RIPHAH INTERNATIONAL UNIVERSITY

CARDIOPULMONARY PHYSICAL THERAPY

CLASS ACTIVITY

Name：[ZAINAB KHALID]

Student ID： [3787]

[Due Date]
 INVASIVE MONITORING DEVICES
MONITORING EQUIPMENT USAGE MONITOR PHYSICAL
DEVICES PLACEMENT THERAPIST
CLINICAL ASPECT
Arterial line Most commonly most Use to monitor blood Do not come in way of
inserted through commonly used i pressure early mobility or walking
radial artery but can n intensive care activity.
be by femoral artery medicine and
anesthesia to
monitor blood
pressure directly
Central line Central catheter Central venous Access cardiac
inserted mostly pressure or right function and
through subclavian or arterial pressure intravenous fluid
jugular vein Route for state
medication or
fluid
administration or
emergency
placement for
pacemaker
Pulmonary Only placed by used Direct measurement
artery catheter physicians;introduced to determine of RAP
via central venous whether any Direct measurement
access point passing hemodynamic, or of pulmonary arterial
from vena cava to blood flow- pressure
right atrium through related, Indirect measurement
tricuspid valve to abnormalities of left arterial
right ventricle , exist in the heart pressure(LAP)
through pulmonary and lungs Determination of
valve into pulmonary mixed venous
artery oxygenation pressure
svO2 and cardiac
output (CO)
Pulmonary   A balloon-tipped,  Use assess left ventricular
capillary wedge multi-lumen catheter to approximate filling, represent left
pressure (Swan-Ganz LVEDP (left atrial pressure, and
catheter)inserted into ventricular end assess mitral valve
a peripheral vein diastolic function
(e.g., jugular or pressure). 
femoral vein), then
advancing the
catheter into the right
atrium, right
ventricle, pulmonary
artery, and then into
a branch of
the pulmonary
artery.
Cardiac output Same catheter used as primary Monitor cardiac
of PCWP .a cold determinant of output
bolus of saline is global oxygen
injected into right transport from the
atrium via proximal heart to the body.
lumen of pulmonary
artery line
Mixed venous Mixed venous blood  used to help us Measure cardiac
oxygen in measured in the to recognize output and oxygen
saturation pulmonary artery to when a patient's delivery is high
sample de- body is extracting enough to meet
oxygenated blood more oxygen tha patient’s need
entering the n normally.
pulmonary artery
before passing
through the lungs

INVASIVE VENTILATORY DEVICE

Airway adjunct EQUIPMENT USAGE MONITOR PHYSICAL
THERAPY
ASPECT
Oral pharangeal Use to hold tongue from Use to maintain and help mobilize and
airway back of throat and open patient’ move secretions.
maintain airway airways
patency , oral airway
maybe used as bite block

Nasal pharangeal Provide pathway for

airway hypo pharynx,which may
reduce mucosal trauma
Endotracheal tube serves as an open
passage through the
upper airway
Mechanical Patient control Treat Decrease work of can be used in the
ventilation ventilation barotraumas,chronic lung breathing until postural drainage
disease and air leaks patient improves position or the
High frequency Treat refractory and makes sure seated position.
oscillatory hypoxaemia when patient gets help keep the
ventilation associated with acute adequate oxygen airways open by
lung injury blowing against
Pressure control Improve oxygenation resistance. It
inverse ratio therefore make it
ventilation easier to cough up
BiPAP Provide ventilatory the mucus.
support to patient with
face masks or nasal
masks
Extracorporeal Patients with severe
support hypoxaemia
Portable ventilator Battery powered Provide ventilatory Provide ventilation
mechanical support during patient
ventilator transport
Innovative Electrode inserted oxygen-enriched gas into Measure electrical
ventilation system into nasogastric tube the breathing circuit, activity of
that is placed in where it can be diaphragm
lower esophagus humidified by a heated
humidifier or a heat and
moisture ex changer
before delivery to the
patient
Chest tubes Large catheter Used to remove or  Drain blood, fluid,
 placed in thoracic reentry or fluid into or air from around
cavity connected to mediastinal cavity and your lungs, heart, or
gradual connected provide negative esophagus.
reservoir at bedside. intraprural cavity

NON INVASIVE MONITORING DEVICE

EQUIPMENT PLACEMENT USAGE MONITOR PHYSICAL THERAPIST
ASPECT
Electrocardiogra Electrodes are Electrical Heart rate and Some indications of
m positioned on the activity of heart. rhythm. declining cardiac status:
chest to provide Depolarization a. ST change (elevation
optimal and re or depression)
information polarization of b. Onset, increase, or
regarding the atria and change of foci of
changes in ventricles. premature ventricular
rhythm and heart contractions (PVC s)
rate and thereby c. Onset of ventricular
ensure close tachycardia or
patient fibrillation
monitoring. d. Onset of atrial flutter
or fibrillation
e. Progression of heart
block
Loss of pacer spike
Pulse oximetry A probe is Provides valuable
attached to the Measurement of Blood information regarding the
patient’s finger, arterial oxygen oxygenation adequacy of available
forehead or saturation SaO2 oxygen before, during and
earlobe after exercise.
The recommendation is to
keep the O2 saturation
above 90% during exercise
unless otherwise ordered by
physician.
Respiratory rate The respiratory To measure Respiratory rate, Provides valuable
rate of a patient respiratory rate pattern and the information regarding the
in the ICU is depth of adequacy of respiratory rate
typically breathing during, before and after
monitored as a exercise.
waveform
produced as a
result of the ECG
electrodes and is
displace on the
bedside monitor.

Level of Single, small and Monitor’s Assess level of Provides valuable

consciousness flexible sensor is sedation levels in consciousness information regarding the
 applied to the ICU. Also, consciousness and sedation
forehead and assess pain. level of patient.
temporal region. Measures the
muscular and
cortical activity

Blood pressure Place the cuff on Blood pressure To measure Blood pressure is one of
monitoring your bare upper monitoring Arterial blood the most commonly
arm one inch provides digital pressure measured clinical
above the bend measurements of parameters and blood
of your elbow. systolic and pressure values are major
Make sure the diastolic blood determinants of
tubing falls over pressures, and therapeutic decisions.
the front centre mean arterial Arterial pressure directly
of your arm so pressure corresponds to:
that the sensor is
correctly placed.  Cardiac output
Pull the end of  Arterial elasticity
the cuff so that  Peripheral
it's evenly tight vascular
around your arm resistance

NON INVASIVE VENTILATORY DEVICE

EQUIPMENT PLACEMENT USAGE MONITOR PHYSICAL
THERAPY ASPECT
Non-invasive Mask covering nose and To assist the patient Ventilation and nil
positive pressure mouth with the ventilatory vitals
ventilation needs when short
term ventilatory
support is needed.
Manual Mask covering nose and Ventilatory Ventilation and nil
resuscitators mouth assistance vitals
Oxygen delivery (Nasal cannula, simple To supply oxygen Monitor’s nil
device mask, aerosol mask, administration of
venturi mask, controlled
nonrebreather masks) percentages of
covering nose and mouth oxygen at flow rates
Pediatric delivery Oxygen tents (generally To supply oxygen Monitor’s controlled nil
device envelops the torso or administration of
entire body), oxygen hood oxygen
(a small plastic enclosure
placed over the patient’s
head) and incubators.