pre-semester sdlp Flashcards
describe wet dressings
placing dressings that are moist with NS or prescribed liquid. Common use eczema. provide hydration, relief and cooling while preventing scratching.
Describe moisture retentive dressings
gel based, expand to fill wound caverties,
Occlusive dressings
air and water tight, used to enhance absorption of creams
Week 2 Q1
Often the simplest method of establishing an airway is …?
deep coughing, deep beathing
move patient on side tilt head back, open mouth
if these two fail endotracheal tube (ETT) suctioning, tracheostomy (hole in throat) or Guedel
Week2 Q2.
How is an oropharyngeal (Guedel) airway measured prior to insertion? And what is it’s purpose?
measuring from the middle of the persons mouth to the angle of the jaw.
prevents the tongue from covering the epiglottis
maintains a clear airway and optimise respiratory functions
Week Q3
3. What are the indications for suctioning an airway?
Patients inability to adequately clear the airway by coughing.
Vomit
Obtaining a specimen for diagnoses
When adventitious breath sounds are heard
When secretions are present
Unexplained increase in shortness of breath, respiratory rate or heart rate.
Week 2 Q4
4. List & briefly explain the indications for inserting an ICC/intra-pleural drain
Post operative management for improving gas exchange and breathing
Treatment of spontaneous or trauma pneumothorax.
Used to re-expand the lung and remove excess air, fluid and blood.
what is Pneumothorax?
Pneumothorax: abnormal presence of air in pleural cavity( collapsed lung)
what is Hemothorax:
accumulation of blood in the pleural cavity( space between lungs and walls of chest).
week 2 Q 5.
It is good practice to have 2 padded clamps & 250ml of sterile water (depending on facility policy) at the bedside of all patients with ICCs in. Explain why & how they may be used.
The water is to create a water seal if you need to move the patient or for emergency when the equipment is not working properly.
Clamps provide a seal and prevents air from entering the pleural space.
week 2 Q6
On your clinical prac. you are caring for a patient with a hemothorax who has a right-sided chest tube in place.
• Discuss nursing management, assessments, care priorities of nursing a patient with a chest tube
Nursing management:position patient frequently n semi-fowler position
Encourage patient to turn, cough and take deep breaths.
Assessments: 1hrly,
under water seal chamber is below bed level
Tube free of kinks, securely taped and intact.
Asses lung sounds rate and rhythm and depth.
Assess O2 sats
Asses capillary refill, surgical site and dressing
