prone position -Venous drainage is maximal with the head of bed elevated 30* -Momentary elevation of intracranial pressure is normal, but sustained increases are not and therefore should be reported |
| Nasogastric Tubing (NG Tube) | -Pt. will not be able to eat food or drink fluids by mouth while the tube is in place -Enteral feedings can be disconnected temporarily for mobility -Exercise requiring movements of the head and neck should be avoided, especially flexion |
| Gastrostomy Tubing (G Tube) | -Distal tubing can inadvertently become caught on items such as furniture and be pulled out -Enteral feedings should be turned off prior to and during treatment -Enteral feedings can be disconnected temporarily for mobility |
| Urinary Catheters | -Tubes should be placed below the region being drained since device relies on gravity -The collection bag should not be raised above the level of the bladder for a sustained period -Avoid disturbing, stretching, disconnecting or occluding the tube during exercise |
| Chest Tubes | -When ambulating, collection bottles should be kept below the level of the inserted tube location -Monitor the pt. for changes in breath sounds before and after intervention -Avoid pressing directly on the chest tube during mobility activities |
| Mechanical Ventilation | -Alarm may indicate disconnected tube, coughing or change in respiratory pattern -Develop nonverbal means of communication with the pt -Pt. is at greater risk for developing contractions, skin ulcers, and deconditioning |
| Supplemental Oxygen Delivery System | -Be aware of signs of respiratory distress (dyspnea, cramping, cyanosis) -Monitor SaO2, PaO2 and hemodynamic prior to, during, and after intervention -Exercise is possible, but avid disturbing the tubing |
| Central Venous Pressure Catheter | -Measures pressure in the right atrium or the superior vena cava -Use to evaluate the right ventricle function, right atrial filling pressure, and circulation of blood volume -this significantly reduces the need for repeated venipuncture |
| Oximeter | -Used to determine the oxygen saturation of blood -Commonly applied to finger or ear -Assess activity tolerance |
| Jejunostomy tube (J tube) | -Tube inserted through endoscopy into the jejunum via abdominal wall -Used for long term feeding |
| Nasal Cannula | -Tubing extending approximately 1cm into each nostrils -Capable of delivering up to 6L of oxygen |
| Oronasal Mask | -Consists of facepiece covering nose and mouth -Used most often with oxygen therapy -Can be used to administer medicine, mucolytic detergents, or humidity by nebulizer |
| Tent | -A canopy placed over the head and shoulders or entire body -Purpose to deliver oxygen at a higher level than normal |
| Tracheostomy Mask | - Mask placed over a stoma or tracheostomy -Purpose to administer supplemental oxygen |
| Balance Suspension Traction | -Surgically placed pins, screws and wires into a bone -Purpose to apply a traction force using an externally applied weight -Often used for femur fx -Requires prolonged immobilization |
| External Fixation | -Surgical procedure where fx is set in to anatomically desirable position -An external frame is used to maintain the bony fragments -Enhances stability and allows early mobilization |
| Internal Fixation | -Surgical procedure that attempts to promote the healing process of the bone without external frame -Commonly used with comminuted or displaced fx -Provides needed stability to heal joints and allows early mobilizations -less post-op complications |
| Foley Catheter | -Indwelling urinary tract catheter that has balloon attached at the indwelling end -Balloon filled with air or sterile water must be deflated before catheter can be removed |
| Suprapubic Catheter | -An indwelling urinary tract catheter -Surgically inserted directly into the patient's bladder -Performed under general anesthesia |
| Ostomy Device | -Provides a method for collection of waste from a surgically produced opening in the abdomen -Removal of waste occurs through the stoma extending into the small stomach -Waste is collected into a plastic bag or pouch -Typically air and water tight -Allow the user to lead active normal lifestyle |
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