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Mark Klimek Yellow Book exam with well answered questions
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Mark Klimek Yellow Book exam with well answered questions
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Mark Klimek Yellow Book exam with wellanswered questions
The |purpose |of |a |chest |tube |is |to |- |ANSWERS✔✔ |re-establish |negative |pressure |in |the |pleural
|space |(so |that |the |lung |expands |during |breaths
A |chest |tube |for |a |pneumothorax |removes |- |ANSWERS✔✔ |Air
A |chest |tube |for |a |hemothorax |removes |- |ANSWERS✔✔ |Blood
Chest |tubes |for |a |pneumohemothorax |- |ANSWERS✔✔ |Air |and |Blood
An |Apical |chest |tube |is |placed? |- |ANSWERS✔✔ |High |(for |air) |
A |for |air
A |Basilar |chest |tube |is |placed? |- |ANSWERS✔✔ |Low |(for |blood) |
B |for |blood
How |many |chest |tubes |and |where |for |unilateral |pneumohemothorax? |- |ANSWERS✔✔ |2; |
apical |& |basilar
How |many |chest |tubes |and |where |for |bilateral |pneumothorax? |- |ANSWERS✔✔ |2; |R |& |L |
apical
How |many |chest |tubes |and |where |for |post-op |chest |surgery/chest |trauma? |- |ANSWERS✔✔ |2;
|apical |& |basilar |on |side |of |surgery
,Assume |chest |surgery/trauma |is |______ |unless |otherwise |stated |- |ANSWERS✔✔ |Unilateral
How |many |chest |tubes |(and |where) |for |post-op |chest |surgery? |- |ANSWERS✔✔ |Unilateral, |
pneumohemo |(2 |chest |tubes, |one |side, |apical |and |basailar)
Assume |chest |trauma |is |a |gunshot |wound.
How |many |chest |tubes |would |you |need |and |where |would |you |place |them |for |a |post-op |right |
pneumonectomy? |- |ANSWERS✔✔ |NONE! |because |you |are |removing |the |lung |so |you
don't |need |to |re-establish |any |pressure |(there |is |no |pleural |space)!
Straight |cath |is |to |foley |as |- |ANSWERS✔✔ |a |thoracentesis |(in |& |out) |is |to |chest |tube |(place |& |
secure; |higher |infection |risk)
What |do |you |do |if |a |chest |tube |comes |out? |- |ANSWERS✔✔ |FIRST: |cover |the |hole |with |a |
gloved |hand
BEST: |cover |with |*vaseline |gauze*, |put |on |dry |sterile |dressing, |tape |on |3 |sides
What |do |you |do |if |the |water |seal |breaks |on |a |chest |tube? |- |ANSWERS✔✔ |In |this |order:
1. |CLAMP |
2. |Cut |broken |device |off |of |tube
3. |Submerge |the |tube |in |sterile |water
4. |Unclamp.
What |is |the |opposite |of |the |water |seal |chamber? |- |ANSWERS✔✔ |suction |control |chamber
What |is |the |first |thing |you |do |if |the |water |seal |breaks? |- |ANSWERS✔✔ |Clamp
,What |is |the |best |thing |to |do |if |the |water |seal |breaks? |- |ANSWERS✔✔ |place |in |sterile |water
What |do |you |do |if |you |kick |over |the |collection |bottle? |- |ANSWERS✔✔ |- |Set |it |back |up
- |Tell |the |patient |to |take |deep |breaths
How |long |can |you |clamp |a |chest |tube? |- |ANSWERS✔✔ |No |longer |then |15 |seconds |without |a |
doctors |order.
What |do |you |use |to |clamp |a |chest |tube |and |why? |- |ANSWERS✔✔ |- |2 |rubber |tipped |clamps. |
>> |Rubber |because |it |won't |pierce |the |tube
>> |double |because |if |one |is |good |two |is |better.
Continuous |bubbling |in |water |seal |chamber |- |ANSWERS✔✔ |BAD |→ |air |leak
- |find |the |air |leak
- |tape |it
- |report |it
- |record |it
Intermittent |bubbling |in |water |seal |chamber |- |ANSWERS✔✔ |NORMAL |→ |continue |to |
monitor
Continuous |bubbling |in |suction |control |chamber |- |ANSWERS✔✔ |No |it |is |bad. |NORMAL |→ |
continue |to |monitor
Intermittent |bubbling |in |suction |control |chamber |- |ANSWERS✔✔ |BAD |→ |increase |suction, |
report, |record.
, Is |it |okay |to |clamp |a |chest |tube |in |routine |care? |- |ANSWERS✔✔ |No. |ONLY |in |an |emergency.
When |picking |answers |ask |yourself? |- |ANSWERS✔✔ |Which |one |will |have |the |WORST |
outcome |if |left |undone.
1 |fingerbredth |is |how |many |cm's? |- |ANSWERS✔✔ |1
How |to |measure |crutches |- |ANSWERS✔✔ |2-3 |cm/fingerbredths |below |*anterior |AXILLARY |
FOLD* |to |a |point |lateral |and |slightly |in |front |of |the |foot
When |measuring |crutches, |don't |pick |- |ANSWERS✔✔ |- |measuring |to |ANY |foot |landmark |
like |a |"toe" |or |"heel"
- |measuring |to |the |AXILLA
When |the |handgrip |of |a |crutch |is |properly |in |place |the |elbow |flexion |should |be |- |
ANSWERS✔✔ |~ |30°
If |crutch |is |not |30*, |what |will |happen? |- |ANSWERS✔✔ |Nerve |Damage
Crutches |should |be |how |many |fingerwidths |below |the |armpit? |- |ANSWERS✔✔ |2-3
Describe |a |2 |point |gait |- |ANSWERS✔✔ |1. |one |crutch |and |opposite |foot |together |
2. |2nd |crutch |and |other |foot |together. |
Move |2 |parts |2gether |and |the |same |time.
Used |for |mild |problems
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