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foundations, test 2 review

by: Brenna Notetaker

foundations, test 2 review nurs 3370

Marketplace > East Carolina University > nurs 3370 > foundations test 2 review
Brenna Notetaker
GPA 3.4

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test 2 review
Dr. Cherry
Study Guide
nursing foundations, Test 2 review
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This 2 page Study Guide was uploaded by Brenna Notetaker on Wednesday February 3, 2016. The Study Guide belongs to nurs 3370 at East Carolina University taught by Dr. Cherry in Spring 2015. Since its upload, it has received 52 views.


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Date Created: 02/03/16
3370 TEST 2 REVIEW Dial on side of dry suction to turn up (usually on ­20 sometimes ­40) Water seal chamber must be filled to 2cm mark  Water seal reestablish negative pressure to reinflate the lungs  Closed chest drainage system­ water seal, suction, collection (don’t always need  collection bc cant see air) Date, time, initials  Record every 8 hrs unless otherwise indicated, every hr after cardiac surgery  If rapidly remove chest tube can drop bp Periodically let pressure come down  If pt take deep breath in and out look for fluctuation in water chamber is tidaling   NORMAL FINDING, will go away when lung is totally reinflated  Always be on the floor/less than level of the chest  Continuous bubbling in water seal chamber means leakage Shouldn’t have vigorous bubbling bc will evaporate quickly  Normal to see a few bubbles go through the water seal with a pneumothorax, but not  continuously  Don’t put tape over nipple  Check and make sure dressing  Listen for breath sounds and if pneumothorax there will be no sounds on the right People hesitant to cough and deep breathe bc it hurts If a chest tube is up really high (2­3 ICS) it’s being put in to remove air If (4­7 ICS) there for pus/blood TRACH CARE ­sterile gloves, saline (not tap water), trach care kit, trach Velcro string closures  ­put on new THEN take off old if you’re alone  ­if they coughed up trach you would put obturator into hole to keep open  ­ at bedside should always have a trach that’s the same size and one that’s one size  smaller  ­never use peroxide bc it causes degranulation of skin infection  ­use sterile 4x4 saturated with saline to clean  ­limit suction to 5 sec for infants, 10­15 sec adults 


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