Chest Tubes
Pleural Effusion - to drain fluids Hemothorax - to drain blood Pneumothorax - to drain air
What are the type of situations where chest tubes may be used?
What is the name of the drug that provides chemical paralysis for about 45 minutes, and it's dose is 1.omg/kg?
what is rocuronium?
A high-pressure alarm sounds, and your patient is found to have rhonchi bilaterally. What is your initial intervention?
What is suction the patient?
What airway adjunct would you retrieve for an individual who was ingested to much alcohol and presents with snoring and an SPO2 of 85%?
What is an NPA?
An active process that is part of breathing in which the diaphragm contracts.
What is inhalation?
The things you should assess after removal of a chest tube and application of the occlusive dressing
What are lung sounds, RR, O2 sats, and pain
If the patient cannot be ventilated, is apneic, cannot be intubated or managed with a back up airway, what is the terminal procedure to establish an adult airway?
What is surgical cricothyrotomy airway
Your patient's initial ET placement was at 22, when you round on your patient the tube is found to be at 17. What is your priority?
What is assess and preparing for reintubation?
This airway adjunct is a rigid intraoral device that conforms to the tongue and displaces it away from the posterior pharyngeal wall, thereby restoring pharyngeal airway patency.
What is an OPA?
these are the three regions of the pharynx
What are oropharynx, nasopharynx, and laryngopharynx?
A practice which can cause dangerous negative pressure build-up in the pleural space, and bruising and trauma to the lung tissue
What is milking or stripping the tubing
Your patient was just accidentally extubated during a move. They are chemically paralyzed and sedated, they cannot so much as blink an eye, move or breathe on their own. what emergency piece of equipment MUST be readily available at ALL times?
What is a BVM and a mask
Your intubated patient is found to have absent breath sounds on the left side. You call the physician to recommend what?
What is an x-ray and possible chest tube?
A what is contraindicated in a patient with a gag reflux?
What is an OPA?
The length of OPA that must be used. This is how it is measured.
What is measuring from the tip of the ear lobe to the corner of the mouth?
Constant bubbling in the water seal chamber
what is an indication of an air leak
esophageal intubation
What is the worst complication of tracheal intubation if unrecognized?
Ventilated is alarming low-pressure alarm/low SpO2 monitor, If you hear an air leak from the mouth, what should your first step be?
What is ensure ET tube cuff is inflated?
How long do you have to wait after administering medications to a patient on BIPAP to reapply the BIPAP?
What is atleast 30 minutes?
the microscopic sacs of the lungs where gas exchange with the bloodstream takes place.
What is alveoli?
A system that prevents air from re-entering the chest once it has escaped.
What is a "closed water-seal" system?
This blind insertion device can be a back up plan for a failed intubation
What is an LMA?
Your ventilator is alarming high-pressure alarm, low Spo2 monitor, there are diminished breath sounds and Co2 reader is Tan/Gray. What will you do?
What is check for tubing kinks and disconnections?
What airway device can not be used when patients are vomiting?
What is a BIPAP?
this is a description of the cyclical exchange of blood between heart and the lungs that explains the flow of both oxygenated and deoxygenated blood.
alveoli --> pulmonary vein --> heart (and body)--> pulmonary artery --> lungs