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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 lineor
Mid-axillary, 4th ICS
When preparing to start an IV, name 3 things
which will promote vein distention.
1)Tourniquet or BP cuff2)Open and close fist3)Lower extremity below heart level4)Tap vein with your fingers5)Stroke upward6)Moist heat7)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)Children2)Head Injury-not mannitol3) Cardiac problems4)Respiratory Problems5)Chronic renal failure6)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-rays3)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 contents2) Inject air while auscultating stomach3) Check for rythmic bubbling with end of tube underwater4) Evaluate respiratory status-listen to end of tube for breathing5) Visualize with laryngescope
CPR should not be interrupted for more than 10 seconds, with certain exceptions. Name two of
those exceptions
1) Stair transport2) Endotracheal Intubation
3) Clearing the airway (suctioning)
When monitoring a patient in lead II, which is the
ground lead?
A) R armB) L armC) 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