(chest drainage of 100 ml/hour is abnormal physician should be notified) Water Seal Chamber The water seal chamber acts as a ONE-WAY valve (air goes out, none goes in). Which of the following actions should the nurse take FIRST? For the past two hours, there has been 100 ml/hour of bloody chest drainage. Pleur-evac should be maintained below the level of the chest to prevent back flow of fluid and air into the pleural spaceģ: there is no reason to decrease the level of suction A client had a thoracotomy three hours ago. "Chest tube disconnected from the Pleur-evac." 2. The nurse evaluates which of the following nursing actions is appropriate?Ĥ. tube is ready to come out with complete re-expansion of the lungs confirmed by CXR and an OUTPUT OF LESS THAN 100 ML IN 24 HOURS The nurse reviews the record for a patient with a chest tube attached to a Pleur-evac system.WHEN THE CHEST TUBE IS ACCIDENTALLY DISCONNECTED FROM THE CLIENT'S CHEST, COVER THE CHEST TUBE SITE WITH PETROLEUM GAUZE NOTIFY MD IF CLIENT c/o CHEST PAIN/TIGHTNESS.DRAINAGE MORE THAN 100 ml/hour is excessive and may indicate bleeding.100-300 ml may accumulate during the first 2 hours then drainage should be lesser in amount.first 24 hours: 500 ml-1,000 ml bloody drainage is normal.Suction Chamber Placement of CT: air ? anterior, superior Placement of CT: fluid ? posterior, inferior Tube placement for Pneumo/Tension Pneumo.? 2nd ICS, midclavicular Tube placement for pleural effusion? 5th/6th ICS, posterior Chest tube drainage (chest drainage of 100 ml/hour is abnormal physician should be notified) The first part of the 3 chambers of Pleuro-Vac? Look from RIGHT to LEFTģ. Advise the physician of the amount of drainage. Administer oxygen at 5 L/minute per oxygen mask.Ĥ. Which of the following actions should the nurse take FIRST?Ģ. A client had a thoracotomy three hours ago. The fluid in the chest tube fluctuates with the patient's respirations Chest Tube, tubing interventions to AVOID: 1. What is an expected finding in a Pleur-evac? Continuous bubbling in the SUCTION CONTROL CHAMBER.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |