lecture 3 chest tubes

Question 1

pneumothorax removes what

Answer 1

air

Question 2

hemothorax removes what

Answer 2

blood

Question 3

hemopnuemothorax removes what

Answer 3

air and blood

Question 4

u gotta keep the pleural space negative

Answer 4

u put a chest tube in to bring back negative pressure

Question 5

chest tubes= bring back negative pressure

Question 6

whats the point of a chest tube

Answer 6

to take something out

Question 7

u want bubbling if ur chest tube is taking out air

Answer 7

pneumothorax are supposed to bubble

Question 8

u put apical chest tubes on top

Answer 8

apical chest tubes take out air

Question 9

basilar chest tubes on the bottom

Answer 9

basilar chest tubes take out blood

Question 10

u wanna see air with apical

Answer 10

apical chest tubes bubble

Question 11

u wanna see blood with bottom chest tubes

Answer 11

basilar chest tube drain

Question 12

use a top and bottom chest tube for a hemopneumothorax

Answer 12

use both to drain blood and air

Question 13

dont put a chest tube for a pneumoectomy

Answer 13

they dont have a lung any more

Question 14

give a lobectomy a chest tube

Question 15

take a deep breath its no big deal if a chest tube gets knocked over

Answer 15

ask pt to take a deep breath and reset up the chest tube

Question 16

clamp and put seal under water in 15 secs if chest tube water seal breaks

Answer 16

put chest tube in sterile water if it breaks

Question 17

getting broken chest tube under water is priority

Answer 17

get it under water in 15 secs to prevent air from getting in and letting blood out

Question 18

getting chest tube under water resets water seal

Question 19

broken water seal jutsu

Answer 19

place seal under water in 15 secs

Question 20

put a glove and sterile vaseline guaze over a pulled out chest tube

Question 21

too much bubbling in water is bad

Answer 21

continuous bubbling it an air leak

Question 22

too little bubbling when getting sucked is bad

Answer 22

intermittent bubbling in suction chamber means pressure is too low

Question 23

if theres too little bubbling when getting sucked turn it up until its too much

Answer 23

turn up suction pressure if there intermittent bubbling in suction chamber

Question 24

a straight cath goes in and out a foley stays for a while

Answer 24

a straight cath goes in and out
a foley cath stays in gets secured and does continuous drainage

Question 25

chest tubes are dirtier than thoracentesis

Answer 25

chest tube have higher risk of infection that thoracentesis cause they stay in

Question 26

any thing that stays in has a higher risk on infection

Answer 26

thoracentesis is straight and goes in and out

Question 27

dont clamp a tube for more than 15 secs

Answer 27

clamp cut dip and unclamp the tube in less than 15 secs or ur fucked