Nursing Of Thoracic Cavity Drainage Tube?

Nursing of thoracic closed drainage

① The drainage tube is properly fixed, with enough length and fixed on the edge of the bed, so as to avoid pain or withdrawal caused by turning over and pulling. ② When moving the patient or replacing the drainage bottle, 2 vascular forceps should be used to close the drainage tube to prevent the catheter from falling off, air leakage or liquid countercurrent, and the one-time thoracic drainage device should be replaced once a day. Keep 2 vascular forceps at the bedside for emergency use].

(3) Observe whether the water seal bottle is unobstructed. When the drainage is unobstructed, the water column in the drainage tube can be seen fluctuating up and down with respiration; If there is no fluctuation, the patient can take a deep breath, and there is still no fluctuation, indicating that the drainage tube is blocked. It is necessary to check the cause and deal with it in time. Generally, the drainage tube can be squeezed to make it unblocked.

(4) Observe the quantity and properties of drainage fluid. If the amount of bleeding is more than 100 mL per hour, the doctor should be informed in time, and the changes of blood pressure and pulse should be closely observed, and the occurrence of hemorrhagic shock should be noted.

⑤ The dressing at the incision should be replaced every day, and the puncture site and surrounding skin should be disinfected with 0.5 iodavor every day. Change the dressing at any time if it is damp or contaminated with blood. If there is an increase in temperature, chills, chest pain, indicating the possibility of infection, should be promptly reported to the doctor for antibiotic treatment.

Because the patient with pulmonary bullae rupture, spontaneous pneumothorax, should not be encouraged to cough, so as not to induce pneumothorax attack. Patients are encouraged to practice deep breathing to avoid atelectasis.

⑦ extubation care. Extubation too early will affect the curative effect, too late is easy to cause infection, so it is very important to choose the right time to extubation. 3 days after the operation, the drainage fluid was significantly reduced, no gas was discharged from the end of the glass tube, and the lung was dilated as confirmed by X-ray chest X-ray.