Chest Tubes & Chest Drainage Flashcards Preview

AP: Cumulative > Chest Tubes & Chest Drainage > Flashcards

Flashcards in Chest Tubes & Chest Drainage Deck (22):
1

Chest drainage systems are used to evacuate....?

Blood
Air
Fluid
Pus
Lymph

2

Chest tubes are draining what in a pneumothorax?

Air

3

Why is a tension pneumothorax so dangerous?

If the pressure exceeds atrial filling pressure, then there will be no more atrial filling

4

Chest tubes drain what in a hemothorax?

Blood

5

Chest tubes drain what any hydrothorax?

Fluid

6

Chest tubes drain what in a chylothorax?

Lymph

7

Chest tubes drain what in an empyema?

Pus

8

What is the purpose of the white line on the chest tube?

It is radiodense and helps find the tip of the tube in the most proximal hole

9

What is the name of the most proximal hole on a chest tube?

Sentinel Eye

10

Where is a chest tube normally placed?

Usually at the axillary line and drains posteriorly

11

When is the chest tube removed?

When there is no air leak
Minimum amount of fluid
No longer on suction

12

Look over all of the diagrams for the bottle systems of chest tubes

They are way too complicated to try and explain via text

13

What are some potential flaws of the one bottle system of chest drainage?

Glass bottle could break
Fluid accumulation over time--> increasing pressure
Bottle can tip over

14

Why is there sterile water in the bottom Of a one bottle chest drainage system?

Prevents air from being reentrainment

15

What is the primary difference between the two bottle and three bottle system?
(And no smart asses I'm not talking about just 2 versus 3 bottles)

The 3 bottle system is connected to suction

16

What determines the pressure in a three bottle system?

Depth of straw in bottle 3 and height of water column

17

Which bottle is connected to suction?

3

18

In a 3 bottle system, If you occlude the connection to the patient or the connection between bottles 1-2 or bottles 2-3 what happens?

Way to go, You created a tension pneumothorax

19

If you occlude the suction in a three bottle system what happens?

Pressure builds up until water bubbles out

20

What are the advantages of an integrated chest drainage system?

One-way valve
Evacuate air
Drain and collect fluid
Observe and measure fluid
Monitor for discontinuation
Apply suction
Protect against back pressure

21

What is the purpose of the pop off valve In a chest drainage system?

It pops off in the event of positive pressure accumulation and prevents back pressure into patient

22

What is the purpose of a chest tube?

It equalizes the pressure it is not strictly a drainage system