Anatomy of Atrium
Pathophysiology
Nursing Care
Trouble Shooting
100
Indicator that adequate suction is reached for 20cmH20 or Higher.
Bellows
100
Blood in the pleural space
What is a hemothorax?
100
The nurse should check the water seal chamber for fluctuation as the patient breaths. Lack of fluctuation indicates this?
What is a obstruction?
100
Vaseline gauze, dressing tape and only tape on three sides
supplies needed for accidental removal of chest tube
*** Leaving one side untaped allows for removal of air. If taped on all four sides -can lead to tension pneumothorax
200
What is the appropriate placement of the blue clamp on the atrium?
What is in the garbage. Do not clamp the system. Clamping system could cause tension pneumothorax. Should only be uses if changing out Atrium.
200
This generates negative pressure
What is inspiration?
200
Add LDA: to e-record what should be documented
What is:
Date
Time
Output amount and color
Pt's response
Presence or absence of air leak
Patient and family education
Also Assessment minimally every 4 hrs
Ensure equal lung sounds and normal oxygen saturation level.
Observe for respiratory distress
STOP (site, tubing, output, patency)
200
Not only the name of a rock band but something you want to avoid?
What is the Kinks!
300
Acts as one-way valve to prevent air from returning to chest.
What is water seal chamber: B. The water seal creates closed system-one way seal-breath out but don't suck atmospheric air back in to the wound.
Ensure the water level is water seal chamber is adequate, refill as needed. Do not overfill water seal chamber-it increases resistance with exhalation.
Keep drainage system below chest for drainage. -causes pressure gradient-fluid/air moves from high to low pressure
-prevent backflow
300
This membrane that lines the chest wall.
What is the parietal pleura?
300
The fluid level is moving up and down in the underwater seal chamber?
What is tidaling or fluctuating?
300
Two ways to collect sample of chest fluid?
Using needless port/luer lock port or 20g or less into tubing
400
setting up suction what is the most effective way going through suction cannister or direct to suction regulator?
Connect directly to suction regulator. Set to 80-100 mg/HG. Always, always continuous. Otherwise collapse the lung intermittently.
400
tachypnea, hypoxemia, respiratory distress, unilaterally absent breath sounds and tracheal deviation.
Tension Pneumothorax
Medical Emergency requiring immediate intervention
400
Something to consider prior to chest tube insertion?
What is pain medication. This is a very uncomfortable procedure.
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400
What is treatment for Tension Pneumothorax when a patient condition is rapidly deteriorating.
Needle Decompression
500
What does bubbling in the water seal chamber represent?
What is air leak
500
This is also known as a sucking chest wound?
What is an open pneumothorax?
500
Caused by milking or stripping of the tubing
What is high negative pressure, which could damage lung tissue.
500
Bleeding of more than 100 mls/hr into the collection chamber.
What is hemorrhage