Lines + Leads lecture

What does hemodynamic monitor show?

HR, ECG, BP, SpO2

What is used to know continuous arterial BP and for arterial blood draws?

• What is it attached to?

Arterial Line

• Pressure bag and transducer

How would you monitor central venous pressure or right atrial pressure? (attached to PB + T)

• Can it deliver anything?

Central venous catheter

• Meds, fluids, blood products, nutrition

What are the two types of CVCs and where do they run through? Which is more secure and used for longer periods?

Tunneled: subclavian -v (secure, longer)

Non-tunneled: internal jugular -v

What are other more long-term lines to run?

PICC line, Port (chemo)

What is one of the most common ways to delivery fluid to patients?

Peripheral IV

What is patient controlled analgesia?

Patient can press button to deliver narcotics or anesthetics to a certain limit

Why use a pulmonary artery (swan-ganz) catheter?

• What are some distinct features of this tool?

Measure PA pressure and PC wedge pressure

• Yellow line, rare that you’d get this person up without specific permissions

Why use a chest tube?

• Where is fluid collected?

Clear fluid, blood, air from pleural space

• The “atrium”

If you want to drain fluid but don’t need a tube, get yourself a - (common type is called “- -”)

Drain (jackson pratt)

What is one device that puts a negative pressure environment on wounds for them to heal?

Wound Vac

_ for electrical issues in heart, _ for arrhythmia in heart

Pacemaker, ICD

Bathroom management?

Urinary catheter, fecal management system

What are some non-invasive mechanical ventilation systems?

CPAP, BIPAP

Mechanical Ventilation via - or -.

• if dislodged, both may require what?

Endotracheal tube or tracheostomy

• Bag valve mask ventilation

What are two more options once someone is mostly recovered?

Speaking valves and tracheostomy button

What is ECMO?

• VV vs VA?

Machine pumps blood out of body, oxygenates it, puts it back in body

• VV is support for lungs only, VA is lungs and heart

What device improves CO using a balloon catheter?

• When is it inflated/deflated?

Intra-aortic balloon pump (IABP)

• Inflated during diastole to improve perfusion of heart, deflated during systole to reduce afterload

What device can be used to help ventricular function?

VAD

What is CRRT?

Continuous Renal Replacement Therapy (think of it like constant dialysis)