CDU Flashcards
RN role in Chest drainage management-5
- educate pt
- consent
- give meds
- assist with insertion
- set up drainage unit
What are the dressings like for chest tubes
fenestrated
Can the RN make the fenestration in the dressing for a chest tube
NO…it will come fenestrated
Suction number for chest tube
20 cm H2O
Chamber A in chest tube
suction control chamber
Chamber b in chest tube
tidying chamber –> monitors intrathoracic pressure
Chamber C in chest tube
water-seal chamber –> checks for leakage in the tube
cm H2O for chamber c
2cm H2O
Chamber D for chest tube
Collection chamber
How often should output be measured
at 4, 8, and 12 hours
what is typically seen in chamber b
normal fluctuations corresponding with breathing (inspiration –> increased water level, expiration –> decreased water level)
What could it mean if there isn’t any tidaling in chamber b
obstruction, clot or lung fully expanded
Symptom to look for
subcutaneous emphysema
CDU management nursing responsibilities-9
- system below the chest
- place on ground away from traffic area
- monitor water levels in chambers
- mark time and date of drainage
- report high levels of drainage
- document bubbling and fluctuations
- avoid kinking tubing
- make sure connections are tight
- no milking or stripping
management of CDU complications-5
- do not clamp routinely
- prolonged clamping requires dr orders
- disconnection: reconnect or submerge in water
- sudden increase in bubbling: check for leaks
- high fluid levels in the water seal-open high pressure vent
