Trach Care and Suctioning
What medical personnel is responsible for verifying cuff pressure, using a manometer or using the minimal leak technique (MLT)?
What is respiratory therapist?
"Abnormal accumulation of fluid within the pleural spaces"
what is pleural effusion?
One unit of packed RBCs should raise a patient’s hemoglobin and hematocrit by how much?
what is HgB: 1gm + 3% Hct?
Urine mixed with mucous, this does not indicate infection, and protrusion of two small plastic tubes is an expected findings in a patient with this
What is an ileal conduit?
Name the three (3) isotonic solutions.
what is 0.9 NS, Lactated Ringers, D5W?
Which of the following are indications for tracheostomy? (select all that apply)
A. To maintain an open airway for long term use
B. To temporarily maintain an open airway
C. To bypass an obstructed upper airway
D. To aid in the removal of secretions
E. Intervention for patients with asthma
What is A, C and D?
Define thoracentesis.
what is “It removes fluid or air trapped in the pleural space”?
define thrombocytopenia.
what is "reduction in platelets below normal: 150-400,000"?
This is the inflammation of the skin including erythema, weeping, skin loss, and burning sensation
What is irritant dermatitis?
Name the three (3) hypertonic solutions.
What is D5.45 NaCl, D5.9 NaCl, D5LR?
Name two (2) interventions associated with care for a patient with a trach.
what is oral care, suction as needed, assess airway/respiratory status, HOB 30-45 degrees, check cuff pressure q shift and supplemental oxygen?
The procedure involves “injecting a sclerosing agent into the pleural space (via a chest tube) causing an irritation of the pleural layers, which causes them to “stick together” and not come apart”.
What is chemical pleurodesis?
Name the four (4) components of the blood donor criteria.
what is
a. Minimum Age: 17 years old (16 in some states): IL is 17 years
b. Weight minimum: 110lbs
c. In good general health
d. No current illness or fever
The nurse should know that _____ stoma diverts stool away from intestine that was blocked or ruptured while _________ stoma is where the colon is separated to rest a bowel area. Both of these are more likely to be temporary
What is loop & double barrel?
S&S include: redness, warmth or tenderness.
What is phlebitis?
The patient in room 2569 calls on the call light to tell you something is wrong with his chest tube. When you arrive to the room you note that the drainage system has fallen on its side and is leaking drainage onto the floor from a crack in the system. What is your next PRIORITY?
a. Place the patient in supine position and clamp the tubing.
b. Notify the physician immediately.
c. Disconnect the drainage system and get a new one.
d. Disconnect the tubing from the drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new system.
what is "d. Disconnect the tubing from the drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new system"?
Explain the ABO blood typing.
What is an inherited trait that is determined by absence or presence of antigens (A or B) on surface on RBC and antibodies (anti-A and anti-B) in the serum?
Watery to oatmeal consistency of stool, may be green in color b/c gastric juices in this.
What is ileostomy?
Signs and symptoms of infiltration.
What is cool, tight skin and swelling at/around IV site?
When should a patient be suctioned? (Select all that apply)
A. Q 2 hours
B. When there is visible mucus
C. When there is a drop in O2 saturation
D. When the patient is sleeping
E. When the patient signals for suctioning
F. When chest auscultation reveals vesicular sounds
What is B, C and E?
If an accidental dislodgement were to occur, the nurse does what FIRST?
a. Cover the insertion site with sterile gauze dressing and tape three sides
b. Notify physician STAT
c. Monitor patient’s vital signs and cardiopulmonary status
d. Remain with patient until physician arrives.
what is "a. Cover the insertion site with sterile gauze dressing and tape three sides"?
Rate of infusion for blood for the first minutes.
what is 2mL/min?
This type of discharge is expected from a distal opening.
What is mucus?
Name three (3) signs and symptoms of fluid volume overload.
What is
1. Difficulty breathing
2. Crackles on auscultation
3. JVD
4. Moist cough
5. Tachycardia
6. Irritability/confusion
7. Edema
8. Elevation in BP