indications
can lacerate the lung causing air to enter the pleural space.
closed pneumothorax
Space between ribs and lungs
pleural space
can occur from poor hand hygiene
infection
where should drainage system be placed
below level of chest
crunching, "popping" feeling under skin
crepitus
allows air to enter the pleural space through an opening in the chest.
open pneumothorax
Covers the lungs
Pulmonary (Visceral) Pleura
what do you do if tube disconnection occurs
place the tube in sterile water
chest tubes are clamped when (3 things)
locating air leak, simulating chest tube removal, or replacing drain
fluctuation of water during inspiration and expiration
tidaling
Air between the pleurae is
pneumothorax
Lines the chest wall
Parietal Pleura
continuous bubbling without suctioning indicates what
air leak
clamping tube for too long can cause what
tension pneumothorax
when is drainage measured
at the end of every shift
Transudate or exudate in the pleural space is a
pleural effusion
During exhalation, intrapleural pressure is approximately
-4 to -5 cmH20
what to do if tube is pulled out of chest
apply a sterile Vaseline impregnated gauze, 4x4 sterile gauze, and foam tape
chest tubes are also called?
thoracic catheter
water is filled to what mark
2 cm
air enters the pleural space but cannot escape.
tension pneumothorax
During inspiration, the intrapleural pressure is approximately
-8 to 10 cmH20
sudden onset of dyspnea, hypotension, tracheal deviation, anxiety, and chest pain
tension pneumothorax
lung sounds might be diminished over chest tube due to what 3 things
fluid, air, or blood
how far away are Kelly clamps placed from the insertion site
1.5- 2.5 in