NURS372 Lecture Notes - Lecture 4: Pleural Effusion, Thoracentesis, Cardiothoracic Surgery
3 Jun 2019
School
Department
Course
Professor
Document Summary
Put it in, pull out the fluid; may take an hour to set up the sterile field; go through the bull"s eye; pull off fluid; date, time, and initial the fluid bottle that is sent off to the lab. Post-procedure care - set of vitals, reassess breath sounds, look at the site (usually doesn"t drain a lot; could be serous sanguineous), check pulse ox. Complications - infection, puncture a lung (which would cause pneumothorax) Pre-thoracentesis - get x-ray or ct that shows fluid that needs to be remvoed; after thoracentesis - do another xray or ct to make sure lungs still inflated. Pre medicate with iv narcotic - morphine, 0. 5 or 1 mg - if not emergent. Orange bellows/float is seen - means suction is exerted. Turn wall suction on to get the bellows seen. Set wall suction to obtain rolling bubble in suction chamber. Check suction water level each shift: nursing responsibilities - while ct is being put in.
