Chest tubes
The space in which a chest tube is inserted into.
What is the pleural space.
Another word for a nasopharyngeal airway.
What is a "nasal trumpet".
You are suctioning a patient and their oxygen sats drop to 80%. What should you do?
What is withdraw the catheter and administer oxygen.
How long to preoxygenate the patient prior to suctioning
What is 30-60 seconds prior to suctioning.
Name 1 thing that is a major complication during the first 72 hours postoperatively from having a tracheostomy.
What is tube dislodgment or tube obstruction.
Inserting a chest tube helps re-establish ____ pressure in the pleural space.
What is negative.
This is the only type of airway management device that requires a surgical procedure.
What is a tracheostomy.
Your chest tube tips over. What do you do?
What is set up a new closed chest drainage system immediately.
When suctioning during tracheostomy care, apply suction for no longer than ___ seconds and rotate catheter as it is withdrawn while intermittently suctioning.
What is 15 seconds.
Where you should place the chest tube if it becomes disconnected from the drain system (to create a water seal)
What is a bottle of sterile water.
Constant bubbling in the water seal chamber
What is an air leak.
Device used to guide the outer portion of a tracheostomy tube during insertion that is removed immediately after the outer tube is in place.
What is a obturator.
You see excessive bubbling in the water seal chamber and you notice the patients chest tube dressing is loose. What should you do?
What is reinforce or reapply a new occlusive dressing.
This suctioning method reduces the risk of hypoxemia and infection in ventilated trach patients.
What is the closed in-line suction system.
If a tracheostomy becomes dislodged, do this.
What is reinsert gently and resecure the ties.
Gentle rising and falling of the water level in the water seal chamber with respirations
What is tidaling.
Type of intubation that has insertion of a tube through the nose or mouth into the trachea for airway patency; mechanical ventilation; adminstration of anesthetic gases; prevention of respiratory aspiration.
What is endotracheal intubation. "ET"
Your patients ABG is the following:
PH 7.25
CO2 55
HCO3 24
Wha is happening with your patient?
What is uncompensated respiratory acidosis.
How far to insert the suction catheter when suctioning a patient (2 parts).
What is until the patient coughs or I meet resistance.
A type of pneumothorax in which the trachea is noted to deviate to one side due to immense pressure.
What is a tension pneumothorax.
Name 2 conditions that might require a chest tube placement
What is a pneumonthorax, pleural effusion, hemothorax, or emphyema.
A nurse is prioritizing care. Which patient should be seen FIRST?
A. Needs routine trach care
B. Requests suctioning
C. SpO₂ 88% with trach
D. Needs dressing change
C. SpO₂ 88% (possible airway compromise)
Your patients ABG is the following:
PH 7.52
CO2 40
HCO3 38
Wha is happening with your patient?
What is uncompensated metabolic alkalosis.
Your patient requires both pharyngal suctioning and tracheal suctioning. In which order do you suction?
What is tracheal first, then pharyngal due to the pharynx housing more bacteria.
Crackling around the dressing or insertion site of a chest tube
What is subcutaneous emphysema.