PTH 508: General Medicine I

Lines & Monitors Study Guide

LINE PURPOSE THERAPY CONSIDERATIONS & CONTRAINDICATIONS

Peripheral IV Deliver fluids and/or medications Follow lines to ensure no kinks or pulling
Placed hand, cubital fossa or foot Can unplug IV pole from wall to move patient

Arterial Line In artery to take constant blood pressure To be accurate read have transducer at level of R atrium
Placed radial or femoral Always check stitching after movement
Apply direct pressure to site if line is pulled out
Swan-Ganz Catheter In R internal jugular vein Do not flex or abduct shoulder past 90
Measures: CVP, R arterial pressures, pulmonary
artery pressure, cardiac output, pulmonary wedge
pressure
Central Line Access into central vein-> jugular, subclavian,
femoral
Dialysis Catheter Mahurkar, permacath

PICC Line Peripherally inserted type of central line Watch for kinks and pulling
Long term medication delivery or difficult veins No ROM restrictions
Usually in upper arm

ICP Monitor Catheter placed through skull into ventricles
Measure pressure and/or drain CSF
Chest Tube Used to drain excess air or fluid from pleural space
or mediastinum, suction or water seal
Tubes connect to drainage system and collection
box usually next to bed
Drains (eg JP) Drain fluid from surgical site
Small collection site on patient
Foley Catheter Inserted in urethra with an external drainage bag
Norm 5-15mmHg
Clamp prior to moving patient or adjusting bed height
Be careful for pulling and pressure on the insertion point
Avoid tipping the container
Keep the container lower than the tubing
May need portable suction
Secure collection site to avoid pulling
Know where drain inserts
Proper positioning at end of session
Caution with movement of catheter
Collection bag lower than bladder
 Watch for dependent loops
NG Tube Placed through nose, extending to stomach NPO status
Can also be used for suction of stomach contents Remove or portable suction
Caution with pulling of line
Proper position at end of treatment
Endotracheal and Endotracheal- temporary pt unable to speak often Watch for moisture in lines and dependent loops
Tracheostomy Tubes sedated Ensure placement thru number on tube
Tracheostomy- can be long term, valve used for Multi person needed for mobilization
speaking Pt may have restraints to prevent them from pulling

ICU Monitor: ECG, puls ox, BP, RR, temp Responsibility: check wave form and monitor thru session