What is the goal of acute care physical treatment? correct answerprioritized around what the patient needs to get home safely and independently (or able for a caretaker to take care of them)
What does telemetry do? co
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What is the goal of acute care physical treatment? correct answerprioritized around what the patient needs to get home safely and independently (or able for a caretaker to take care of them)
What does telemetry do? correct answer-view of heart electrical activity
-continuous pulse ox
-intermittent blood pressure
When is telemetry used? correct answerpt at high risk for cardiac events
What do telemetry units provide? correct answer-data log of heart function
-can alert nurses if a pt is suffering from an acute or dangerous condition
Indications for a peripheral IV correct answer-gain access to peripheral circulation
-provide blood transfusion
-infuse fluids and IV meds
-essential for critically ill pts
Intravenous (IV) infusion correct answerfluids, meds, blood products, and nutritional substances are administered into a vein by an IV device with fluid in plastic bag via administration set
Methods to administer IV medication correct answer-rapid injection into vein w syringe
-giving meds intermittently over a specific amt of time using an IV secondary line
-give med continuously mixed in main IV solution
4 reasons for an IV to alarm correct answer-air in line
-distal line occlusion
-KVO
-line dislodged
What happens when there is air in an IV line correct answer-air bubble in line
-needs to be addressed so it doesn't enter circulation
What happens where there is a distal line occlusion in the IV correct answer-IV line kinked or compressed
-find the area, straighten it, and have RN hit reset and start on the infuser
What happens when there is KVO in the IV and what to do correct answer-dose of medication complete
-don't unhook it
-IV must be flushed to prevent clotting
What happens when there is a line dislodged in the IV and what to do correct answer-will see this
-notify nurse
-put pressure over IV site if it's bleeding
Heplocked correct answerIV flushed with saline solution prior to being disconnected from IV to reduce risk of clot formation and subsequent IV failure
IV infiltrate correct answerif it infiltrates, IV fluid penetrates the surrounding tissue instead of entering the vein
Peripherally inserted central catheter (PICC) correct answer-long, thin, flexible catheter inserted into one of the large veins of the arm near or above bend of elbow
-then slid into vein until the tip sits in a large vein just above heart in SVC
When is a PICC used? correct answer-long term (6-8 weeks) IV therapy
-chemotherapy
-antibiotics
-IV fluids
-feeding
Total Parenteral Nutrition (TPN) correct answer-practice of feeding a person intravenously, bypassing the usual process of eating and digestion
-person receives nutritional formula of salts, glucose, amino acids, lipids, added vitamins
Central venous catheter/central line correct answercatheter in large vein in neck, chest or groin via internal jugular vein, subclavian vein, and/or femoral vein
When would you use a central venous catheter/central line? correct answer-pt needs frequent or intensive cardiovascular monitoring
-drugs that would be irritating to peripheral circulation (chemo)
-assessment of fluid status
-blood draws
-increased viability of IV drugs/fluids
Port a Cath correct answer-type of central line
-septum thru which drugs can be injected or samples can be drawn
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