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8 Cards in this Set
- Front
- Back
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List the indications for chest tube insertion. (7)
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a. Pleural effusion
b. Hemothorax c. Pneumothorax d. Tension pneumothorax e. Empyema f. Open heart surgery g. Penetrating Trauma |
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Identify the components of the chest drainage unit (CDU) and explain its function. (5)
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Collection Chamber
Water seal Suction Control Gravity/positive pressure & suction Closed drainage system |
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Identify the nursing care associated with the care of the patient with a chest tube (11)
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Assess respiratory status q2
Check for subQ emphysema Examine chest tube site q8h Mark level on CDu Observe color of drainage Encourage CDB with splinting Administer pain meds Change position q2 Ambulate if possible Don’t strip the tubing Tidaling: Yes/ Bubbling: No |
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What to do in case of a chest tube dislodgement from insertion site:
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Cover site w/ sterile gauze and call MD
Air leak? Tape gauze on 3 sides Monitor pt Prepare for new CT insertion |
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What nursing interventions if chest tube disconnects from CDU
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Submerge end of tube in 1” sterile water or saline/sterile container
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Percussion: purpose, indications, and contraindications
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Mobilize pulmonary secretions
Cystic fibrosis, pneumonia Contraindicated in: Osteoporosis, blood dyscrasia, fractured ribs |
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What is postural drainage
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Positional techniques that draw lung secretions from different areas of the lungs to the trachea
Cystic fibrosis: may need to do all lung segments |
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What is vibration and its rationale
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Fine shaking motion applied to chest wall during exhalation
Rationale: increase velocity and turbulence of air as it is exhaled May shake mucus loose from chest wall and promote coughing |
