.
Do nothing, because this is an expected finding.
Immediately clamp the chest tube and notify the physician.
Check for an air leak because the bubbling should be intermittent.
Increase the suction pressure so that bubbling becomes vigorous.
A low respiratory
Diminished breathe sounds
The presence of a barrel chest
A sucking sound at the site of injury
Right pneumothorax
Pulmonary embolism
Displaced endotracheal tube
Acute respiratory distress syndrome
Checking and taping all connections.
Checking patency of the chest tube.
Keeping the head of the bed slightly elevated.
Keeping the chest drainage system below the level of the chest.
“The tube will drain fluid from your chest.”
“The tube will remove excess air from your chest.”
“The tube controls the amount of air that enters your chest.”
“The tube will seal the hole in your lung.”
“The tube will drain fluid from your chest.”
“The tube will remove excess air from your chest.”
“The tube controls the amount of air that enters your chest.”
“The tube will seal the hole in your lung.”
You see a lot of drainage from the chest tube.
Arterial blood gas (ABG) levels are normal.
The chest X-ray continues to show the lung is 35% deflated.
The water-seal chamber doesn’t fluctuate when no suction is applied.
Promote air and pleural drainage
Prevent kinking of the tube
Eliminate the need for a dressing
Eliminate the need for a water-seal drainage
Spontaneous pneumothorax
Ruptured diaphragm
Hemothorax
Pericardial tamponade
Inspired air will move from the lung into the pleural space.
There is greater negative pressure within the chest cavity.
The heart and great vessels shift to the affected side.
The other lung will collapse if not treated immediately.
The system is functioning normally
The client has a pneumothorax
The system has an air leak.
The chest tube is obstructed
Respiratory acidosis, ateclectasis, and hypostatic pneumonia
Appneustic breathing, atypical pneumonia and respiratory alkalosis
Cheyne-Strokes respirations and spontaneous pneumothorax
Kussmail’s respirations and hypoventilation
Mediastinal shift
Tracheal laceration
Open pneumothorax
Pericardial tamponade