RESPIRATORY
PATIENT WITH PREVIOUS LUNG SURGERY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Vital signs 4 hourly.
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Post operative pain score
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Monitor the signs of respiratory distress.
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Monitor the nature and amount of drainage
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Detailed explanation-1: -Assess air leak meter according to the chest drainage unit’s feature. On every shift, document the level of air leak and if the air leak occurs at rest or with coughing. Bubbling in the air leak meter indicates an air leak (or suction is on in a wet suction unit). If bubbling is NOT expected, measure and monitor.
Detailed explanation-2: -Decreased SpO2, increased respiratory effort, diminished breath sounds, decreased chest movement, complaints of chest pain, tachycardia or bradycardia, hypotension. Notify medical staff & request an urgent CXR. Prepare for insertion/repositioning of chest drain.
Detailed explanation-3: -Continually monitor vital signs closely, watching for trends and changes in respiratory rate, oxygen saturation, and blood pressure that could indicate complications are occurring, such as a pneumothorax. Obtain a baseline pain assessment, especially regarding the chest tube insertion site.
Detailed explanation-4: -Assess patient’s breath sounds, heart rate, blood pressure, temperature, respiratory rate and rhythm and O2 saturation. Assess patient allergies.