PT 531 - Basic Lines & Tubes

Based off Week 1 Lab Tuesday Intro to Basic Lines and Tubes PPT

Intravenous lines (PIV)

Inserted into peripheral vein

Give saline, electrolytes, blood, meds, blood thinners

Needle needs to be replaced every 3 days

Implications of PT for PIV

Keep tubing on slack and pole close

Nursing can disconnect depending on what’s being delivered

PT can unplug electric cord, but NOT TURN OFF PUMP

Pt should not use pole for mobilization

No WB restrictions

Central Venous line (triple lumen catheter)

Inserted into subclavian vein or internal jugular and reaches tip of R atrium

Give meds, fluids, nutrients, blood products over long period of time

Used for venous blood draws

Monitors central venous pressure (R atrial pressure)

PICC line (peripherally inserted central catheter)

Same as central venous line but in peripheral arm

Can’t take BP or use axillary crutches on involved side

Implications of PT for Central Venous Line

More complex

Do not dislodge

Transducer at level of heart if connected to monitor

Arterial line

Direct arterial puncture

Monitors BP

Measures arterial blood gases

Nothing is given to pt through this line

Easier to retrieve blood

Implications of PT for arterial line

Transducer at level of heart for accurate BP

Do not dislodge or pull on tubing

If dislodged, immediate pressure and call nursing

Mobility → can be disconnected by nursing

If line is in femoral a. avoid >90deg hip flexion (OOB mobility is safe)

Foley catheter

Drains urine

Balloon tip to hold in place

Used to measure output

Implications of PT for foley catheter

Keep below bladder (limits backflow)

Don’t pull

Anchor it with clip or leg strap

PT can empty into measuring hat and leave for nursingP

Pure wick

Urine collection attached to wall suction

Put off to the side, not on the ground

DEC risk of infection

Jackson Pratt (JP) Drain

Drains blood from sx site

Secure w/ pin to pt gown

Implications of PT for JP Drain

Clip to pt

Don’t sit on itCh

Chest tubes

Help drain air, blood, fluid from intrapleural space or mediastunim

Used for pneumothorax, hemothorax, post-opIm

Implications of PT for chest tubes

Don’t dislodge

May be connected to suction or have water seal

Tube must remain upright while pt gets OOB and ambulates

Tube should be below level of patient’s chest

PT can disconnect wall suction is nursing approves

If continued suction is needed, ambulation is limited