Transcript Where is the femoral vein in relation to the femoral artery?

Where is the femoral vein
in relation to the femoral
artery?
Medial
Remember NAVY
When relieving a
Tension Pneumothorax:
1) What should you
insert?
2) Where should you
insert it?
1)Large angiocath
(~14g)
2)2nd intercostal space,
mid-clavicular line
or
Mid-axillary, 4th ICS
When preparing to start
an IV, name 3 things
which will promote vein
distention.
1)Tourniquet or BP cuff
2)Open and close fist
3)Lower extremity below
heart level
4)Tap vein with your fingers
5)Stroke upward
6)Moist heat
7)MAST
Describe the landmarks
for giving an IM injection
in the deltoid
Top margin: 2-3 fingers
down from acromion
process
Bottom margin: Axillary
line
Name the primary
contraindication to the
application of MAST
CHF/Pulmonary edema
Name three types of
patients for whom you
should use mini-drip
tubing when starting an
IV
1)Children
2)Head Injury-not mannitol
3) Cardiac problems
4)Respiratory Problems
5)Chronic renal failure
6)All infusions of
medications
Describe how to
determine the location
of the cricothyroid
membrane
-Just below the “Adam’s
Apple”
-Palpate up from the
suprasternal notch-the
first ring you feel is the
cricoid cartilage.
Membrane is just above
cricoid
Which of the following
procedures can be done to a
patient in inflated MAST?
1) ecg
2)X-rays
3)defibrillation
4)foley cath insertion
All of them
Prior to insertion, how
do you correctly
measure an NG tube?
Tip of nose to ear, then
ear to xiphoid
Describe the landmarks
for giving an IM injection
in the Vastus Lateralis
One handwidth below
the groin, one
handwidth above the
knee, slightly lateral of
midline.
How is the diagnosis of
pericardial tamponade
confirmed?
If blood was removed
from the pericardial sac,
it will not clot.
What size needle is
commonly used for a SQ
injection?
25g, 5/8inch
1) What should the
patient be doing when
an NG tube is passed?
2) What should the
patient not be doing?
1) Swallowing or
retching
2) Inhaling
If a patient is
unconscious, what must
be done before an NG
tube is passed?
Endotracheal Intubation
When doing CPR on an
adult, how far should
the chest be
compressed?
At least 2 inches
One complication of IV
therapy is infiltration.
1)Define infiltration
2)Name 3
signs/symptoms of
infiltration
1) Dislodging of needle
out of the vein
2) flow slows/stops,
swelling, pain, feels cool
Name 2 ways to check
that an NG tube is in the
stomach
1) Aspirate stomach contents
2) Inject air while auscultating
stomach
3) Check for rythmic bubbling
with end of tube underwater
4) Evaluate respiratory statuslisten to end of tube for breathing
5) Visualize with laryngescope
CPR should not be
interrupted for more
than 10 seconds, with
certain exceptions.
Name two of those
exceptions
1) Stair transport
2) Endotracheal
Intubation
3) Clearing the airway
(suctioning)
When monitoring a
patient in lead II, which
is the ground lead?
A) R arm
B) L arm
C) L leg
B: L arm
Drawing by:
List all of the reasons
you can think of why
IV’s do not run (or run
slowly)
There are at least 9!





Tourniquet is still
on
Catheter is against
vessel wall or valve
Catheter is clogged
due to clot
Tubing is kinked
Tape is on too
tightly




Bag is lower than
site
Drip chamber is full
(can’t see drips)
IV catheter is
kinked
BP cuff is inflated
to check vitals