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CHEST TUBES - Coggle Diagram
CHEST TUBES
Troubleshooting
If collection bottle is
kicked over
Not a big deal đ¤ˇââď¸, sit it back up, ct. take a couple of deep breaths
If
water seal breaks
(device breaks)
More serious
Possitive pressure in pleural space -> allowing air in crating a 2 way
First
Clamp
Best
Submerge
Steps
(ALPHABETICAL)
1st.
clamp
2nd.
Cut
tube form broken device
3rd.
Submerge
under sterile water (the end of the tube)
4th.
Unclamp
-> re-establish water seal
if chest tube
comes out
First
Cover hole with
gloved hand
->
vaseline gauze dressing
->
4 sided
sterile dressing tape on
3 sides
Best
Vaseline
gauze
Bubbling
Ask two questions
When
is it bubbling
Where
is it bubbling
Diagram
Water seal
Intermittent
Good
(document!)
Continuous
Bad
Suction control chamber
Intermittent
Bad
Continuous
Good
(document!)
Conditions
Pneumothorax
Hemothorax
Pnemohemothorax
Locations of chest tubes
"
A for A and B for B
"
Apicals
(HIGH) for Air
Up high
Basilar
(LOW) for blood
Base, bottom of lung
Examples
Unilateral pneumothorax
2
chest tubes;
Apical
and
basilar
all on
same side
Bilateral pneumothorax
2
;
apical
right
and
left
Post-op chest surgery
2
;
apical
and
basilar
unilateral (on the site of the surgery
Exception
If surgery total pneumonectomy
Assume
chest surgery/trauma
is
unilateral
unless specified
Purpose
Re-establish negative pressure in pleural space