Lines & Equipment Quiz
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Questions and Answers

What is essential to best patient outcomes in basic line management?

  • Thorough chart review
  • Interprofessional Team Communication
  • Safety (correct)
  • Supportive personnel

Who is involved in Interprofessional Team Communication in basic line management?

  • Patients, Supportive personnel
  • PT, OT, SLP, RT
  • Physicians, PA’s and NP’s Nursing
  • All of the above (correct)

What should be checked during basic line management before mobility?

  • Current and discontinued orders (correct)
  • Attachment or device
  • Location / Site
  • Purposes and Indications for lines and equipment

Where should equipment and lines be observed systematically before mobility?

<p>Top to bottom, L to R (B)</p> Signup and view all the answers

What is the focus of communication with nursing before mobility in basic line management?

<p>Patient status, recent vitals, and order clarification (A)</p> Signup and view all the answers

What should be physically traced before mobility in basic line management?

<p>All lines and tubes (D)</p> Signup and view all the answers

What is the purpose of thorough chart review in basic line management?

<p>Insights into patient’s status and acuity (B)</p> Signup and view all the answers

What should be coordinated before mobility in basic line management?

<p>Time and supportive personnel (B)</p> Signup and view all the answers

What should be identified before mobility in basic line management?

<p>Precautions and contraindications (D)</p> Signup and view all the answers

What is recommended before mobility activities?

<p>Mental rehearsal and strategic organization of lines (B)</p> Signup and view all the answers

What is crucial during mobility?

<p>Cautious and vigilant line monitoring (C)</p> Signup and view all the answers

What is essential during and after mobility?

<p>Communication and monitoring of patient response (B)</p> Signup and view all the answers

What is used for monitoring cardiovascular system management?

<p>BP cuffs, pulse oximeters, and EKG leads (D)</p> Signup and view all the answers

What are Sequential Compression Devices (SCD) used for?

<p>Promote venous return and prevent the risk of DVT (B)</p> Signup and view all the answers

What are Peripheral Intravenous (IV) lines used for?

<p>Administering medications and fluids (B)</p> Signup and view all the answers

Where are PICC lines commonly placed?

<p>Basilic vein (B)</p> Signup and view all the answers

What is used to prevent slippage and maintain the integrity of Hickman/Broviac?

<p>Cuff (C)</p> Signup and view all the answers

What are Hickman/Broviac and Port-A-Cath?

<p>Tunneled central venous catheters with multiple lumens and implanted ports (C)</p> Signup and view all the answers

What do venous lines and catheters allow?

<p>Long-term IV administration (A)</p> Signup and view all the answers

Which oxygen delivery device is considered a drug when used in concentrations greater than atmospheric air?

<p>Air entrainment systems (D)</p> Signup and view all the answers

What is the recommended immediate action if a pulmonary artery catheter (PA line) becomes dislodged?

<p>Apply pressure to the insertion site and call for help (D)</p> Signup and view all the answers

What is the purpose of a non-invasive positive pressure ventilation (NIPPV) using BiPAP?

<p>To decrease the work of breathing and support ventilation (D)</p> Signup and view all the answers

Where is the arterial line (A-line) commonly inserted for measuring arterial blood pressure?

<p>Radial and femoral arteries (A)</p> Signup and view all the answers

What must be kept above the A-line site to maintain pressure?

<p>Pressure bag with saline (D)</p> Signup and view all the answers

What is the purpose of nebulizers in critical care?

<p>To administer pulmonary medications (B)</p> Signup and view all the answers

What is the purpose of a tracheostomy mask/collar in oxygen delivery?

<p>To provide continuous oxygen delivery (C)</p> Signup and view all the answers

What is the main function of a non-rebreather face mask in oxygen delivery?

<p>To deliver high concentrations of oxygen (C)</p> Signup and view all the answers

What is the primary purpose of oxygen concentrators in home oxygen systems?

<p>To provide continuous or pulsed oxygen delivery (B)</p> Signup and view all the answers

When is supplemental oxygen considered a drug?

<p>When used in concentrations greater than atmospheric air (B)</p> Signup and view all the answers

Flashcards

Best patient outcomes in basic line management

Prioritizing patient safety during line management procedures.

Interprofessional Team Communication

Collaboration between all healthcare professionals involved in patient care.

Pre-mobility checks

Reviewing current and discontinued orders before moving a patient.

Equipment/line observation

Systematically checking equipment and lines from top to bottom, left to right.

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Pre-mobility communication (nursing)

Sharing patient status, recent vitals, and order clarification with nursing before moving a patient.

