INSTRUCTIONS. The following questions\u00a0are to be answered by writing the answer in\u00a0the space provided or by matching terms as directed. After you have completed all the\u00a0questions, scroll down to the answers\u00a0at the end of the exercises and\u00a0check your responses.<\/p>\n
1. A venous cut-down procedure is being performed. The primary site for this\u00a0procedure is _______________________________, which is located at the_____________________.<\/p>\n
2. The secondary site for a venous cut-down procedure is the ________________,\u00a0located close to the ___________________.<\/p>\n
3. List three possible complications of a venous cut-down.<\/p>\n
a. _______________________________________________.<\/p>\n
b. _______________________________________________.<\/p>\n
c. _______________________________________________.<\/p>\n
4. Needle decompression is ___________________________________________<\/p>\n
________________________________________________________________.<\/p>\n
5. List three indications that needle decompression should be performed under\u00a0controlled conditions.<\/p>\n
a. _______________________________________________.<\/p>\n
b. _______________________________________________.<\/p>\n
c. _______________________________________________.<\/p>\n
6. List three indications that the patient needs a chest tube insertion.<\/p>\n
a. _______________________________________________.<\/p>\n
b. _______________________________________________.<\/p>\n
c. _______________________________________________<\/p>\n
7. What is the primary indication for creating a surgical airway?<\/p>\n
________________________________________________________________<\/p>\n
________________________________________________________________<\/p>\n
8. The two qualifications a 68W Medical NCO must have to perform a surgical\u00a0cricothyrotomy are:<\/p>\n
a. _______________________________________________.<\/p>\n
b. _______________________________________________.<\/p>\n
9. To insert the cannula properly when you are performing a surgical cricothyrotomy,\u00a0you should:<\/p>\n
a. Keep your left hand on the ___________________ to stabilize it.<\/p>\n
b. Pick up the cannula in your __________________ hand.<\/p>\n
c. Place the cannula through the puncture hole, with the cannula tip pointing\u00a0toward the patient’s _________________________.<\/p>\n
d. Using controlled force, advance the cannula until the _______________ is\u00a0flush with the skin.<\/p>\n
e. If you are using a cuffed tracheostomy tube, __________________ the cuff.<\/p>\n
10. To check for correct placement of the cannula in a patient who has had a surgical\u00a0cricothyrotomy, you should:<\/p>\n
a. ________________________________________________.<\/p>\n
b. _______________________________________________.<\/p>\n
11. Listed below are the major steps in the procedure of inserting a chest tube. Place\u00a0the steps in the order in which they would be performed.<\/p>\n
| a. _____<\/p>\n b. _____<\/p>\n c. _____<\/p>\n d. _____<\/p>\n e. _____<\/p>\n f. _____<\/p>\n g. _____<\/p>\n h. _____<\/td>\n | S. Apply a dressing.<\/p>\n T. Explore the pleural space.<\/p>\n U. Suture the skin, securing the chest tube.<\/p>\n V. Insert the chest tube.<\/p>\n W. Locally, anesthetize the skin and periosteum if there is time.<\/p>\n X. Prep and drape the patient.<\/p>\n Y. Perforate into the pleural space.<\/p>\n Z. Incise the skin and create a tunnel.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \n Check Your Answers<\/p>\n <\/p>\n 1. The greater saphenous vein; ankle. (para 3-2a(1))<\/p>\n 2. The antecubital median basilic vein; elbow. (para 3-2a(2))<\/p>\n 3. You are correct if you listed any three of the following:<\/p>\n Cellulitis.<\/p>\n Hematoma.<\/p>\n Phlebitis.<\/p>\n Perforation of the posterior wall of the vein.<\/p>\n Venous thrombosis.<\/p>\n Nerve transection.<\/p>\n Arterial transection. (para 3-2c(1) through (7))<\/p>\n 4. Needle decompression is the removal of air and fluid from the chest cavity by\u00a0puncture.\u00a0(para 3-3)<\/p>\n 5. You are correct if you listed any three of the following:<\/p>\n Severe respiratory distress.<\/p>\n Jugular vein distention.<\/p>\n Hyper resonance on the affected side.<\/p>\n Absent or diminished breath sounds on the affected side.<\/p>\n Pulseless paradox (the radial pulse fades or disappears upon inspiration).<\/p>\n Tracheal deviation may be seen but is considered a very late and grave sign.<\/p>\n (para 3-3a(2)(a)-(f))<\/p>\n 6. The patient has hemothorax.<\/p>\n The patient has pneumothorax.<\/p>\n The patient has tension pneumothorax. (para 3-4a)<\/p>\n 7. The primary indication to create a surgical airway is the need for an airway for a\u00a0patient who cannot be intubated. (para 3-6a)<\/p>\n 8. Thoroughly trained in the procedure.<\/p>\n Approved by the physician directors to perform a cricothyrotomy.\u00a0(para 3-5b, NOTE)<\/p>\n 9. a. Larynx.<\/p>\n b. Dominant.<\/p>\n c. Feet.<\/p>\n d. Flange.<\/p>\n e. Inflate. (para 3-5(b)(4)(a)-(e))<\/p>\n 10. a. Listen and feel for air flow through the cannula<\/p>\n b. His chest rises and falls with each ventilation. (para 3-5b(5)(a), (b)<\/p>\n 11. a. X<\/p>\n b. W<\/p>\n c. Z<\/p>\n d. Y<\/p>\n e. T<\/p>\n f. V<\/p>\n g. U<\/p>\n h. S (para 3-4c(3)-(12))<\/p>\n","protected":false},"excerpt":{"rendered":" INSTRUCTIONS. The following questions\u00a0are to be answered by writing the answer in\u00a0the space provided or by matching terms as directed. After you have completed all the\u00a0questions, scroll down to the answers\u00a0at the end of the exercises and\u00a0check your responses. 1. A venous cut-down procedure is being performed. The primary site for this\u00a0procedure is _______________________________, which … Continue reading Lesson 3: Self-Test<\/span> |