Term
|
Definition
Multiple lumen
Permits multiple infusion
Provides information unable to be obtained non-invasively
Obtain mixed venous gases
Inserted in the subclavian or jugular |
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Term
| Central Venous Pressure (CVP) |
|
Definition
the measurement of "right atrial" pressure or fluid volume.
reflects the amount of blood returning from the heart.
It is measured with a PA catheter using the "proximal lumen" or "blue port" located in the right. |
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Term
|
Definition
Measures "constant" BP and can draw blood gases when needed
Locations:
Radial (most common site)
Brachial
Axillary
Femoral
pedal |
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|
Term
| Pulmonary Artery Pressure (PAP) |
|
Definition
| A measure of the blood pressure found in the "pulmonary artery". |
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Term
| Pulmonary Artery Wedge Pressure (PAWP) |
|
Definition
measures left end diastolic pressure in the "pulmonary artery".
Do not inflate balloon for more that 4 respiratory cycles or 8-15 seconds.
Do no over inflate the balloon because it may cause the vessels to rupture. |
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Term
|
Definition
| A test for occlusion of the radial or ulnar arteries. |
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Term
| Swanz Ganz Catheter (medial lumen) |
|
Definition
If clear- "pacing only" port
If white- infusion port |
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Term
| Swanz Ganz Catheter (Proximal lumen) |
|
Definition
measures Central Venous Pressure (CVP) in the right atrium.
"blue port" |
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|
Term
| Swanz Ganz Catheter (distal lumen) |
|
Definition
| sits in the pulmonary artery (PAP) |
|
|
Term
|
Definition
The approximate location of the right atrium.
located by drawing an imaginary line from the 4th intercostal space at the sternum and finding its intersection with an imaginary line drawn down the center of the chest below the axillae |
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Term
|
Definition
| volume of blood ejected from each heartbeat |
|
|
Term
| Pulmonary Vascular resistance (PVR) |
|
Definition
| the resistance to flow that must be overcome to push the blood through the vasculature of the lungs. |
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|
Term
| Systemic vascular resistance (SVR) |
|
Definition
| the resistance to flow that must be overcome to push the blood through the peripheral circulation. |
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Term
|
Definition
How much oxygen our body is having to utilize with each pass.
Can indicate sepsis |
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Term
|
Definition
Works directly off the "left side of the heart"
less invasive
works off the pressure of the arterial line
transducer must be zeroed
Disadvantage:
does not track in real time |
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|
Term
Cardiac Output (CO)
CO= SV X HR |
|
Definition
| The volume of blood pumped by the heart in particular by a left or right ventricle in one minute. |
|
|
Term
|
Definition
| Cardiac Output is indexed to a patient's body size by dividing the body surface area to yield __________. |
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|
Term
| Intraventricular cranial pressure (ICP) monitoring |
|
Definition
measures cerebral compliance
intraventricular
subarachnoid
subdural
ventriculostomy
Drains CSF |
|
|
Term
| Intraventricular cranial pressure insertion (ICP) |
|
Definition
Consent required
scalp is exposed and drill used to penetrate the cranium
puncture of dura for ventriculostomy
Sensor catheter is sutured in place with sterile dressing.
drain Q30 minutes |
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|
Term
| Continous Veno-Venous Hemofiltration (CVVH) |
|
Definition
a short term treatment used in ICU patients with acute or chronic renal failure.
(dialysis) |
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|
Term
| ICU Environmental Stressors (Patient) |
|
Definition
fear of death
impaired communication
strange environment
loss of control/privacy
pain
claustrophobia
sensory overload-no sleep,noise, lights |
|
|
Term
| ICU Environmental Stressors (Family) |
|
Definition
loss of loved one
strange environment
role change
knowledge deficit
financial strain
visitation hours |
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|
Term
| ICU Environmental Stressors (Staff) |
|
Definition
long hours
MD-RN relationships
rapid problem solving
rapid judgement calls
irritable families
ethical issues
complex machinery & techniques |
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|
Term
|
Definition
listen
assist with help from the outside
permit for coping mechanisms to occur
don't be judgmental
promote independence
"Guard against own stressors" |
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|
Term
|
Definition
a decrease in quality + quantity of stimuli
disorientation
inability to concentrate
disorientated sensations |
|
|
Term
|
Definition
a increase in quality + quantity of stimuli
sleep deprivation
agitation/restlessness
thought disorders/hallucinations |
|
|
Term
| Sensory deprivation (treatment) |
|
Definition
provide meaningful stimulation
radio,tv,talking
soft music
clocks, calendars
use touch |
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|
Term
| sensory overload (treatment) |
|
Definition
lessen all stimulation
dim lights
decrease interruptions
do not awaken
individualize visitations
avoid loud music |
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Term
|
Definition
Hand washing + proper aseptic technique
Incentive spirometer
coughing and deep breathing
ambulation or active ROM |
|
|
Term
| Preparing patient for transfer from ICU |
|
Definition
Inform patient & family
discuss daily progress
assure patient/family
explain floor routine
give positive feedback regarding progression
make sure receiving RN present @ time of transfer
try not to move in early AM hours |
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|
Term
|
Definition
DNR/DNI
Withholding or withdrawal of care
medical errors
disagreement between RN & MD
care
orders (med orders)
Allocation of resources |
|
|
Term
|
Definition
Breaths for the patient
Includes:
Endotracheal Tubes(OETT)(RT or MD insert)
Laryngeal Mask Airway (LMA)(MD only insert mostly in OR)
Use of a Bag Valve Mask (BVM)
Combitubes (either trachea or esophagus) |
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|
Term
|
Definition
consent required (MD)
sedation needed
gathering equipment
placement confirmation
securing
X-ray & ABG
Provides for:
rapid securing of airway
rapid removal of secretions |
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|
Term
|
Definition
| results from ventilation or circulatory problems |
|
|
Term
VQ mismatching (shunting)
V=ventilation(air)
Q=perfusion(blood) |
|
Definition
no gas exchange because of lack of air or blood
common problem in the ICU
Examples:
A section of the lung is ventilated but not perfused
A section of the lung is perfused but not ventilated |
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|
Term
| Ventilation problem (air) |
|
Definition
too little "oxygen" reaches the aveoli
Example: Pneumonia, Bronchospasm
lung filled with pus.
pus is not air
blood returns to the heart w/o undergoing gas exchange |
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|
Term
| Ventilation problem (perfusion) |
|
Definition
Too little "blood" reaches the aveoli
Example: Pneumonia, Bronchospasm
blood vessel is occluded by thrombus
whatever chunk of lung that vessel perfused "does not get blood" |
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|
Term
|
Definition
Done at the bedside (MD,RT)
Sedation
Examine mucosal surfaces
Visualization of obstructions (tumors)/biopsy
Collect specimens for culture
sputum
tissue samples
cell washings
Mucous plug removal
Uses:
Examine mucosal |
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|
Term
|
Definition
advanced monitoring system that is color coded
EKG - cardiac rhythms
Arterial BP (red)
CVP - central venous pressure (purple)
PAP- pulmonary artery pressure (yellow)
ICP & CPP - intracranial pressures (pink)
NBP- noninvasive BP (red)
Temperature- core body temp
Respirations -
SaO2 -arterial oxygen saturation - |
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