chest

1. Care Of
Patient With
Chest Tube
MATHEW VARGHESE V
MSN(RAK),FHNP (CMC Vellore),CPEPC
Nursing officer mathewvmaths@yahoo.co.in 1
AIIMS Delhi

2. tube
spa
the
ewvmaths@yahoo.co.in
Definition of Chest tube
Ches
i
s
a flexible plastic
tube that is inserted
through the side of the
chest into the pleural
ce to reexpand
lung.
math
2

3. Puro
It s us e a r , fluid or pus
to
.
of the
To pro
preve
Purposes
ose
ed to remov
i i .
To establish normal negative
pressure in the pleural cavity
lung expansion.
To equalize pressure on both
thoracic cavity.
for
sides
vide continuous suction
nt tension pneumothorax
mathewvmaths@yahoo.co.in 3

4. lnrlic
Pneu cumulation of air
blood
erous
the p e
Hemo
Hydro
fluid
Indications
ation
mothorax: ac
accumulation
Pleural effusion: of fluid
Chylothorax: a collection of
lymphatic fluid
Empyema: a pyogenic infection of
l
ural
space
thorax:
thorax:
accumulation
accumulation
of
of
mathewvmaths@yahoo.co.in 4

5. TYPE
S
OF CHES
T
DRAINAG
E
SYSTE
M
mathewvmaths@yahoo.co.in 5
Chest Drainage
System

6. Chest tubes
mathewvmaths@yahoo.co.in 6

7. FUNCT-IONOF
PLEURAL
DRAINAGE
SYSTEM
I
mathewvmaths@yahoo.co.in 7
Pleural space
becomes
negative
Air and fluid
move into bottle
Lungs reexpand
"' lntrapleural pressure
Inspiration

8. PRINCIPLES OF
THE
Gravity
CHES
T
TUB
E
1.
2. Under Water Seal
3. Suction
mathewvmaths@yahoo.co.in 8

9. Nursing Responsibility
mathewvmaths@yahoo.co.in 9

10. Position of Patient
mathewvmaths@yahoo.co.in 10

11. Chest tubes
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12. Chest tubes
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13. Chest tubes
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14. Chest tubes
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15. Durin
Obser
ocedure
patient's
seal
em fast
Prepare
Connect
Nursing Responsibility
g the pr
ve/monitor
Respiration
Saturation
Reduce patient's anxiety
water
the
the
under
closed syst
mathewvmaths@yahoo.co.in 15

16. Nursing Responsibility
mathewvmaths@yahoo.co.in 16

17. POST PROCEDURE
CARE
1.
Respiratory
status :
- Vital signs (15
minx
1
hour,30
mins x 1
hour, 1 hr x 4 hours)
Respiration
rate,pattern
-
-
-
-
and
rhythm
pulse.
Color,
chest
pain,
rapid
Check
saturation
Administe
r
oxygen
when
necessary
.
mathewvmaths@yahoo.co.in 17

18. POST
PROCEDURE
CAR
E
-
RESPIRATO
RY
STATU
S
2. Auscultate :
-
-
-
Every 2 hours
Listen for breath sound
Listen for increased
breath sound
area of absent
- Place patient
fowler's.
in flowler's or high
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19. Post Procedure care
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20. Post Procedure care
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21. Post Procedure care
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22. Post Procedure care
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23. Post Procedure care
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24. Post Procedure care
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25. Post Procedure care
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26. Post Procedure care
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27. Post Procedure care
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28. Post Procedure care
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29. Post Procedure care
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30. Post Procedure care
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31. Post Procedure care
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32. Post Procedure care
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33. Emergency care
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34. Complications
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35. mathewvmaths@yahoo.co.in 35