About
Diagnostic procedure whereas a scope is used to visualize the pleural cavity, through small incisions in the intercostal space.
Assess
Lungs sounds, breathing patterns, vital signs, pulse oximetry, incision site.
Complications
Pneumothorax, bleeding, perforation, infection, aspiration, hypoxia, bronchospasm
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
- Maintain airtight dressing over needle insertion site to prevent air from entering into pleural space.
- Assess vital signs post operatively every 15 minutes X's 2, every 30 minutes X's 2, every 1 hour X's 2, than every four hours.
- Assess for signs and symptoms of complications ( difficulty in breathing, anxiety, lethargy, confusion, decreased pulse-oximetry, tachycardia, hypotension, bloody sputum, arrhythmias) and report immediately to physician.
- Encourage coughing and deep breathing.
- Monitor incision for redness, drainage, swelling or any other signs of infection.
- 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.
- Maintain client on bedrest until follow-up x-ray is performed and physician indicates change in activity.
- Administer oxygen as ordered.
- Monitor chest tube drainage system, if implemented, including drainage amount, evidence or air leak, intact dressing.
- Administer pain medication as ordered.
- Teach client signs and symptoms to report to health care providers that might indicate the onset of an infection or complication.
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