Skill Chest Tube - Active Learning Template PDF

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Description

ACTIVE LEARNING TEMPLATE:

Nursing Skill

Gavin Isaac STUDENT NAME _____________________________________ Chest Tube SKILL NAME____________________________________________________________________________

REVIEW MODULE CHAPTER ___________

Description of Skill Inserted into the pleural space, chest tubes are used to drain fluid, blood, or air; reestablish a negative pressure; facilitate lung expansion; and restore normal intrapleural pressure.

Indications Potential diagnoses: -Pneumothorax, hemothorax, postoperative chest drainage, pleural effusion, pulmonary empyema

Outcomes/Evaluation -Properly functioning drainage system in place -Relief from respiratory distress -Increased activity tolerance -

Potential Complications -Air leaks, accidental disconnection, system breakage, or removal, tension pneumothorax,

ACTIVE LEARNING TEMPLATES

CONSIDERATIONS

Nursing Interventions (pre, intra, post) -Verify that the consent form is signed -Inform the patient that breathing will improve when the chest tube is in place -When the chest tube is inserted to drain fluid frim the lung, the tip of the tube is inserted near the base of the lung on the side. When the tube is inserted to remove air the tip of the tube will be near the apex

Client Education -Teach patient to contact HCP immediately if there is continued or increasing respiratory disterss. -Instruct patient to monitor for excessive wound drainage, findings of infection, or recurrent pneumothorax

Nursing Interventions -Assess vital signs, breath sounds, SaO2, colour, and respiratory effort as indicated by the status of the client and at least every 4 hours. -Monitor the tube insertion site for redness, pain, infection, and crepitus. -Position the client in the semi to high Fowler’s position to promote optimal lung expansion and drainage of fluid from lungs.

THERAPEUTIC PROCEDURE

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