Summary Flashcards

1
Q

What is the purpose of a chest tube

A

To re established negative pressure in the pleural space

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2
Q

What to look for in a chest tube question

A

The reason for which it was placed

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3
Q

What is chest tube draining in PNEUMOTHORAX

A

Air (bubbling)

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4
Q

What is chest tube draining in HEMOTHORAX

A

Blood (no bubbling)

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5
Q

What is chest tube draining in PNEUMOHEMOTHORAX

A

Air and blood

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6
Q

Apical placement of chest tube

A

Chest tube is placed higher-removing air

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7
Q

Basilar placement of chest tube

A

Chest tube is placed at the Bottom of the lungs-removing Blood

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8
Q

Is apical tube bubbling good?

A

Yes (removing AIR)

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9
Q

Is basilar tube draining good?

A

Yes (removing BLOOD)

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10
Q

Is apical tube draining good?

A

No (indicates removing blood, not air)

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11
Q

Is basilar tube bubbling ok?

A

No (indicates removing air, not blood)

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12
Q

Is a chest tube required for a pneumonectomy?

A

NO. lung has been removed.

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13
Q

4 steps if water seal breaks?

A
  1. Clamp so nothing gets in (FIRST)
    -CLAMP FOR 15 SECONDS ONLY
  2. Cut tube from broken device
  3. Submerge end of cut away tube in sterile water (BEST)
  4. Unclamp to reestablish water seal
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14
Q

What to do if chest tube comes out

A
  1. Cover site with gloved hand (FIRST)
  2. Cover hole with vaseline gauze (BEST)
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15
Q

Intermittent Bubbling in water seal is

A

GOOD

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16
Q

Continuous bubbling in water seal means

A

There is a leak (find tape)

17
Q

Intermittent bubbling in suction control chamber means

A

Suction is too low (not high enough)

18
Q

Continuous bubbling in suction control chamber is

A

GOOD

19
Q

NEVER CLAMP CHEST TUBE

A

FOR MORE THAN 15 SECONDS
(Use rubber tipped double clamps)