Chest Tubes
What is a pneumothorax, hemothorax, empyema, and hemopneumothorax?
pneumo- air in pleural space
hemo-blood in pleural space
empyema- pus in pleural space
hemopneumo- blood and air in pleural space
What is an autologous blood transfusion?
When the blood that is being used is self donated (the patients blood)
What is asthma?
chronic inflammatory disorder of the lungs
COPD is a umbrella term for what other two disorders?
emphysema and bronchitis
True or False? RSV is not a contagious infection.
False: RSV is highly contagious
What would continuous bubbling indicate in the Chest Drainage Unit?
could possibly be an air leak
What does FFP (fresh frozen plasma) do?
expand the blood volume and provides clotting factor
What drug is contraindicated in patient with asthma?
Aspirin because of the leukotrienes which causes the bronchiole tubes to contract which results in wheezing and SOB.
What is bronchitis?
Inflammation of the lining of the bronchiole tubes
What are some risk factors for getting RSV?
second hand smoke, living in overcrowded areas, not being breastfed, premature infants
How would the Chest Drainage Unit look if the patient has resolved their pneumothorax?
There will be no more bubbles and no more drainage.
What blood type is considered the universal donor?
O-
When you have an asthma patient who all of sudden stops wheezing what does this mean?
This is a sign that the patients condition is worsening and they are headed toward respiratory failure.
What is emphysema?
when the smallest air passages (bronchioles) of the lungs are destroyed
Who does RSV affect?
Almost all children before age 2
What is a tension pneumothorax?
An untreated pneumothorax that can cause a shift and displace the heart and lead to circulatory collapse.
What is the only other solution that can be ran with blood?
Normal Saline
Is asthma considered treatable?
No asthma is only curable.
What is the greatest risk factor of COPD?
smoking
Which group of people have a 3-5x greater risk of hospitalization from RSV because of crowded living conditions, lack of running water and wood stoves?
Alaskan Natives
What do you do if a patients chest tube comes out?
- have the patient bear down like they were having a BM
-immediately cover with vaseline gauze
-submerge the end of the catheter into a bottle of normal saline
-monitor the patients VS, breathing and then call the MD
True or False? The earlier a transfusion reaction occurs the more severe it tends to be.
True
What medication is always given first when a patient is having an asthma attack?
SABA (short acting beta 2 adrenegics)
Albuterol
Emphysema
What can RSV lead to?
pneumonia and bronchiolitis