Lines, Oxygen, Internal Devices

nasal cannula
flow:
%O2
liter per minute:

most frequently used
low flow through nostrils 21-60%
adult LPM: 0.25-8
infant LPM: <2

nasal cannula

simple mask
flow:
liters per minute:

if cannot tolerate cannula
low flow and short flow
LPM: 5-10

simple mask

partial rebreathing mask
flow:
liters per minute:

low flow
LPM: no less than 10

partial rebreathing mask

nonrebreathing mask
O2 percent
flow:
liters per minute:

low flow delivers 60-90% oxygen
LPM: no less than 10

nonrebreathing mask

air entrainment/venturi mask
flow:
Liters per minute:

high flow mixes oxygen with room air
LPM: varies over 60

venturi mask/ air entrainment

oxyhood
flow:
liters per minute:

low flow
LPM: pediatric less than 7

oxyhood

oxygen tent
flow:
liters per minute:

medium at higher concentration than room air (>21%)
LPM: 12-15

oxygen tent

thoracostomy tube

thin tube drains fluids from pleural cavity, pleural effusion or pneumothorax

thoracostomy tube proper placement

placed through chest wall into plueral space
inserted through 4th or 5th intercostal space midaxillary

thoracostomy tube

central venous catheter proper placement

tip in superior vena cava

CVC

implanted access ports names/types

infusaport, port-a-cath, mediport

ports are used for

single, double, multilumen
chronic illnesses access for long periods od time
to draw blood, give meds, blood transfusions

ports inserted where

subcutaneus in right chest
catheter into superior vena cava

port

peripherally inserted central catheter

small soft tube, short term treatment up to a few weeks
for meds and liquid nutrition

PICC line placement

right basilic vein! or cephalic, brachial or medial cubital
advanced to lower third of superior vena cava

PICC line

externally tunneled catheter types

Broviac, Hickman, Groshong, RAAF

externally tunneled catheter use

long thin hollow tube
for fluids, meds, hemodialysis, draw blood
long-term use

externally tunneled catheter placement

placed on right side of chest wall into a large vein
jugular or subclavian
advanced to superior vena cava

externally tunneled catheter

Swanz-Ganz use

pulmonary cathether
to diagnose right and left ventricular failure and pulmonary disorders
monitor effects of meds
monitor blood pressure

Swanz-Ganz placement

through large vein
femoral or jugular
tip of catheter placed in pulmonary artery

Swanz Ganz

Nasogastric tubes

Levin, Salem-sump, Dobhoff

Levin

nasogastric tube (nose to stomach)
single-lumen
feeding or gastric suction
long-term drainage

Levin

Salem-Sump

nasogastric tube (nose to stomach)
double lumen- one large and small for air vent
suction
nutrition and meds

Salem-Sump

Dobhoff

nasogastric or nasoenteric tube (nose to stomach/duodenum)
single lumen specialized NG small bore and flexible, more comfortable

Dobhoff

Miller-Abbott

nasoenteric (nose to duodenum)
treat obstructions in small intestines
double-lumen

Miller-Abbott

Cantor

nasoenteric (nose to duodenum)
single-lumen
mercury-weighted tab attached to tip to help tube go through stomach to intestines

Cantor

Adult heart rate

70-80

children heart rate

70-100

infant heart rate

100-160

adult bp

110-140, 60-90

children bp

70-112, 26-70

infant bp

60-105, 22-60

breathing adult

12-20

breathing children

30-60

normal temp adult oral

96.8-99.8

normal temp adult rectal

0.5-1 degree above 96.8-99.8

normal temp adult axillary

0.5-1 degree below 96.8-99.8