SURGICAL MANAGEMENT
Name of procedure
Tube Thoracostomy Procedure
Date Brief description Indication/purpose Client’s Nursing responsibilities
performed response to prior to, during, and
operation surgical
procedure(actual)
December A tube thoracostomy, The objectives of The Pre-op
3, 2021 also known as open treatment are to drain patient’s
chest drainage, is a the pleural cavity condition is  Secure consent
surgical procedure to and to achieve favorable,  Explain procedure
drain the collection of complete expansion and his to the patient
pleural fluid, air, of the lung. The fluid recovery is  Monitor vital signs
blood, or pus from is drained, and progressing to patient safety
your appropriate well prior to operation
pleural cavity through antibiotics, in large  Instruct patient for
a tube inserted in doses, are prescribed Remove if patient
your chest. on the basis of the having a nail polish
causative organism. for easy access for
Drainage of the monitoring
pleural fluid depends cyanosis
on the stage of the
disease and is Intra op
accomplished by one  Ensure sterility
of the following  Perform surgery
methods: safety checklist
• Needle aspiration
 Provide care
(thoracentesis) if
specific to method
volume is small and
of drainage of
fluid is not too thick.
pleural fluid.
• Tube thoracostomy
 Help patient cope
with fibrinolytic
with condition;
agents instilled
instruct in lung
through chest tube
expansion
when indicated.
breathing exercises
to restore normal
 • Open chest respiratory
drainage via function.
thoracotomy to Post-op
remove thickened
pleura, pus, and  Teach patient and
debris and to remove family signs and
the underlying symptoms of
diseased pulmonary infection and how
tissue. and when to
contact the health
• Decortication, care provider.
surgical removal, if  Instruct patient and
inflammation has family about care
been long standing. of drainage system
and drain site and
measurement and
observation of
drainage

 Respiratory status
is assessed by
monitoring rate,
depth, and pattern
of respiration.
 Patient’s airway is
maintained
 Pharmacological
agents may be
prescribed