NUR 2744 Advanced Medical Surgical
Chest Tube Nursing Information and Care
intrathoriac space that is filled with approximately 4 ml. of lubricating
pleural fluid. Between these two membranes, which line the chest wall and
cover the lungs there is a fluctuating but always negative intrapleural
Disruption of the lungs, thorax, or pleura may be caused by disease, chest trauma, needle biopsy, surgery, or a thoracentesis and can enable air and of fluid to flow into the pleural space.
drainage system restores normal respiratory function when the integrity of the pleural space is interrupted. The location of the device will be based on what the initial problem is.
Keep the Vaseline gauze by the bedside. Put the gauze onto the
site of the chest tube insertion. Occlude the opening. you don\u2019t
want air going back into the patient\u2019s chest. Call the physicians and
get a state chest x-ray order..
Stripping is controversial.. The idea is that if a chest tube is \u201cmilked\u201d every couple of hours after, say, a surgical procedure, then it won\u2019t get plugged up by clots, which only makes sense, since if the tube gets plugged, then the air and fluid that it\u2019s supposed to remove will not get removed, and a tension situation could develop in the chest.
But stripping and milking can pull too hard suction-wise on the
chest cavity, possibly causing tissue injuries to the lung. Consult
with the physician about the action to take if this situation arises. If
you\u2019re instructed not to strip, watch carefully for signs that the chest
tube is still working properly: draining air, fluid, or blood. If air were
to stop coming out three hours postop a lobectomy , page the
more information on many types of chest tubes and the possible trouble
shooting techniques. Please note that there are many different types of
chest drainage units. It is important to always refer to your agencie\u2019s policy
and procedure for the current and correct ways to care for a patient with
chest tube drainage.
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