Acute Exam 2 Lab

Water seal should be ___cm

Suction chamber should be ___cm

The middle water seal chamber allows air to exit pleural space on ____ and keeps air from entering pleural space in inspiration

Tidaling def

Continuous bubbling indicates an

Water in the small arm of water seal rises as intrapleural pressure becomes more

Traditional closed chest drains regulate amount of suction by height of

____ level in the suction control chamber regulates amount of negative pressure suction transmitted to the pleural cavity, NOT the setting on the source

Dry suction allows for ____ pressure levels

Dry suction uses a control valve to balance force of suction with atmosphere so it can respond and adjust to changes in atmosphere

Indications for high pressure dry suction

Sump port is for collection of _____ for autotransfusion

Heimlich valve is a one way ____ valve that allows air to ____ but wont let it back in

Blue end connects to _____, transparent end has sterile dressing for tubes that have minimal/no ______ or connects to collection bag

Arrow on the valve should always point ____ from patients chest

Heimlich valve is for small or partial _____ and does not collect fluid

Pneumostat is another one way valve for ______ with small amounts of ____

Pneumothax white end to ____, clear end is for _____ or removing drainage. Collects ____ of drainage

Pneumostat air leak well confirms air leak if there is bubbling after adding ____ of water to the well

Empty pneumostat with a

Pleural space is a small cavity between ____ and ____ pleura that contains serous fluid that allows movement without friction during respiration

Fluid in lung can create _____ which prevent lungs from expanding fully

Tension ptx

Tension ptx is

In tension ptx, the mediastinal shift displaces trachea towards the _____ side

Diminished/absent lung sounds indicate that the lung has not

Chest chest tube dressing at least every

When to replace disposable chest tube drainage system?

Drainage amount

Clamping chest tube is risk for

IF chest tube detaches from drainage system

Palpate area around dressing to check for ____ or ____ which indicate that __ is leaking into subq tissue surrounding insertion site

During first 24 hrs of chest tube insertion check every

Chest tube assess regular

Mark drainage level by noting time and date at drainage level on chamber every

Assess fluid level q _____ because water can evaporate

Tidaling expect ____cm of fluctuation

keep sterile gauze at bedside to cover insertion site if tubing becomes dislodged

Tubing should remain _____ level of insertion site or else fluid could go back into pleural space

stripping/milking tubing can increase negative pressure in the system to a level that can ____ pleural tissue

report to providor

After lung has reexpanded and minimal drainage, can clamp or disconnect tube before removing to observe for distress. Can also verify ok by cxr

Ambulate every _____ to allow lung expansion and drainage

If transporting and detaching suction source, should make sure

After first few hours, report any drainage over ___ml/hr, because losing 100mL of blood q16min might require autotransfusion

Nasal cannula Fio2 range is ____, liter flow rate is ____L

high flow nasal cannula fio2 ____% and flow rate of up to ___L

Oxygen conserving cannula/oximizer fio2 range ____%. Good because it has higher fio2 with lower ___ flow

Face tent fio2 of ____%, ___L, good for ___

Oxymask is Fio2 of ___%, and has low ___ high fio2 so good for long term use

nono rebreather mask fio2 of ___% and uses a reservoir bag. It can administer almost 100% oxygen.

CPAP has fio2 of ___% at ___cm of water pressure. it is invasive and right before ventilation

If chest tube is pulled out, apply ___ and tape only ___ sides so air can escape

Half life of norepi is very ___ so as soon as bag is used up the pt can crash right away

Sepsis vs septic shock diff by need/no need of

Rebound reaction within ___ hrs

3rd spacing means dry ___ but body still has fluid

norepi vasopresses the periphery so the ___ are safe but extremities are vulnerable

chest tube breaks what to do

blebs that pop usually resolve on its own once the ___ __ is taken away

Leopald maneuvers help to determine

Leopald maneuver prereqs/positioning

Leopald maneuver steps

Leopald document

First stage of labor def

First stage, latent phase characteristics

Latent phase contractions are mild-mod and are around q _____ mins, lasts ____ seconds

Active phase characteristcs

Active phase has mod-strong contractions q___mins that last ____seconds. THis is when mother feels desire to ___ ___

Second stage of labor def

Ferguson reflex def

Second stage of labor equpment

Third stage of labor def

Fourth stage of labor def

Stage 4 monitor

C section additional documentation

apgar check at min and _

APGAR test

In newborns assess ____ first

newborn VS top 3

Newbor RR should be ___ bpm with breathless cessation under __ seconds

INfant hr should be taken on apex for 1 min. Should be ___ and ___ with ___bpm when sleeping and ___ when awake

Baby length should be ___cm

Head circumference right above ____ line and should be ___cm

Chest circumference taken at nipple line and should be _____cm, or ___cm less than head

Bishop score

Target saturation table

Bubble assessment