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16 Cards in this Set
- Front
- Back
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Where are central venous catheters placed
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femoral- not frequent, internal jugular, or subclavian
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Where should IJ and SC end?
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in the SVC
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Where should femoral ctheters terminate?
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common or external iliac vein
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What are a few complications of central lines?
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pneumothorax- via subclavian approach through clavicle- lung/subclavian artery is there
subclavian artery pressurized leading to bleed cardiac dysrythmia shearing of distal tip with emoblization - large needles are sharp and can lead to cutting the catheter- and enter the vessels sepsis thrombosis- frequent - thromboembolism |
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Swan- Ganz catheters are used where?
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ICU for people with poor CO/perfusion/MI
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how do Swan Ganz work
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via SVC, RA, RV, and PA
- best way to start is via internal jugular instead of subclavian -less complications with this. |
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what is the best way to place catheter using?
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ultrasound or some way to image
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if catheter is not in wedge where should it go into?
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terminate in left or rigth main pulmonary artery
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Where should lead wires of pacemakers be placed
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The RA and RV or RV only
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What should you check for when placing pacemaker
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pneumothorax
fibrosis of wires and scarring of heart wire fracture |
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What is twiddler syndrome
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I dont know
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When do you place hcest tube in?
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iar for pneumtohorax or pus for effusion or empyema
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what type of chest tube for apcal pneumothorax
how about empyema? |
small tube -pnthax
empyema-big |
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what is deep sulcus sign found in? what is it
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pneumothorax -
air going to where it is highest, so if supine, the air will drift towards where the stomach region is |
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what does hyperlucency mean in image?
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black sign in lung region because theres no blood area- darkened region
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pneumothorax should show what on image
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look for pleural line crossing on the edge of the rib cage
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