What does it mean when there is excessive bubbling in the water seal chamber quizlet?
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Terms in this set (26)true T or F traditional water seal what are the 2 types of chest drainage systems used? collection what are the 3 chambers in a traditional water seal? wet suction the traditional water seal is also know as....... water seal prevents backflow into pleural space by means of gravity or suction. --water level reflects the negative pressure present in the intrathoracic cavity tidaling water seal moves up and down with inspiration/expiration indicates chest tube is working properly bubbling intermittent is a normal--good finding if continuous---its abnormal--bad! what is this describing? true T or F true T or F negative wet suction control (on the traditional water seal) maintains constant ________________pressure suction wet suction control true T or F the difference between a traditional water seal and a dry suction water seal is the suction chamber--it is regulated with a valve (mechanical) tension troubleshooting chest drainage system KNOW! --ensure that the drainage tubing does not kink, loop, or interfere with the pt's movements, it could cause a ____________pneumothorax --gently "________" the tubing in the direction of the drainage chamber as needed --make sure there is fluctuation ("____________") of the fluid level in the water seal chamber (in wet systems), OR check the _____ _______ indicator for leaks (in dry systems with a one-way valve) bubbling troubleshooting chest drainage system (pg 527)KNOW! --observe for air leaks in the drainage system; they are indicated by constant _____________ in the water seal chamber or by the air leak indicator in dry systems with a one-way valve. --In addition, assess the chest tube system for correctable external leaks. --notify the primary provider immediately of excessive ______________ in the water seal chamber not due to ______________leaks below troubleshooting chest drainage system KNOW! --if the tubing disconnects, cut off the contaminated tips of the chest tube & tubing, insert a ______________ connector in the cut ends, and reattach to the drainage system. --do not __________ the chest tube during transport valsalva troubleshooting chest drainage system KNOW! --the chest tube is then clamped and quickly ______________. --simultaneously, a small bandage is applied and made airtight with ______________gauze covered by a 4X4 inch gauze, tape 3 sides to avoid tension pneumo kinks if there is no tidaling......check for ___________! dependent maintain drainage system upright and always ________________ to prevent relux true T or F true T
or F -cover up & tape on 3 sides to not cause tension pneumo (hint, hint) --if kinked-->tension pneumo can arise --if tidaling stops and had lots of previous drainage....start milking from the pt to the drainage system......if still no tidaling--> call surgeon! --what if tube detaches from system?...grab bottle of NS & put tube in it --roger true T or F clamp do not ___________ the tube during transport, if you need to take them off of the wall suction.... just leave it to dependent drainage true T or F if tube becomes disconnected from chest drainage
container: true T or F always pre-medicate (pain meds) prior to activity...such as turn, cough or deep breathe & suctioning!! patients will listen and do more if they feel less pain.--roger #1)
impaired gas exchange in order, what are the 3 major nursing diagnoses? yes can a client with chest tube have a tension pneumothorax? Sets with similar termsATI MED-SURG: CH 18 Chest Tube Insertion and Monit…17 terms nmbulger3 19.) Chest tube Insertion & Monitoring33 terms damarish Chest tube Insertion & Monitoring33 terms miszvee Chapter 3243 terms abth0901
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When excessive bubbling is identified in the water seal chamber the nurse should?Assessing for an air leak: Clamp off suction for one minute. An air leak is present if there is constant bubbling in the water-seal chamber. An air leak alerts the nurse that he or she must assess for the location of the leak by checking the connections from the chest drainage unit to the insertion site.
What is the significance in bubbling in the water seal chamber when the chest tube is attached to wall suction quizlet?Continuous bubbling within the water seal chamber indicates the presence of an air leak and this means that the connection is not taped securely enough. The nurse would find the location of the air leak and intervene as appropriate. The nurse is providing care for a patient with a chest tube.
What should the nurse conclude if constant bubbling is noted in the water seal chamber of a closed chest drainage system?The water level in the water seal should be monitored routinely to check for evaporation. Continuous bubbling in this chamber indicates a leak in the system.
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