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UNDER WATER SEAL DRAIINAGE SYSTEM images - Coggle Diagram
UNDER WATER SEAL DRAIINAGE SYSTEM
DEFINATION
for the purpose of draining air,
blood, pus or other fluid.
is a large bore tube that is inserted into the pleural space
CLINICAL MANIFESTATION
Deviated trachea
hypotension
Dyspnea Tachypnea
acute chest pain
COMPLICATION
Tension pneumothorax
Hemorrhage
Incorrect tube position
Blocked tube
Pluaral drain fails out
Infection
Bleeding
CAUSES
hemothorax
spontaneous pneumothorax
tension pneumothorax
traumatic pneumothorax
cardiac tamponade
DIET THERAPHY
avoid fatty food
soft food
DIAGNOSTIC TEST
Chest X-ray
Electrocardiogram
Pulmonary function studies
NURSING CARE PLAN
NURSING ASSESSMRNT
asses the insertion site
monitor vital sign
Assess drainage color
measure drainage
NURSING DIAGNOSIS
shortness of breath
inability to cough
ineffective airways
verbalized pain
NURSING OUTCOME
airways patent
breathing normal
removal of the mucus
No pain experienced
NURSING INTERVANTION
Vital signs are normal
lungs are clear on auscultation
Patient can cough without pain
REFERENCE
Durai R; Hoque H; and Davies T. (2010). Managing a chest tube and drainage system. AORN Journal.
HEALTH EDUCATION
SAFETY
Avoid clamp unnecessary
Place a pillow as a barria
AMBULATION
Chest tube must always be below chest
Change position to promote drainage
EXERCISE
Exercise arm and practice deep breathing
