RESPIRATORY
PATIENT WITH PREVIOUS LUNG SURGERY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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No need to do pain scoring and wound dressing.
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Assure the underwater seal in a flat surface area.
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Put the 2 artery forceps next to patient for emergency use.
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Record whether the underwater seal is fluctuating or bubbling.
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Detailed explanation-1: -Chest Tube Care basics: Keep all tubing free of kinks and occlusions; for instance, check for tubing beneath the patient or pinched between bed rails. Take steps to prevent fluid-filled dependent loops, which can impede drainage. To promote drainage, keep the CDU below the level of the patient’s chest.
Detailed explanation-2: -The water seal chamber should be assessed every hour for any potential air leaks. An air leak will be characterised by intermittent bubbling in the water seal chamber when the patient with a pneumothorax exhales or coughs. Continuous bubbling of this chamber indicates large air leak between the drain and the patient.
Detailed explanation-3: -Gentle bubbling is normal as the lungs expand. If the water in the water seal does not move up and down with respirations, the system might not be intact or patent. Periodic bubbling in the water-seal chamber is normal and indicates that air that is trapped is being removed.
Detailed explanation-4: -To place a chest tube to water seal from suction, simply turn off the wall suction. In other words, the system is considered to be at water seal if it is not attached to suction or if the suction is turned off. You DO NOT need to disconnect the drainage system from the wall suction.