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7000 - Respiratory
Prof. Bourgault - 02/13/12 - NURS 7000 exam 2
Terms in this set (10)
In a chest tube, what is "tidaling?"
fluctuation of the amount of water in the seal chamber - completely normal if no fluid is being drained
How should clots in the chest tube be broken up?
milk it - do not strip or pull because it can create high negative pressure
When should a chest tube be clamped?
when the system is disconnected or open (when changing), when assessing for an air leak, when assessing how a patient will tolerate removal of the tube
What is some supportive care for pneumonia?
O2 as indicated, 3 L fluids per day, rest, nutrition, bronchodilators/antiypretics/analgesics, teaching about treatment and prevention
CPAP, PS, and BiPAP
CPAP - continuous positive airway pressure
PS - pressure support - augments tidal volume
BiPAP - provides CPAP and PS
List the least to most invasive lung surgeries
wedge resection, segmentectomy, lobectomy, pneumonectomy
What should be managed postoperatively in a lung surgery patient?
monitor respirations - encourage cough, spirometry
pain control - monitor respirations
risk for atelectasis
chest tube care
How many tube drains will there be in lung surgery patients? Which will come out first?
two except in pneumonectomy
lower tube that is draining fluid and blood will come out first - leave upper one to assess for air leak
How should a pneumonectomy patient be positioned?
lie on the side where lung was removed
What would bubbles in a water-seal chamber indicate?
air leak in the tubing
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