NURSING NUR 3227 Compiled study guide_ Already Graded A+

Final Exam Study Guide Respiratory Normal values pH: 7.35-7.45 PCO2: 35-45 PO2: >80 mm Hg HCO3-: 22-26 mEq/L Assessing: 1. First note pH: 2. Determine primary cause of disturbance a. Alkalo sis b. Aci dosis 3. Determine if compensation has begun Chest Tubes- 1. Procedure: a. Fill water-seal chamber with sterile water to the 2-cm level b. If suction is to be used, fill the suction control chamber with sterile water to the 20-cm level, or as ordered by the health care provider c. Encourage the client to change position frequently d. The drainage system must be maintained below the level of insertion e. Chest tubes are clamped only momentarily to check for air leaks and to change the drainage apparatus f. Observe for fluctuations of fluid in water-seal chamber g. Gently milk tubing in the direction of drainage as needed if agency policy allows h. When the health care provider removes the chest tubes, the nurse should instruct the client to do the Valsalva maneuver (forcibly bearing down while holding breath); the chest tube is clamped and quickly removed by the health care provider; an occlusive dressing is applied to the site 2. Complicaitons: