lines, tubes and drains

Question 1

what is a blakemore tube used for

Answer 1

to stop esophageal varices from bleeding

Question 2

how do you ensure placement of an ETT tube?

Answer 2

gold standard = x ray
assess for equal breath sounds bilaterally

Question 3

is tracheostomy care sterile?

Answer 3

yes

Question 4

order of trach care

Answer 4

1. perform hand hygiene and apply clean gloves
2. remove soiled dressing
3. sterile gloves
4. clean tracheostomy site
5. dry skin
6. apply new dressing
7. change trach ties

Question 5

what are the indications for chest tubes?

Answer 5

PEACH
pneumothorax
effusions
abscess
cancer (lung)
hemothorax

Question 6

if there is no tidaling in the water seal chamber, what does that indicate

Answer 6

obstruction in chest tube or lung has fully reexpanded

Question 7

if there is vigorous bubbling int the water seal chamber, what would that indicate?

Answer 7

could indicate a leak

Question 8

if the chest tube comes out, what do you do?

Answer 8

cover site with sterile dressing
tape on 3 sides
call provider
stay with patient

Question 9

what do you do if tube comes out of the drainage collection chamber

Answer 9

place end of chest tube in a bottle of sterile water

Question 10

what is a penrose drain

Answer 10

open drain for superficial wound
drain by gravity

Question 11

what is a t tube drain

Answer 11

inserted into bile duct to allow bile to drain

common after gallbladder surgery

Question 12

what is a hemovac

Answer 12

closed suction drain

removes fluids/blood from wound through suction, placed under skin in surgery

Question 13

what is a jackson pratt drain

Answer 13

bulb is compressed to place suction on wound
removes fluid/blood from wound

Question 14

what color should a stoma be

Answer 14

pink/red and moist

Question 15

how do you clean a stoma

Answer 15

mild soap and water