Intercostal Catheter and Underwater suction drainage Flashcards
lungs are lined by thin tissue call?
Pleura, a continuous membrane that folds over itself.
Parietal pleura line the?
Chest wall
Visceral Pleura covers the
Lungs.
Conditions requiring lung drainage
Pneumthorax
spontaneous/tension pneumothorax
haemothorax
haeom-pneumothorax
Empyema
Signs and symptoms
Dysoenea
chest pain
rapid/laboured respirations
tachycardia
hypoxaemia
cynosis
Air between the Pleurae is
Pneumothorax
Pneumothorax is caused by
penetrating trauma
surgery
tumor causing rupture of lung/visceral pleura
Blood in the Pleural space is
Haemothorax
Transudate or exudate in Pleural space is
Pleural effusion
Transudate in Pleural space is caused by
CFH, Renal or liver failure.
Treatment for Pleural conditions are
remove fluid and air
prevent drained air and fluid from returning to Pleural space
restore negative pressure in Pleural space to re expand the lung.
Thoracostomy creates
an opening in the chest wall and via thoracic catheter allows air and fluid to flow out of the chest.
An under water seal drain (dry suction drain) does?
- allows air and fluid to leave chest.
- contains a water seal to prevent air and fluid returning to the chest.
- designed to sit bellow chest tube for gravity drainage.
Swinging is
- fluctuation in water level in water seal drainage during inspirational and expiration.
- reduction indicates improvement in re-expantion of the lungs.
bubbling indicates
an air leak between water seal and Pleural space.