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Understanding Chest TubesThoracic Cavity:Right ...
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Flashcards in this deck (40)

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  • What are the main structures in the thoracic cavity?

    • Right and left lungs
    • Mediastinum
    • Heart
    • Aorta and great vessels
    • Esophagus
    • Trachea
    anatomy thoracic_cavity

  • What are the main structures in the thoracic cavity?

    • Right and left lungs
    • Mediastinum
    • Heart
    • Aorta and great vessels
    • Esophagus
    • Trachea
    anatomy thoracic_cavity

  • What happens during inhalation?

    Diaphragm contracts, increasing thoracic cavity volume, decreasing pressure, allowing air to flow into the lungs (intrapulmonary pressure).

    respiration inhalation

  • What happens during inhalation?

    The diaphragm contracts, increasing thoracic cavity volume and decreasing pressure, causing air to flow into the lungs.

    physiology respiration

  • What occurs during exhalation?

    Diaphragm relaxes, reducing thoracic cavity volume, increasing intrapulmonary pressure, allowing air to flow out of the lungs.

    respiration exhalation

  • What occurs during exhalation?

    The diaphragm relaxes, reducing thoracic cavity volume, increasing intrapulmonary pressure, and allowing air to flow out.

    physiology respiration

  • What are the two types of pleura surrounding the lungs?

    • Parietal pleura (lines chest wall)
    • Visceral pleura (covers the lung)
    anatomy pleura

  • What is the function of pleura?

    The pleura surrounds the lungs, keeping them expanded and allowing membranes to slide together.

    anatomy pleura

  • What are the indications for chest tubes?

    • Pneumothorax
    • Hemothorax
    • Empyema
    • Pleural effusions
    • Thoracotomy
    • Bronchopleural fistula
    • Penetrating wound
    • Chylothorax
    medical chest_tubes

  • What are indications for chest tubes?

    • Pneumothorax
    • Hemothorax
    • Empyema
    • Pleural effusions
    • Thoracotomy
    • Bronchopleural fistula
    • Penetrating wound
    • Chylothorax
    medical chest_tubes

  • What is a closed pneumothorax?

    Intact chest wall with rupture of the lung or visceral pleura, allowing air into the pleural space.

    pneumothorax closed

  • What is a closed pneumothorax?

    It occurs when the chest wall is intact, but a rupture allows air into the pleural space.

    medical pneumothorax

  • What is a tension pneumothorax?

    Air enters pleural space from lung or airway with no exit, leading to increased pressure and potential cardiac arrest.

    pneumothorax tension

  • What is a tension pneumothorax?

    A life-threatening condition where air enters the pleural space and cannot escape, leading to increased pressure and potential cardiac arrest.

    medical pneumothorax

  • What is an open pneumothorax?

    Opening in the chest wall allowing atmospheric air to enter pleural space, often referred to as a 'sucking chest wound'.

    pneumothorax open

  • What is an open pneumothorax?

    An opening in the chest wall that allows atmospheric air to enter the pleural space, often due to penetrating trauma.

    medical pneumothorax

  • What are common assessment findings for hemothorax and pleural effusion?

    • Decreased or absent breath sounds
    • Shortness of breath (SOB)
    • Pain
    medical hemothorax

  • What is a sucking chest wound?

    Another term for open pneumothorax, where air moves in and out of the chest through an opening.

    medical pneumothorax

  • What is the goal of treatment for pleural conditions?

    Remove fluid and air, prevent return to pleural space, restore negative pressure to re-expand the lung.

    treatment pleural_conditions

  • What are the treatment goals for pleural conditions?

    • Remove fluid and air promptly
    • Prevent return of drained air and fluid
    • Restore negative pressure to re-expand the lung
    medical treatment

  • What is required before chest tube insertion?

    • Informed consent (2 medical personnel must sign)
    • Analgesic
    • Baseline vital signs
    medical procedures

  • What equipment is needed for chest drainage?

    • Thoracic chest tube
    • Chest tube drainage unit
    • Wall suction device
    • Tubing
    medical equipment

  • What equipment is needed for chest tube insertion?

    • Chest tube insertion tray
    • Sutures
    • Bottle of sterile water
    • Post insertion x-ray
    medical equipment

  • What is required before a chest tube insertion?

    • Informed consent (2 medical personnel sign)
    • Analgesic
    • Baseline vital signs
    medical procedures

  • What sizes do chest tubes come in?

    • Small tubes for air
    • Large tubes for blood/fluid
    medical tubes

  • What equipment is needed for chest tube insertion?

    • Chest tube insertion tray and sutures
    • Bottle of sterile water
    • Post insertion x-ray
    medical equipment

  • Where should chest tubes for blood/fluids and air be placed?

    • Blood/fluids at the bottom
    • Air at the top
    medical placement

  • What size tubes are used for chest tube insertion?

    • Larger tubes for blood/fluid
    • Smaller tubes for air
    medical tubes

  • What is important about the clamp position during chest tube insertion?

    The clamp should be on the top of the upper rib to avoid blood vessels/nerves.

    medical safety

  • Where should blood/fluid be inserted during chest tube placement?

    At the bottom; air rises, so air tubes go at the top.

    medical placement

  • What helps restore negative pressure in chest tube management?

    • Water seal chamber prevents air from going back in.
    • Suction applied based on water level.
    medical pressure

  • How is the chest tube secured?

    The tube is cinched into place, and a good dressing is required to prevent dislodgement.

    medical safety

  • How does gravity assist in fluid drainage?

    The chest drainage system must be below the level of the chest for gravity to help fluid drainage.

    medical drainage

  • What is the purpose of the water seal chamber?

    It prevents air from going back into the pleural space and helps maintain negative pressure.

    medical chamber

  • What indicates an air leak in the chest tube system?

    Bubbling in the water seal indicates air leaving the chest.

    medical monitoring

  • What helps with fluid drainage in a chest tube system?

    Gravity helps as long as the drainage system is below the level of the chest.

    medical drainage

  • What should be monitored to assess chest tube function?

    Use PaTCh: - Patient - Tubing - Chamber

    medical assessment

  • What indicates an air leak in a chest tube system?

    Bubbling in the water seal chamber indicates air leaving the chest.

    medical monitoring

  • What does continuous bubbling in the water seal chamber indicate?

    It indicates a system leak is happening.

    medical leak

  • What does the PaTCh assessment stand for?

    • Patient
    • Tubing
    • Chamber
    medical assessment