Question

Closed Chest Drainage A. Indications: Pneumothorax: air in pleural space causes loss of negative B. Purpose IV. pressure in pleural cavity 1. Remove 2. Re-establish normal pressure in pleural space 3. Promote of the lung C. Types 1. One bottle system a. Water seal and drainage in one bottle b. Bubbles are C. No bubbling in water seal bottle means either d. Fluctuation of fluid in bottle with each respiration

Answer 1

B. Purpose:

1. Removes unwanted materials (air and/or fluid) from the pleural cavity

2. Re-establish negative pressure in the pleural space

3.Promote re-expansion of lung tissue

C. 1

b.Bubbles are gentle and not vigorous

c.No bubbling in water seal bottle means either the drain is blocked or the pleural space is healed and sealed—must be verified by X-ray!

d. Fluctuation of the fluid in the bottle with each respiration ensures the system is patent

2.

a. Air and fluid collection in the collection chamber/First Chamber.

b. Water seal or second chamber is to allow air to exit from the pleural space on exhalation and prevent air from entering the pleural cavity or mediastinum on inhalation.

c. Suction control in the third chamber

d. Intermittent bubbles mean that there’s interrupted air flow, and continuous bubbles mean that there’s continuous air flow.

e. Continuous bubbles in the suction control chamber