Chest tube basics
Equipment and Setup
Nursing Interventions
Emergency Situations
100
What is the primary purpose of a chest tube?
What is to remove air, fluid, or blood from the pleural space to restore normal lung expansion
100

What is the name of the device that collects fluid or air from the chest tube?

What is a chest drainage system or collection chamber

100

How often should you assess the drainage in the collection chamber?

What is at least every shift or per facility policy?
100

What should you do if the chest tube system tips over?

What is upright the system and ensure it is working correctly

200

What medical condition requires a chest tube for pneumothorax management?

What is a collapsed lung?

200

What is the typical suction pressure range applied to a chest tube?

What is -20cm H2O

200

What should you do if a chest tube accidentally dislodges?

What is apply a sterile occlusive dressing, notify the provider, and monitor the patient

200

What is the first step if the chest tube is not draining properly?

What is check for kinks, dependent loops or blockages in the tubing

300

What is the name of the procedure used to insert a chest tube?

What is a Thoracostomy

300

What is the purpose of the water seal chamber?

What is to prevent air from re-entering the pleural space

300

How can you check for an air leak in the system?

What is by clamping the tubing briefly or observing for bubbling in the water seal chamber

300

What life threatening complication can occur if the chest tube is not functioning properly?

What is a tension pneumothorax

400

True or false: Chest tubes can only drain air from the pleural space.

What is false

400

Which part of the chest tube system shows bubbling when there is an air leak?

What is the water seal chamber

400

True or False: Nurses should clamp chest tubes routinely to prevent drainage.

What is false
400

What could excessive drainage (over 200mL per hour) indicate?

What is active bleeding or hemorrhage
500

Name 2 conditions that might require a chest tube placement.

What are pneumothorax and hemothorax

500

What is the purpose of the suction control chamber?

What is to regulate the amount of suction applied to the chest tube system

500

What position is best for a patient with a chest tube to promote drainage?

What is semi-fowlers

500

What is the appropriate intervention if the chest tube is accidently disconnected from the patient?

What is submerge the chest tube in sterile water to maintain a water seal
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