Acute Care - Exam 1

When moving lines, which side do you want to move them to? correct answerVentilator side Peripheral IV Line correct answer- Hollow line inserted into a peripheral vein - Used for short term administration of medicati ...

When moving lines, which side do you want to move them to? correct answerVentilator side Peripheral IV Line correct answer- Hollow line inserted into a peripheral vein - Used for short term administration of medications, fluids, and blood transfusions - Typically seen in UE but may be placed in feet or femoral region Infiltration correct answer- Occurs when IV is no longer within the vein and leaks into the tissue - Significant swelling and tenderness above insertion site Promote patient to keep joints near IV placement _______ at rest. correct answerExtended PCA Pump correct answer- Intravenous Patient Controlled Analgesia - Delivers IV pain medication continuously or bolus - On a dose per time limit, therefore patient cannot overdose - Opioids locked within case, if empty inform RN - Vital signs are closely monitored and patients require supplementary oxygenation With a PCA pump who must push the button for medication? correct answerPatient PICC Line correct answer- Peripherally Inserted Central Catheter - Inserted into cephalic, basilica, or brachial vein - Guided to superior vena cava - Made of thin, soft, and flexible tubing - Easy access for prolonged IV medications and blood sampling How does a PICC and PIV line differ? correct answerPICC lines are able to remain in place for long periods. What do you not do with an extremity with a PICC line? correct answertake blood pressure crutch training Central Line correct answer- Inserted into internal jugular or subclavian vein and guided to superior vena cava - Administers large quantities or prolonged administration of IV medications, fluids, blood, or IV nutrition - Easy access for blood sampling - Directly measures central venous pressure What does central line directly measure? correct answercentral venous pressure Which line has a high risk of infection (CLABSI)? correct answerCentral Line With a central line in the subclavian vein, what should be avoided? correct answerShoulder ROM greater than 90 degrees With a central line in the jugular vein, what should be avoided? correct answerExcessive cervical movements Arterial Line correct answer- Stiff line inserted into an artery for hemodynamic monitoring - Provides continuous measurements of SBP, DBP, and MAP - Access to draw arterial blood gas and labs Where are arterial lines typically located? correct answerRadial Femoral Brachial Axillary Dorsalis Pedis Artery What is typically splinted when an arterial line is placed? correct answerNearest joint to prevent ROM The transducer is placed at the level of the ____ for pressure valve accuracy. correct answerRight Atrium Swan Ganz correct answer- Line inserted into the subclavian, jugular, or femoral vein guided to right atrium and pulmonary artery - Evaluates volume status and cardiac function What does a Swan Ganz measure? correct answerRight atrial pressure Pulmonary artery pressure Pulmonary artery wedge pressure Cardiac output Mixed venous oxyhemoglobin saturation Left ventricular function What type of therapy is given when an individual has a Swan Ganz? correct answer- Therapy is either deferred or performed with specific orders - OOB greater than chair or standing marching only - avoid ipsilateral shoulder exercises - nurses monitors lines during transfer Arterial Catheter - Sheath correct answer- Indwelling sheath placed within artery during cardiac catheterization procedures - Reduces trauma to arterial wall during catheter manipulation - Commonly placed in the femoral or radial artery What occurs while the arterial sheath is placed? correct answerSTRICT Bedrest After arterial catheter sheath is removed what occurs? correct answerSTRICT Bedrest for 6 hours post removal with extremity in extension General Vascular Line Risks correct answer- Thrombosis - Embolism - Infection - Trauma