IMMEDIATELY following the insertion of an Intercostal Catheter (ICC), list five (5) nursing assessments with rationales you would perform on the patient
Ans. 1.Pulmonary assessment including respiratory rate, work of breathing, breath sounds and arterial oxyhemoglobin saturation assessed by pluse oximetry.
2.Assess the dressing and note any drainage.
3.Assess the insertion site for subcutaneous emphysema and tube migration.
4. Monitor water levels in the water seal and suction control chambers.
5. Assess the fluctuations in water seal chamber with respiratory effort is normal. The water level increase during spontaneous inspiration and decrease with expiration.
6. Assess the intermittent bubbling , corresponding to respiration in the water seal chamber , indicates an a air leak from the pleural space.
7. Assess drainage:- assess the colour of drainage in the drainage tubing and collection chamber.
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