Adult Respiratory Flashcards
1
Q
Chest tube suction control chamber
A
- Gentle bubbling
2
Q
Chest tube water seal chamber
A
- tidaling
- if not, check tube for fibrin clots
- intermittent bubbling
- keep below insertion site
3
Q
Chest tube drainage collection chamber
A
- no tidaling
- no bubbling
- serosanguinous (pink) drainage
4
Q
Assess tactile fremitus
A
- client repeats “ninety-nine”
- intercostal spaces
- If vibrations are uneven, it may indicate pneumothorax, inflamed lung tissue, or fluid build-up.
5
Q
Thoracentesis
A
- needle aspiration of pleural fluid or air using ultrasound
- client sitting, lean forward
6
Q
Complications following thoracentesis
A
- most common risk is pneumothorax
- other risks include
- tachypnea
- tachycardia
- nagging cough
- decreased oxygen saturation
- crackling sound
7
Q
Purpose of the chest tube
A
- create negative pressure
- remove excess air
- rarely clamp
- bottle of sterile water is ESSENTIAL to keep at bedside
8
Q
Crepitus
A
- air trapped in and under the skin, known as subcutaneous emphysema
- notify PHCP
9
Q
Pneumothorax
A
- sudden-onset chest pain
- tachycardia
- shortness of breath
- using neck muscles to breathe
- rapid/shallow breathing
- absent breath sounds on affected side
- cyanosis
collpased lung
10
Q
Respiratory acidosis
A
- low pH and high CO2
- inability to expel carbon dioxide
- airway obstruction
- decreased ventilation
- CPAP and BiPap machine lowers CO2 levels
- give bronchodilator
11
Q
Agonal breathing
A
gasping for air
12
Q
Cheyne-Stokes
A
apnea alternating with periods of rapid breathing
13
Q
Neurogenic hyperventilation
A
excessive and rapid breathing without the alternating pattern of apnea
14
Q
Apneustic breathing
A
prolonged inhalation with shortened exhalation
15
Q
Ataxic breathing
A
- irregular and unpredictable
- no specific pattern
