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Mark Klimek > Chest Tubes > Flashcards

Flashcards in Chest Tubes Deck (14)
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1
Q

The purpose for chest tubes is to ?

A

The purpose for chest tubes is to re-establish negat ive pressure in the pleural
space

2
Q

pnemothorax (_____ = ____ pressure.. put chest tube in to re-establish ______ pressure!)
hemothorax (______= ______ pressure.. put chest tube in to re-establish _____ pressure!)
pneumohemo (___ &; ___ = ____ pressure.. put chest tube in to re-establish _____
pressure!)

A

In a pneumothorax, the best tube removes air

  1. In a hemothorax, the chest tube removes blood
  2. In a pnemohemothorax, the chest tube removes air and blood
3
Q

Location of chest tubes:

Apicals is (_____) for ___?
a.
2. Basi lar (_____) for ____?
a.

A

Apicals (HIGH) for Air

a. Label “A”- up high
2. Basi lar (LOW) for Blood
a. Label “B”- placed at base; bottom of lung

4
Q

How many chest tubes (and where) for unilateral pneumohemothorax?

A

apical and basilar all on same side

5
Q

How many chest tubes (and where) for bilateral pneumothorax?

A

apical right and left

6
Q

How many chest tubes (and where) for post-op chest surgery?

What’s the exception?

Always assume ?

A

2; apical and basi lar uni lateral on the side of surgery

b. Exception: If surgery total pneymonectomy then ! no chest tube bc no pleural space
c. Always assume chest trauma and surgery is unilateral

7
Q

What do you do if you kick over the collection bottle?

A

Not a big deal; can just sit it right back up; have take a couple deep
breaths

8
Q

What do you do if the water seal breaks?

A

a. This is more serious, because it is allowing air in creating a 2 way
b. First: Clamp chest tube (Better no way than 2 way for brief period of
time) **in routine care never clamp chest tube!!
c. Best: Submerge
i. Cut tube away (down) by device; submerge under water
preferably sterile-then unclamp

9
Q

What do you do if the chest tube comes out?

A

First: cover hole with gloved hand; Vaseline gauze dressing; 3
sided sterile dressing; tape
b. Best: Vaseline gauze

10
Q

Bubbling in chest tube ask yourself two questions?

A

Ask yourself two questions:

i. WHEN is it bubbling
ii. WHERE is it bubbling

Bubbling in suction tube is expected

11
Q

Rules for clamping the tube:
a.
b.

A

Rules for clamping the tube:

a. Never clamp for longer than 15 seconds without a Dr.’s order
b. Use rubber t ipped double clamp

12
Q

Positive pressure push the lung away

A

Positive pressure push the lung away

13
Q

Chest surgery & chest trauma create unilateral ____

A

pnemohemothorax,

14
Q

If surgery total pneymonectomy( removal of the entire lung) then ! ____ chest tube bc ____ pleural space

A

If surgery total pneymonectomy then ! no chest tube bc no pleural space