Water-Seal Chest Tube Drainage System Discussion Paper
A nurse is caring for a client who has a newly inserted water-seal chest tube drainage system in place. Which of the following actions should the nurse take? Strip the tubing once each shift to prevent obstruction. Maintain 0.5 to of water in the water-seal. Prepare for removal of the tube once the bubbling in the water-seal has stopped. Ensure there is tidaling in the water-seal chamber.
Expert Answer
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Step 1/3
WATER SEAL CHEST TUBE DRAIN:-Also called as Under water seal drain
- this is mainly workes by Removing Of Air, Fluid from Lungs Plural cavity
- And preventing the re entry of Air , gluid into lung from plural cavity
Step 2/3
- option 1 :Stripping / Milking of Chest tube is not necessary in every shift is not necessary
- Stripping of chest TUBE IS AN ACT TO Dislodge the clots attached to tube stripping enhance them towords Collection chamber
Explanation:
- Option 2 :-water level in Water seal chest seal chamber should be 2 CM
- if the cheat tube is more then or less then the normal chest drainage system will not work properly
Step 3/3
- Option 3:- stopping of bubbling is not indicating for removal of chest tube no require to prepare for removal of chest tube
- when to prepare for removal:- chest tube should be removed if the Lung fully inflated ,
- Fluid drain should be lessthen 200 to 300 ml / per day
- No infected fluid out put also indication for removing of Chest tube
Explanation:
- Stop bubling is not a obsolute indication for removal of chest tube .
- Stop bubling indicates :
- (1) No air leak
- (2)Chest tube blocks
- (3)Tube maybe clamped
Final answer
- Option 4:- Flactuating the water Level also called Tidaling
- it should be corresponding to Respiration
Tidaling in Chest tube is indicating the Chest tube in correct position ( plural space)
- if No flactuation is presentin water seal chamber with each breath indicates that Tube may Occluded with blood clots or kink the chest tube / Lungs may be fully expanded Water-Seal Chest Tube Drainage System Discussion Paper