About
Aspiration of fluid or air from pleural space. Could be used to diagnose a condition or to remove excess air or fluid from the pleural space.
Assess
Lungs sounds, breathing patterns, vital signs, pulse oximetry, incision site.
Complications
Pneumothorax, tension pneumothorax, pulmonary edema, cardiac distress, arrhythmias, infection.
Diagnosis
- Risk for infection related to invasive procedure.
- Knowledge deficit related to procedure.
Goals
- The client will remain free from infection.
- The client will demonstrate effective breathing patterns.
Interventions
- Assess site of needle aspiration for redness, drainage, swelling, heat.
- Monitor patient for evidence of complications including chest pain, discomfort, increasing anxiety, increased respiratory rate, asymmetry of lung expansion, hypoxia, tachycardia, increased coughing, blood tinged sputum.
- Teach client signs and symptoms to report to health care providers that might indicate the onset of an infection or complication.
- Maintain client on bedrest until follow-up x-ray is performed and physician indicates change in activity.
- Administer oxygen as ordered.
- Administer pain medication as ordered.
- Maintain airtight dressing over needle insertion site to prevent air from entering into pleural space.
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