Chest Tubes and Central Lines

Question 1

What is a chest tube used for?

Answer 1

to remove air, blood, or excess fluid from the pleural space and re-expand the involved lung

Question 2

Exposure techniques for air/fluid pathologies

Answer 2

patient upright (lateral decub if patient can’t sit upright)
horizontal beam

Question 3

What do you do to kV for pleural effusion (fluid in lung)?

Answer 3

increase

Question 4

What do you do to kV for pneumothorax (air in lung)?

Answer 4

decrease

Question 5

For “free air” put that side ______ when positioning patient.

Answer 5

up

Question 6

For fluid, put that side ______ when positioning patient.

Answer 6

down

Question 7

Central lines are inserted in the __________ or ____________ vein.

Answer 7

jugular; subclavian

Question 8

PICC line

Answer 8

Peripherally Inserted Central Catheter

Question 9

PICC lines are inserted in a large _____________ vein in the antecubital space.

Answer 9

peripheral (usually brachial)

Question 10

PICC lines may stay in place for how long?

Answer 10

30 days

Question 11

PA lines (Swan-Ganz)

Answer 11

pulmonary arterial

Question 12

PA lines are inserted in one of the two _____________ arteries.

Answer 12

pulmonary

Question 13

Where do PA lines go?

Answer 13

in the subclavian vein and advanced to the right side of heart in pulmonary artery

Question 14

bradycardia

Answer 14

slow heart rate

Question 15

tachycardia

Answer 15

fast heart rate

Question 16

atherosclerosis

Answer 16

build up of fat on artery walls

Question 17

arteriosclerosis

Answer 17

hardening of the arteries

Question 18

bradypnea

Answer 18

abnormally slow breathing

Question 19

tachypnea

Answer 19

abnormally fast breathing

Question 20

dyspnea

Answer 20

shortness of breath

Question 21

apnea

Answer 21

stopping of breathing, especially during sleep

Question 22

orthopnea

Answer 22

breathing based on positions

Question 23

CXR considerations

Answer 23

usually standing
always PA

Question 24

PCXR considerations

Answer 24

usually seated
AP

Question 25

stenosis

Answer 25

narrowing

Question 26

pyrexia

Answer 26

fever

Question 27

aspiration

Answer 27

foreign objects are swallowed into bronchial air passages