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Chest Tubes

Across
can increase intrapleural pressure
Changed every 72hrs and prn
Air should not be here
Includes atrium below insertion site, no dependent loops, all connections taped, bubbling in suction chamber, underwater seal filled to line
Must always be present at the bedside
normal fluctuation with respirations
Used to secure tubing connections
Promotes drainage and lung re-expansion
Down
This chamber is filled to 20cm of water
This chamber is filled to 2cm of water
Chest tubes placed for this are usually in the 4th to 8th intercostal space
Chest tubes placed for this are usually in the 2nd or 3rd intercostal space
Includes breath sounds, RR, crepitus, 02 requirements, insertion site, dressing status
Bubbling in the water seal chamber indicates this
Sign of a tension pneumothorax
Reason for chest tube insertion
Pressure as we inhale