Chest Tube Insertion

Question 1

In what position should a client be in for the insertion of a chest tube?

Answer 1

supine or semi Fowler’s

Question 2

What are the duties of a nurse during the insertion of a chest tube?

Answer 2

1. verify informed consent is signed
2. Prepare chest drainage system prior to insertion
3. Administer pain and sedation meds as prescribed
4. Assist provider as needed during insertion
5. Apply dressing to the insertion site
6. Monitor respiratory status, pulse Oximetry, VS, and client response
7. monitor for complications

Question 3

Why might a chest tube be inserted?

Answer 3

draining fluid, blood, or air out of the pleural space; re-establishing a negative pressure; facilitating lung expansion