Question

patient hits a tree and sustains blunt chest trauma. A chest tube was inserted in the ER to treat a pneumothorax and hemothorax. You note that the drainage system has drained 400ml of light red fluid in the first 6hrs after insertion. The patient is becoming increasingly anxious and SOB during the past hour.

1. What do you anticipate to be the potential causes of his acute onset SOB at this time? What are you going to do first and why?

2. Describe the purpose of the chest tube and nursing considerations for placement and removal. When would you anticipate a patient is in need of a chest tube and how do you determine when a patient is ready to have one removed?

3. What do you think about his drainage? Are you concerned? Why or why not?

Answer 1

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