L3C3: Chest Tubes

Question 1

pneumothorax removes

Answer 1

air

Question 2

hemothorax removes

Answer 2

blood

Question 3

hemopneumothorax removes

Answer 3

air & blood

Question 4

Apical chest tube removes

Answer 4

air

Question 5

Basilar chest tube removes

Answer 5

blood/fluid

Question 6

What to do if closed chest drainage devices (Jackson-Pratt, Emisson, Pneumovac, hemovac) is knocked over?

Answer 6

Ask pt to take a deep breath & set device back up

Question 7

If water seal of chest tube breaks?

1. _____ (he 1st thing to do)
2. _____ the tube away from the broken device
3. _____ (the best thing to do)
4. ______

Answer 7

clamp
cut
submerge in sterile water
unclamp

Question 8

If chest tube gets pulled out? 1st step is:

Take a ____ & cover the ____

Answer 8

Take a gloved hand & cover the opening

Question 9

If chest tube gets pulled out? The BEST step is:

Take a ____ & tape ____

Answer 9

take a sterile vaseline gauze & tape 3 sides

Question 10

Bubbling in WATER SEAL CHAMBER:

a. Intermittent is
b. Continuous is

Answer 10

a. GOOD
b. BAD –> find leak & tape it

“If something is SEALED, should you have continuous bubbling?

Question 11

Bubbling in SUCTION CONTROL CHAMBER:

a. Intermittent is
b. Continuous is

Answer 11

a. BAD = suction is too LOW –> increase it at the wall until bubbling is continuous
b. GOOD

Question 12

RULES FOR CLAMPING TUBES:

1. DO NOT clamp a tube for _____ w/o a ______
2. Use a ____ tooth (will not puncture tubing), _____ clamps

Answer 12

1. more than 15s; MD’S order
2. rubber tooth; double clamps