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Critical Care Lines and Devices for Physical Therapy
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Critical Care Lines and Devices for Physical Therapy
Critical Care Lines and Devices for Physical Therapy
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1
Question
What is the purpose of a Nasal Cannula (NC) in acute care?
Page 1
Answer
Delivers oxygen at 0.25-6.0 LPM or $FiO_2$ 0.24-0.44
2
Question
Can physical therapy remove or disconnect a Nasal Cannula (NC)?
Page 1
Answer
Yes, as part of temporary line management and organization
3
Question
What are common problems associated with Hi-Flow Nasal Cannula (HFNC)?
Page 1
Answer
Epistaxis, nasal irritation, skin breakdown above ears
4
Question
What is the flow rate range for Hi-Flow Nasal Cannula (HFNC)?
Page 1
Answer
6-15 LPM
5
Question
What precaution is noted for Venturi Mask (VM) use?
Page 1
Answer
Hyperoxemia, $FiO_2$ limitation, delivery rate dependent on patient RR
6
Question
What is the $FiO_2$ range delivered by a Venturi Mask (VM)?
Page 1
Answer
0.24-0.50 $FiO_2$
7
Question
What advantage does an Oxymizer provide over standard nasal oxygen?
Page 1
Answer
Potentially reduces amount of oxygen flow required due to reservoir and larger lumen
8
Question
What is the maximum flow rate for a Non-Rebreather (NRB) mask?
Page 1
Answer
7-25 LPM, $FiO_2$ 90-95% (NRB) and 60-70% (PRB)
9
Question
Why might a tracheostomy tube allow for patient speech?
Page 1
Answer
Can use passy-muir valve
10
Question
Can physical therapy remove an Endotracheal Tube (ETT)?
Page 1
Answer
No, requires RT if plan to switch to portable ventilator or Ambu bag
11
Question
What precaution is critical when mobilizing a patient with a chest tube?
Page 2
Answer
Keep tubes lower than chest; drainage box must be lower than chest and tubes clear
12
Question
What is the purpose of a Yankaur oral suction device?
Page 2
Answer
Secretion management
13
Question
When must the head of bed (HOB) remain elevated for a patient with a nasogastric (NG) tube feed running?
Page 2
Answer
HOB must remain >30 degrees to avoid aspiration; discontinue feed if placing supine
14
Question
What is a key precaution for patients with a percutaneous endoscopic gastrostomy (PEG or G-tube)?
Page 2
Answer
Gait belt and hand placement should avoid line insertion site
15
Question
What precaution applies to all urinary catheters during mobilization?
Page 2
Answer
Drainage bag must remain below the level of the bladder
16
Question
What is the purpose of a nasogastric drain?
Page 3
Answer
Removes gastric contents (SBO – small bowel obstruction, drug overdose, lower GI surgery)
17
Question
Can a Jackson-Pratt drain be removed by physical therapy?
Page 3
Answer
No
18
Question
What does negative pressure wound therapy (NPWT or Wound Vac) promote?
Page 3
Answer
Wound healing, increases perfusion, reduces edema via negative pressure
19
Question
For a colostomy or ileostomy pouch, what should gait belt and hand placement avoid?
Page 3
Answer
Collection bag
20
Question
What are the purposes of a peripheral intravenous (PIV) line?
Page 3
Answer
Delivery of fluids, medications, blood products, venous blood draws, parenteral nutrition
21
Question
What precaution applies to blood pressure measurement near a peripheral IV site?
Page 3
Answer
No BP over IV insertion site
22
Question
What access sites are used for central venous lines?
Page 3
Answer
Jugular (IJ, EJ), subclavian, femoral
23
Question
What is the normal range for central venous pressure (CVP)?
Page 3
Answer
2-8 mmHg
24
Question
Can a tunneled central line like Hickman be disconnected for mobility?
Page 3
Answer
Tunneled may be disconnected, implanted
25
Question
What distinguishes an implanted Portacath from other central lines?
Page 4
Answer
Subcutaneous and cannot be disconnected
26
Question
What access veins are used for a peripherally inserted central catheter (PICC)?
Page 4
Answer
Cephalic, basilic, brachial
27
Question
What measurements does a pulmonary artery catheter (PAC or Swan-Ganz) provide?
Page 4
Answer
Direct measurements of myocardial pressures and hemodynamic function: CVP, mean PAP, PAWP, CO, CI, $SvO_2$
28
Question
What is the normal range for mean pulmonary artery pressure (PAP)?
Page 4
Answer
10-20 mmHg
29
Question
What is the purpose of sequential compression devices (SCDs)?
Page 4
Answer
Venous stasis prophylaxis in at-risk populations: oncology, ICU, CVA, pregnancy, post-operative
30
Question
For intra-aortic balloon pump (IABP) with femoral access, what movement precaution applies?
Page 4
Answer
No hip flexion >70 degrees on cannulated leg