Chest tube purpose  - Within the pleural space restore a normal negative pressure, Drainage system placed below and upright to patient chest level - Gravity assists with drainage , Suction chamber normal appearance  - Gentle coutinuous bubbling , Water seal chamber  - Prevents air from entering chest cavity , If chest tube dislodges - Tape down 3 sides of sterile occlusive dressing, Tidaling in water seal chamber - Fluctuation of the fluid level as patient breathes in the water seal chamber (Rise and fall), Inspect drainage collection container every - 15 mintues during the first 2 hours following insertion after every 2 hours, Nursing interventions to promote drainage - Frequent position changes, deep breathing and coughing exercises, HOB elevated , What is drained from the pleural space with a chest tube? - Fluid, blood, and air, Pneumothrax - Air in the pleural space, Pleural effusion - Fluid trapped in pleural space, Hemothorax - Blood trapped in the pleural space, Collection chamber - Closed one-way to measure drainage, Subcutaneous emphysema - Air collection under the skin around chest tube insertion site,

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