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Third Year | First Sem > CHEST TUBE THORACOSTOMY > Flashcards

CHEST TUBE THORACOSTOMY Flashcards

1
Q

done to drain fluid, blood, or air from the space around the lungs.

To restore negative pressure.

A

Chest tube thoracostomy

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2
Q

Chest tube thoracostomy is done to remove

A

air (pneumothorax)
blood (hemothorax)
fluid (pleural effusion)
pus (empyema)

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3
Q

AIR outside the lung but within the pleural cavity

A

PNEUMOthorax

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3
Q
A
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3
Q

Pus from the intrathoracic space.

A

emPyema

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4
Q

Blood collects in your pleural space

A

HEMOthorax

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5
Q

CHEST TUBE THORACOSTOMY
is used to remove air from the intrathoracic space.

A

pneumothorax

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6
Q

buildup of too much fluid between the layers of your pleura around your lungs

A

Pleural effusion

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7
Q

chest tube other names

A

chest drain or tube thoracostomy

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8
Q

is a flexible plastic tube that inserted through the side of the chest into the pleural space.

A

chest tube (chest drain or tube thoracostomy)

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9
Q

It drains blood from the lungs

A

chest tube

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10
Q

in PREPARATORY PHASE of chest tube insertion, patient will be assessed for

A

pneumothorax, hemothorax, presence of respiratory distress.

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11
Q

what is obtain in preparatory phase of assisting with chest tube insertion

A

chest x-ray

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12
Q

Other means of localization of pleural fluid

A

ultrasound, fluoroscopic localization

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13
Q

Phases in assisting with chest tube insertion

A

preparatory phase, performance phase, follow up phase

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14
Q

Observe the drainage system for blood/air. Observe for fluctuation
in the tube on respiration.

what phase of assisting with chest tube insertion?

A

FOLLOW – UP PHASE

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15
Q
  • Secure a follow-up chest x-ray.
  • Assess for bleeding, infection, leakage of air and fluid around the tube.

what phase of assisting with chest tube insertion?

A

Follow up phase

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16
Q

Assess patient’s pain at insertion site and give medication appropriately. If patient is in pain, _ will hampered.

A

chest excursion and lung inflation

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17
Q

Maintain chest tubes to provide

A

drainage and enhance lung
reinflation.

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18
Q

in chest tube thoracostomy, Keep the patient in a

A

propped-up position (45-90 degree)

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19
Q

Always ensure the correct position of the UNDERWATER SEAL BOTTLE.
– The bottle should be

A

erect and at least 100 cm BELOW the level of the patient’s chest.

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20
Q

The TIP OF THE GLASS TUBE that connects to the chest drain should be at least - below the fluid level in the bottle

A

2 cm

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21
Q

The tip of the glass tube that connects to the chest drain should be at least 2cm below the fluid level in the bottle
(and not - below the fluid level).

A

more than 7 cm

22
Q

Swinging or oscillation of the column of water in the glass tube connected to the chest drain is monitored every

A

4 hours:

23
Q

monitored every 4 hours

A
  1. vital signs
  2. swinging/oscillation
  3. blowing/bubbling (if theres bubbling in drainage bottle = lung is still leaking air)
  4. vital signs
24
Q

need to be monitored every 4 hours: Blowing or air bubbling in drainage bottle with quiet respiration and on coughing (Bubbling of air indicates that
the

A

lung is still leaking air.

25
Q

the following items need to be
monitored every 4 hours in chest tube thoracostomy

A

vital signs, Swinging or oscillation of the column of water, Blowing or air bubbling in drainage bottle, dressing site

26
Q

When chest tubes are inserted, they must be connected to a - that allows air and fluid to be removed from the chest cavity but prevents air from entering
the outside

A

sealed drainage system or one way valve

27
Q

sealed drainage systems typically have a

A

suction control chamber, a water seal chamber and a closed collection chamber for drainage

28
Q

system that when the client inhales, the water prevents air from entering the system from the atmosphere.

A

water seal system

29
Q
  • can be added to the system to facilitate removing air and
    secretions from the chest cavity.
A

Suction

30
Q

in chest tube thoracostomy, Assess the

A

vital signs, oxygen saturation, cardiovascular status
and respiratory status.

31
Q

Check breath sounds - and check for symmetry of breath sounds

A

bilaterally

32
Q

in chest thoracostomy, this must be done every 2 hours

A
  • Encourage deep breathing and coughing exercises
  • Reposition client
33
Q

Avoid aggressive chest tube manipulation if necessary - such as squeezing hand over hand along the tubing and releasing the tubing between squeezes may help improve patency

A

gentle technique

34
Q

Avoid clamping the tube as this increase the risk of

You can clamp the tube for a moment to replace a drainage unit or to locate the source of leak

A

tension pneumothorax.

35
Q

If the tube becomes disconnected from the collecting system, submerge the end in 1 - to maintain the seal

A

sterile water

36
Q

If unadvertently pulled out, the wound should be cover with a -

A

dry sterile dressing

37
Q

When transporting and ambulating the client:
a. Keep the water seal unit -
b. Disconnect the drainage system from the suction apparatus
before moving the client make sure that the air vent is open

A

below chest level and upright

38
Q

– The cessation of bubbling during both quiet respiration and coughing indicates that the air leak in the lung has .)

A

closed

39
Q

Type and quantity of drainage (Inform practitioner if drainage is

A

> 100 mL/h or if frank blood.

40
Q

Never lift the drainage bottle above the level of the patient’s
chest, as fluid from the bottle may - off into the
patient’s chest.

A

siphon

41
Q

Keep - (angled) at the bed side.

A

2 clamps

42
Q

Do not clamp a - chest drain.11

A

bubbling

43
Q
  • the tubes frequently to avoid blockage by fibrin plugs
    or clots.
A

“Milk”

44
Q

Change the connecting tube and bottle at least - and replace them with sterile equivalents.

A

once every 48 hours

45
Q

REMOVING CHEST TUBES
ASSESSMENT
Lung reexpansion is complete when:
* Chest x-ray film reveals

A

total lung reexpansion

46
Q

ASSESSMENT
Lung reexpansion is complete when:
* Water-seal fluctuation has stopped for

A

24 hours.

47
Q

ASSESSMENT
Lung reexpansion is complete when:
Drainage is decreased to

A

less than 50 Ml/day

48
Q

ASSESSMENT
Lung reexpansion is complete when:
* Percussion reveals

A

tympany.

49
Q

ASSESSMENT
Lung reexpansion is complete when:
* Auscultation of lungs reveals breath sounds are - throughout the chest cavity

A

present

50
Q

REMOVING CHEST TUBES
ASSESSMENT

Clamp chest tube - hours before removal, or as ordered by the physician. Assess for changes in vital signs, chest pain, and level of apprehension.

A

12 to 24

51
Q

REMOVING CHEST TUBES
IMPLEMENTATION
* Assist client to sit - or to lie on the side without
chest tubes,

A

on edge of bed

52
Q

REMOVING CHEST TUBES
IMPLEMENTATION
Prepare an occlusive dressing of - on a pressure dressing and sets it aside on a sterile field.

A

petroleum gauze

53
Q
A

Third Year | First Sem (12 decks)

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