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Lindsey Jones 3A5 Matching
What is a chest tube insertion procedure?
1.Pneumothorax -Tube placed in upper chest, 2nd interspace, midclavicular line. 2.Hemothorax/Pleural effusion tube placed b/w 4th &5th interspace, midaxillary line.
If bubbling continues what is to be done?
If bubbling continues move clamp b/w pt & collection tube. If bubbling stops-replace tube.If bubbling continues move clamp to tubing b/w collection & water-seal bottle. If bubbling stops-replace tubing. Bubbling should stop if not, replace external system
What is the disposable system ?
Used in 3 bottle system. 1.Suction Control 2.Water Seal 3.Collection bottle. When Collection chamber is full replace whole unit. 1-2cm H2O should be placed in Water seal bottle. 15-20cm H2O should be placed in suction control bottle
What is Humidity deficit?
It is the amount of water (humidity) the body needs to makeup from ambient air in order to achieve 100%. It is expressed as mmgH20/L of gas. The body needs 44 mg H20/L of gas.
What are the potential problemscollection bottle is developing fluid quickly @ >100 ml/hr found during monitioring a chest drainage system?
1. Pt. may be hemorrhaging. 2. Evaluate: Hb, Bp, vitals and all data associated w/blood loss.
What is the 3 bottle system?
From pt. a tube E enters a collection bottle. Fluid drops to bottom &gas is pulled in other tube. TubeD enters water seal bottle gases are drawn thru a tube. i.e Submerged under H2O(Gentle bubbling is seen). TubeC enters suction control bottle no bubbling
What is areosol therapy/ the aerosol particles?
aerosol particles are larger particles, can often been seen visually. May be made of water, liquid medication, or dry powder-type medication.
What happens when there is a particle deposition in an aerosol therpay?
The higher the flow rate, the higher up the resp. tract the deposition will occur.The Inspiratory hold will increase particle deposition
What are 2 types of therapeutic aids to ventilation?
1. Humidity and Aerosol therapy and 2. Chest tubes and drainage systems.
Whati s a chest tube removal procedure?
1. Pull the Tube during a Valsalva Manuever after complete exhalation 2. The side should be covered with petroleum based Jelly &Sterile gauze. 3. Pulse X-ray should be taken
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