Lindsey Jones 3A5 Therapeutics: Humidity&Aerosol Therapy B)Chest tubes&Drainage
Help!
|
|
||||
|---|---|---|---|---|---|
| show | 1. Humidity and Aerosol therapy and 2. Chest tubes and drainage systems.
🗑
|
||||
| What is Humidity therapy? | show 🗑
|
||||
| show | Enviornments differ in their normal humidity (20%, 50%, 70% etc.) but the body always needs 100% humidity.
🗑
|
||||
| show | It is the amount of water (humidity) the body needs to makeup from ambient air in order to achieve 100%. It is expressed as mmgH20/L of gas. The body needs 44 mg H20/L of gas.
🗑
|
||||
| When does devices intended to help humidity deficit work better? | show 🗑
|
||||
| What is the problem with humidity devices? | show 🗑
|
||||
| What is areosol therapy/ the aerosol particles? | show 🗑
|
||||
| What does an aerosol therapy cause to the patient? | show 🗑
|
||||
| What are the optimal particle sizes in aerosol therapy? | show 🗑
|
||||
| What happens when there is a particle deposition in an aerosol therpay? | show 🗑
|
||||
| What are the general goals of aerosol therpay? | show 🗑
|
||||
| show | 1. Fluid overload (monitor input/output) 2. Bronchospasm 3. Contamination 4. Ultrasonic Nebulizers should not be used to for medications 5. Dizziness may result if a pt. over-ventilates -Have pt. slow down &Use normal breathing pattern
🗑
|
||||
| show | 1.If no output - check medications, fluid level, device for proper function - Commonly need to increase the flow 2. If aerosol doesn't disappear during an inhalation, instruct pt. to breath thru mouth - Not thru Nose
🗑
|
||||
| show | Pneumothorax -Air &Hemothorax -Fluid &Air in pleural space causing lung collapse.If > 20% of lung need a chest tube(CT) based on X-ray &BS.Pleural Effusion -Excess Fluid causes Lung Spaceloss treat by inserting needle in space to relievepressure;insert CT
🗑
|
||||
| show | 1.Pneumothorax -Tube placed in upper chest, 2nd interspace, midclavicular line. 2.Hemothorax/Pleural effusion tube placed b/w 4th &5th interspace, midaxillary line.
🗑
|
||||
| What conditions must exists when removing/discontinuing a chest tube? | show 🗑
|
||||
| show | 1. Pull the Tube during a Valsalva Manuever after complete exhalation 2. The side should be covered with petroleum based Jelly &Sterile gauze. 3. Pulse X-ray should be taken
🗑
|
||||
| show | They consist of a single/Series of glass bottles/ Jugs. It is helpful for Visualization purpose, to consider the older type of system in order to increase/understanding on how these systems functions.
🗑
|
||||
| show | 1. Collection of fluids. 2. Control suction 3. Allow 1-way movement of gases &Fluids(out of lung, not back in). This is called a Water seal.
🗑
|
||||
| show | The 3 bottle systems (1-bottle, 2-bottle, 3-bottle).
🗑
|
||||
| show | From pt. a tube E enters a collection bottle. Fluid drops to bottom &gas is pulled in other tube. TubeD enters water seal bottle gases are drawn thru a tube. i.e Submerged under H2O(Gentle bubbling is seen). TubeC enters suction control bottle no bubbling
🗑
|
||||
| What is the disposable system ? | show 🗑
|
||||
| What are the potential problems while there is a low return volume in a mech. Vent found during monitioring a chest drainage system? | show 🗑
|
||||
| show | Increase vaccum pressure @ the Wall source until bubbling occurs.
🗑
|
||||
| show | Decrease until only gentle bubbling is present.
🗑
|
||||
| What are the potential problems when excessive/continous bubbling found during monitioring a chest drainage system? | show 🗑
|
||||
| show | If bubbling continues move clamp b/w pt & collection tube. If bubbling stops-replace tube.If bubbling continues move clamp to tubing b/w collection & water-seal bottle. If bubbling stops-replace tubing. Bubbling should stop if not, replace external system
🗑
|
||||
| What are the potential problems when nothing developing in the collection bottle - lung is not re-inflating found during monitioring a chest drainage system? | show 🗑
|
||||
| show | Suction is not enough -not enough water in the suction control bottle.
🗑
|
||||
| What are the potential problemscollection bottle is developing fluid quickly @ >100 ml/hr found during monitioring a chest drainage system? | show 🗑
|
||||
| What should be done if a glass bottle breaks during monitioring a chest drainage system? | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
johnfaar
Popular Respiratory Therapy sets