About
Removal of an entire lung surgically.
Assess
Continuously monitor pulse oximetry, telemetry, and vital signs during procedure.
Complications
Arrhythmias, atelectasis, respiratory distress, respiratory failure, hemorrhage, shock, pneumonia, incisional infection.
Diagnosis
- Impaired airway clearance related to decreased lung volume.
- Risk for infection.
- Knowledge deficit related to procedure.
- Impaired gas exchange related to decreased lung volume.
Goals
- The client will remain free from infection.
- The client will be able to identify necessary post-operative interventions to decrease risk of complications.
- The client will have adequate ventilation with a pulse-oximetry above 90%.
Interventions
- Assess client's lung sounds pre-, intra-, and post-operatively.
- Monitor pulse oximetry, telemetry, and respiratory status pre-, intra-, and post-operatively.
- Teach client possible equipment needed after open chest surgery including use of chest-tube drainage systems, ventilators, intubation, and monitoring in an Intensive care setting.
- Teach client techniques to facilitate mobilization of secretions including diaphragmatic breathing techniques, purse-lipped breathing, repositioning frequently, chest percussion, postural drainage, coughing and deep breathing, and suctioning of secretions.
- If ventilated, assess ventilator settings and pulse-oximetry continuously.
- Monitor drainage from chest tube drainage systems.
- Encourage coughing and deep breathing and other techniques frequently post-operatively.
- Administer pain medications and assess pain frequently post-operatively.
- Suction secretions frequently.
- Monitor lung sounds frequently.
- Reposition patient every two hours minimally to mobilize secretions.
- Report any signs or symptoms of complications immediately to physician.
- Monitor incision for redness, drainage, swelling or any other signs of infection.
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