Question | Answer |
if a chest tube is placed in the 2nd intercostal space, then it is for | air |
if the chest tube is placed in the 8th-9th intercostal space, then it is for | drainage |
After the chest tube is sutured into the chest, then what type of dressing is placed? | air tight or vaseline |
if the drainage chamber of a CDU fills, then what? | replace entire system |
how many cm of sterile water should be placed in the water seal chamber? | 2 |
______ is commonly seen in the water-seal chamber | tidaling |
if the patient has an open pneumothorax, what could be seen in the water-seal chamber? | intermittent bubbling |
the suction control chamber controls the amount of _______ applied. | pressure |
how man cm of sterile water should be placed in this chamber? | 20 cm |
what is normally seen in the suction-control chamber? | gentle continous bubbling. |
Drainage should be recorded when? | q hour for the first 24 hours, and then q 8 hours after that |
when should the physician be notified regarding drainage? | if there is 100ml or more in the first hour or if the color of the drainage has turned bright red. |
The CDU should be kept ______ | below the level of the chest |
if the tubing becomes disconnected? | reconnect as fast as possible |
if the CDU falls over or breaks, then the nurse should _____ | reestablish the water-seal |
if the chest tube is accidently pulled out then it should be recovered with ______ | a 3-sided dressing |
When the chest tube is connected to wall suction, then what will be seen in the suction-control chamber? | continous bubbling |
When the chest tube is removed, ask the client to | deep breath and hold (valsalva) |
what is a good indicator of tension pneumothorax? | tracheal deviation |
what is the main treatment for tension pneumothorax? | large bore needle placed into the 2nd ICS to remove air |
an open pneumothorax is sometimes called | a sucking chest wound |
paradoxial chest wall movement is characteristic of | flail chest |
to assess chest symmetry ______ | stand at the foot of the bed and observe chest wall movements |
A patient with flail chest is usually treated by | being put on a ventilator with PEEP |
pulmonary embolism can lead to | cor pulmonale or right sided heart failure |
if patient has a PE, we want to measure what? | CVP |
What is diagnostic of a pulmonary embolism? | D-dimer |
if the patinet is a post-op client, what diagnostic assessmnet would be more accurate? | VQ scan |