NYU AE 2 Exam 1
Terms in this set (93)
If the tube becomes dislodged, secure the tube ONLY ON 3
If the chest tube becomes sides with sterile gauze. Securing all 4 sides can cause a
dislodged, what should you do? buildup of pressure, leading to a pneumothorax.
Call the provider ASAP. EMERGENT
If the chest tube drainage system breaks, you can place the
What can you do if the chest
distal end of the chest tubing connection in a sterile water
tube drainage system breaks?
container at a 2 cm level as an emergency water seal until a
new drainage can be set up.
The chest drainage system should be held below the
where should the chest drainage
patient's chest level because gravity is supposed to help
system be placed? Why?
remove drainage. It is recommended to keep the chest
tube on the floor or attached to the bed.
gentle, steady bubbling is okay.
Suction control chamber
Too much bubbling is no good, check water seal chamber.
Steady tidaling is what we want to see. This mimics the patient's
breathing.
Water seal chamber with air leak
monitor
CONTINOUS BUBBLING IS VERY BAD, INDICATES AN AIR LEAK/
DISLODGEMENT
- CONTACT PROVIDER
Collects pleural drainage.
Collection chamber
More than 200mL in the first hour is very bad, contact provider.
Chest tubes can be removed when the lung has re-expanded.
When can chest tubes be
removed? Which test needs
A chest X-ray must be done to confirm.
to be done to confirm?
, A pneumothorax is a build up of blood, air, or fluid in the
pleural cavity causing the lung to collapse.
What is a pneumothorax?
What are the manifestations of a The manifestations of a pneumothorax are bradypnea,
pneumothorax? tachycardia, and absent lung sounds over the effected
What can a pneumothorax lead area.
to?
A pneumothorax can lead to a tension pneumothorax
which is a build up of air, blood, or fluid that prevents the
heart from beating.
Pneumonia is an inflammation of the lungs, which can
What is pneumonia?
be viral or bacterial. The biggest manifestations are
What are the biggest
manifestations? What are
chest pain, but in older adults usually lethargy.
the different types?
The different types are hospital acquired, ventilator
associated, aspiration, and community acquired.
Usually after 48 hours of admission.
Hospital Acquired
MOST DANGEROUS FORM OF PNEUMONIA - those
Pneumonia: When do
you get it? hospital bacteria are lethal. full ppe, gloves, hand
Nursing precautions?
hygiene.
Ventilator Associated Occurs due to a lack of ET tube care. Most common in ICU.
Pneumonia: How do you
get it? MOUTH CARE + ORAL CARE - brush teeth using chlorahexadine
Nursing care?! mouth wash
Pneumonia from outside of the hospital.
Community Acquired
Pneumonia: when do you get
Occurs within first 48 hours of admission.
it ?
High risk pt: weak/ no gag reflex , dysphagia , NG tubes,
Aspiration
neuromuscular disorders.
Pneumonia: High
risk patients? Avoid: elevate HOB, check feeding tube placement, avoid
How do we avoid aspiration?
bolus feeding, avoid thin liquids, swallow evaluation.
How do we prevent vaccinate, hand hygiene, avoid large crowds, smoking cessation, cough
the spread of etiquette
pneumonia?
Precautions: airborne! When pt are being transferred, use
surgical masks for them. ABCs ALWAYS.
Tuberculosis :
Manifestations: weight loss, low grade fever, night sweats.
Terms in this set (93)
If the tube becomes dislodged, secure the tube ONLY ON 3
If the chest tube becomes sides with sterile gauze. Securing all 4 sides can cause a
dislodged, what should you do? buildup of pressure, leading to a pneumothorax.
Call the provider ASAP. EMERGENT
If the chest tube drainage system breaks, you can place the
What can you do if the chest
distal end of the chest tubing connection in a sterile water
tube drainage system breaks?
container at a 2 cm level as an emergency water seal until a
new drainage can be set up.
The chest drainage system should be held below the
where should the chest drainage
patient's chest level because gravity is supposed to help
system be placed? Why?
remove drainage. It is recommended to keep the chest
tube on the floor or attached to the bed.
gentle, steady bubbling is okay.
Suction control chamber
Too much bubbling is no good, check water seal chamber.
Steady tidaling is what we want to see. This mimics the patient's
breathing.
Water seal chamber with air leak
monitor
CONTINOUS BUBBLING IS VERY BAD, INDICATES AN AIR LEAK/
DISLODGEMENT
- CONTACT PROVIDER
Collects pleural drainage.
Collection chamber
More than 200mL in the first hour is very bad, contact provider.
Chest tubes can be removed when the lung has re-expanded.
When can chest tubes be
removed? Which test needs
A chest X-ray must be done to confirm.
to be done to confirm?
, A pneumothorax is a build up of blood, air, or fluid in the
pleural cavity causing the lung to collapse.
What is a pneumothorax?
What are the manifestations of a The manifestations of a pneumothorax are bradypnea,
pneumothorax? tachycardia, and absent lung sounds over the effected
What can a pneumothorax lead area.
to?
A pneumothorax can lead to a tension pneumothorax
which is a build up of air, blood, or fluid that prevents the
heart from beating.
Pneumonia is an inflammation of the lungs, which can
What is pneumonia?
be viral or bacterial. The biggest manifestations are
What are the biggest
manifestations? What are
chest pain, but in older adults usually lethargy.
the different types?
The different types are hospital acquired, ventilator
associated, aspiration, and community acquired.
Usually after 48 hours of admission.
Hospital Acquired
MOST DANGEROUS FORM OF PNEUMONIA - those
Pneumonia: When do
you get it? hospital bacteria are lethal. full ppe, gloves, hand
Nursing precautions?
hygiene.
Ventilator Associated Occurs due to a lack of ET tube care. Most common in ICU.
Pneumonia: How do you
get it? MOUTH CARE + ORAL CARE - brush teeth using chlorahexadine
Nursing care?! mouth wash
Pneumonia from outside of the hospital.
Community Acquired
Pneumonia: when do you get
Occurs within first 48 hours of admission.
it ?
High risk pt: weak/ no gag reflex , dysphagia , NG tubes,
Aspiration
neuromuscular disorders.
Pneumonia: High
risk patients? Avoid: elevate HOB, check feeding tube placement, avoid
How do we avoid aspiration?
bolus feeding, avoid thin liquids, swallow evaluation.
How do we prevent vaccinate, hand hygiene, avoid large crowds, smoking cessation, cough
the spread of etiquette
pneumonia?
Precautions: airborne! When pt are being transferred, use
surgical masks for them. ABCs ALWAYS.
Tuberculosis :
Manifestations: weight loss, low grade fever, night sweats.