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Physical tracing before mobility

Checking all lines and tubes before moving a patient to ensure they are secured and accounted for.

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Chart review purpose

Gaining understanding of patient status and acuity from the medical records.

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Pre-mobility coordination

Planning and coordinating the timing of the procedure and personnel support for the patient move.

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Pre-mobility identification

Identifying precautions and contraindications related to moving the patient.

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Pre-mobility preparation

Mental practice, and arranging lines for a smooth transfer.

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Mobility focus

Maintaining cautious and vigilant monitoring of lines and patient response during movement.

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Post-mobility necessity

Monitoring the patient's response after moving and communication regarding any changes.

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Cardiovascular monitoring tools

Blood pressure cuffs, pulse oximeters, and electrocardiogram (EKG) leads are used for assessing the cardiovascular health.

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SCD use

Sequential Compression Devices (SCDs) help improve venous blood flow and prevent Deep Venous Thrombosis (DVT).

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IV line function

Peripheral intravenous (IV) lines are used for administering medications and fluids.

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PICC line location

Peripheral inserted central catheters (PICCs) are typically placed in the basilic vein.

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Hickman/Broviac maintenance

Cuffs prevent slippage to preserve the safety and integrity of Hickman/Broviac catheters.

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Hickman/Broviac and Port-a-Cath

These are tunneled central venous catheters with multiple lumens for long-term IV administration.

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Venous lines purpose

Venous lines and catheters allow for long-term intravenous medication and fluid delivery.

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Air entrainment oxygen

Air entrainment systems are an oxygen delivery device that functions as a drug at greater than atmospheric pressure.

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PA line dislodgement action

Apply pressure to the insertion site right away and immediately call for help.

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NIPPV (BiPAP) purpose

Non-invasive positive pressure ventilation (BiPAP) reduces the work of breathing and supports the lungs to enhance ventilation.

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A-line insertion

The A-line catheter is typically inserted into the radial or femoral artery.

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A-line pressure maintenance

Keeping the pressure bag filled with saline solution above the A-line to maintain adequate pressure.

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Nebulizers in critical care

Nebulizers deliver pulmonary medications in mist form to the lungs for treatment.

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Tracheostomy mask/collar purpose

The tracheostomy mask/collar provides continuous and controlled delivery of oxygen.

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Non-rebreather mask function

A non-rebreather face mask delivers high concentrations of oxygen.

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Oxygen concentrators

Oxygen concentrators provide continuous or pulsed oxygen delivery for respiratory support.

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Supplemental oxygen as a drug

Supplemental oxygen is considered a drug when used in concentrations higher than the ambient air.

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Study Notes

Critical Care Equipment and Procedures Summary

  • Arterial line (A-line) is used to directly measure arterial blood pressure in real-time and is commonly inserted in radial and femoral arteries for labile blood pressure, hemodynamic instability, and frequent arterial blood sampling.
  • A pressure bag with saline must be kept above the A-line site, and changes in bed height can alter arterial blood pressure readings.
  • Displacement of an arterial line is a life-threatening emergency due to rapid blood loss.
  • Pulmonary artery catheter (PA line) measures pressures in the right side of the heart and pulmonary artery, and is inserted through the internal jugular or subclavian vein.
  • Dislodging a PA line is a life-threatening emergency, requiring immediate pressure to the insertion site and a call for help.
  • Supplemental oxygen is considered a drug when used in concentrations greater than atmospheric air, and is regulated by the FDA, requiring a medical prescription.
  • Various oxygen delivery devices include nasal cannula, face masks, and air entrainment systems.
  • Nebulizers are used to administer pulmonary medications, and patient responses to them can vary.
  • Different types of oxygen delivery devices include nasal cannula, closed/simple face mask, tracheostomy mask/collar, non-rebreather face mask, partial non-rebreather mask, and air entrainment system (Venturi mask).
  • Home oxygen systems include O2 tanks, liquid oxygen, and oxygen concentrators, providing continuous or pulsed oxygen delivery.
  • Non-invasive positive pressure ventilation (NIPPV) using CPAP or BiPAP is used to decrease the work of breathing and support ventilation, often for obstructive sleep apnea.
  • CPAP provides continuous pressure, while BiPAP provides bi-level pressure with lower pressure on exhalation.

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Related Documents

Basic Line Management PDF

Description

Test your knowledge of critical care equipment and procedures with this quiz. Explore topics such as arterial lines, pulmonary artery catheters, oxygen delivery devices, nebulizers, and non-invasive positive pressure ventilation.

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