Chest Tubes
Oxygen Delivery
Terminology
How To...
Odds and Ends
100
What are the two kinds of chest tubes? (Hint:  this is determined by their position of insertion in the body)
What are PULMONARY and MEDIASTINAL
100
The first line and simplest modality of oxygen delivery to a patient is called:
WHAT IS NASIL CANNULA OXYGEN?
100
a state of little-to-no oxygen is called:
What is Anoxic.
100
What does the nurse set up the room with for safety for the patient with chest tubes?
clamps, sterile bottle of NS, Xeroform dressing and 2" silk tape or ortho tape.
100
percussion, to loosen sputum, takes place on or over the?
Thorax
200
What is the nurse's primary job in caring for a chest tube set?
What is "Ensure against air leaks by taping all connections"?
200
The most precise method of delivering 38% oxygen, not counting an ETT.
WHAT IS THE Venturi Mask
200
Too much carbon dioxide is a state known as:
What is hypercapnia
200
How does the nurse perform tracheal suctioning?  By what technique?
Sterile
200
postural drainage treatment is best performed when?
shortly after the patient arises in the morning, before breakfast.
300
The proper positioning of any chest tube set (collection device) or Pleur-o-vac is?
Dependent to the lungs [and upright, of course]
300
The face mask with no valves over the air holes.
WHAT is the Partial Re-breather Mask
300
Curved guide for tracheostomy tube placement
What is the Obturator
300
How does one position their hands for the Heimlich maneuver?
What is halfway between the diploid process and the umbilicus.
300
how many mmHg is recommended for suctioning?
80-120 mmHg
400
What every chest tube set should have at the bedside for safety....
What are clamps (hemostats), 

a bottle of sterile normal saline,

and a Xeroform occlusive dressing at-the-ready. 

400
For 100% oxygen STAT! (The patient is not yet intubated, and may never be)
What is the Non-Rebreather Mask?
400
An ominous and high pitched musical noise from stiffened vocal cords is called
What is stridor
400
which way does the diaphragm move to facilitate exhalation?
up
400
Before a tracheotomy cuff deflation, the nurse should:
suction the pharynx.
500
MD orders the chest tube off of -20mmHg water suction and placed "to gravity drainage", or "to seal".  The nurse charts that this chest tube is now at...
WHAT IS "3 cm water seal".
500
Name the two types of ETT placement scopes
What is the Miller, what is the MacIntosh.
500
What is the late stage of anoxia presented with, in appearance?
Cyanosis
500
What are the 5 Cardinal S&S of oxygen toxicity?
1.  low compliance, low Sp02

2.  Tachypnea, tachycardia

3. high CNS irritability in pre-seizure manifestations:    twitching lips and eyelids, euphoria, possible seizure activity. Detached retina evidenced in new vision problem

4. hypotension

5. Respiratory arrest


500
how many ml/day does the nurse recommend patients drink who need to thin respiratory secretions?
1500 - 2000 ml.
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