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