CH. 10 - TUBES, LINES, AND OTHER DEVICES

two most commonly used tubes:

levin and salem sump tubes

levin use:

gastric decompression

salem sump use:

drain fluid from the stomach

nutriflex use:

feedings

moss use:

aspiration of fluid; duodenal feeding

Songs taken-Blakemore use:

control of bleeding from esophageal varicose

cantor use:

relieves obstruction in the small intestine

harris use:

gastric and intestinal decompression

Miller-Abbott use:

decompression

NG and NE tubes

• KUB x-ray taken for documentation of placement

• most often placed in pts room. used for nutrition, meds

• different types may be placed in x-ray dept. under fluroscopy by rad

• move safety pin on any PCXR so it’s NOT in area of the lungs

gastrostomy tubes

• NG tubes are located in the stomach

• G tubes are directly placed into the stomach or duodenum or jejunum

• used for feedings, medications, diagnostic purposed

• KUB x-ray are ordered after placement

• removal of any tubes are only done by a RN or physician

endotracheal tube

• placed by respiratory tech, MD, anesthesiologist, CRNA

• PLACED AVOCE CARINA

• BELOW CARINA = misplaced and causes lung collapse

• ET tube must be pulled back for correct placement

• PCXR performed for documentation

mechanical ventilator (vent)

• portable vents in x-ray

• ER and ICU critical patients

• CXE for tube/line placemat

• patients can be given suction on a vent by Resp.

• vent can be connected to

  • ET tubes, tracheostomy

  • get assistance with PT for airway when moving the patient in x-ray dept.

  • don’t pull or place tension on the tube

  • don’t disconnect power to vent

  • wear gloves

thoracostomy

the surgical creation of an opening into the chest cavity, is performed to diagnose or treat disease or injury to the lungs or pleura

pleural effusion

fluid built up in the lungs

What should the radiographer do while caring for a patient who has an NG tube in place?

Find out if the tube is to be reconnected to suction and if so what is the amount of pressure

Take care not to dislodge the tube

In what position should an alert patient whose swallowing reflex is intact be placed in preparation for suctioning?

semi-fowler

What are two points to remember when caring for patients with a new tracheostomy in place?

He or she will be anxious and unable to speak

When caring for a patient who has a chest tube with water sealed drainage, what must be remembered?

Water seal must be maintained at all times

Never lift the drainage system above patients chest

Signs and symptoms that indicate a patient needs to be suctioned are:

Audible rattling and gurgling sounds from the patient's throat

Gagging

Profuse vomiting in a patient who cannot voluntarily change positions

When caring for a patient who has a tissue drain in place, the following precautions must be taken:

Prevent tension on the drain and use surgical aseptic technique if in direct contact with the drain

List two types of NG tubes commonly seen in the imaging department

-Levin tube
-Salem sump tube