Lindsey Jones 3A5 Therapeutics: Humidity&Aerosol Therapy B)Chest tubes&Drainage
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| What are 2 types of therapeutic aids to ventilation? | show 🗑
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| show | Non particle-size water that is distriuted uniformly in the air.
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| What happens to normal humidity when environment differs? | show 🗑
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| 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.
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| show | 1. Temperature is increased. 2. Surface area of the water is increased. 3. Pressure in the system is decreased.
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| show | It can be a source of contamination.
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| show | aerosol particles are larger particles, can often been seen visually. May be made of water, liquid medication, or dry powder-type medication.
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| What does an aerosol therapy cause to the patient? | show 🗑
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| What are the optimal particle sizes in aerosol therapy? | show 🗑
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| show | The higher the flow rate, the higher up the resp. tract the deposition will occur.The Inspiratory hold will increase particle deposition
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| show | goals: delivered medications- Bronchodilators, Mucolytics (secretions thining agents), Provides mucosa hydration & delivered antibiotic medications.
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| What are the complications and hazards of Aerosol therapy? | show 🗑
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| How do we monitor an aerosol output? | show 🗑
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| What are the indiccations for a chest-tube insertion? | show 🗑
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| What is a chest tube insertion procedure? | show 🗑
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| show | Tube must be clamped for 24hrs. In that 24hrs they must not be :1. Any sign of Resp. distress 2. Any evidence of Pnuemothorax/Hemothorax as indicated by X-ray. 3. If these exists, unclamped the chest tube &Resume chest drainage.
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| 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
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| What are the type of chest drainage system? | show 🗑
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| What are the functions of a chest drainage system? | show 🗑
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| What are the types of chest drainage systems? | show 🗑
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| 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
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| show | Used in 3 bottle system. 1.Suction Control 2.Water Seal 3.Collection bottle. When Collection chamber is full replace whole unit. 1-2cm H2O should be placed in Water seal bottle. 15-20cm H2O should be placed in suction control bottle
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| What are the potential problems while there is a low return volume in a mech. Vent found during monitioring a chest drainage system? | show 🗑
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| What are the potential problems when there is no bubbling in the suction control bottle found during monitioring a chest drainage system? | show 🗑
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| What are the potential problems when excessive bubbling in the suction control bottle found during monitioring a chest drainage system? | show 🗑
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| What are the potential problems when excessive/continous bubbling found during monitioring a chest drainage system? | show 🗑
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| 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
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| show | 1. Ensure there is suction coming from the wall. 2. Ensure bottle system is below insertion site of chest tube. *sometimes systems use gravity alone. There is no vaccum. These systems work fine. Vaccum only assist evacuation.
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| show | Suction is not enough -not enough water in the suction control bottle.
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| What are the potential problemscollection bottle is developing fluid quickly @ >100 ml/hr found during monitioring a chest drainage system? | show 🗑
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| What should be done if a glass bottle breaks during monitioring a chest drainage system? | show 🗑
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