WSD adalah pengaliran udara atau cairan secara cepat dan terus menerus dari rongga pleura dan dihubungkan dengan selang ke botol (one way flow)Deskripsi lengkap
WSD adalah pengaliran udara atau cairan secara cepat dan terus menerus dari rongga pleura dan dihubungkan dengan selang ke botol (one way flow)Full description
WSD adalah pengaliran udara atau cairan secara cepat dan terus menerus dari rongga pleura dan dihubungkan dengan selang ke botol (one way flow)
Tindakan invasif dengan cara memasukkan selang atau tube kedalam rongga toraks dengan menembus muskulus intercostalis untuk Menyalurkan zat baik berupa cairan (darah), udara atau gas dari rongga dada.
SOP WATER SEAL DRAINAGEDeskripsi lengkap
SOP WATER SEAL DRAINAGEFull description
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Descripción: drainage manual
WATER SEAL DRAINAGE Sets up the Water seal Drainage System Pneumothorax Pneumothorax - when air collects in the pleural space (anterior chest 2 nd ICS) Hemothorax – When blood or fluid collects in the pleural space (posterior chest 8 th or 9th ICS) Ist bottle- collecting chamber 2nd bottle- water seal chamber 3rd bottle- suction control chamber Preparatory Phase: 1. Prepare the materials needed: a. water seal chamber (3 bottles, 2 bottles and 1 bottle) b. tubing c. tape, gauge, suction suction (if (if needed) d. 2 rubber tip clamps 2. Identify the client and explain the procedure 3. Provide privacy 4. Asses for the ff: Breath sounds Chest movement RR Dressing site (bleeding/foul odor) Depth of breathing
Performance Phase 1. Fill the water seal chamber with sterile water to the level equaling to 3cm water. 2. Fill the suction control chamber with sterile water up to 20 cm level (if intermittent suction is needed) 3. Attach the catheter from the pleural space (the patient) to the tubing coming from the collection chamber of the water seal system 4. Tape securely for it to be air tight (negative pressure) 5. Connect the Suction control chamber tubing to the suction unit (if suctioning is used) 6. Turn the suction unit on (if suction is used) 7. Observe for the appearance appearance of bubbles in the suction control chamber. 8. Mark the original fluid level with tape (date, time and amount) on the outside drainage unit hourly, or every shift 9. Check the tubing for any kink 10. Assist patient to assume position of comfort (semi-fowlers) 11. Encourage patient to change positions frequently every 2 hours (for proper draining of the secretions) 12. Milks the tubing in the direction of drainage chamber every 2 hours Milking=increased Milking=increased (-) pressure
13. Check the patency of tubing (check for presence of leaks) 14. Monitor/ observe function of the fluid level in the water-seal chamber. Fluctuations=reflects Fluctuations=reflects pressure changes during respiration (5-10 cm or 2-4 inches) 15. Check for constant bubbling in the water seal for it will indicate leaks of air in the drainage system. Intermittent bubbling=normal bubbling=normal Absence of bubbles= obstruction/ kink Continuous bubbling= presence of leaks 16. Reports exercise bubbling in the water seal chamber immediately. 17. Encourages client to breathe deeply and cough at frequent intervals. 18. Maintains drainage apparatus at a level lower than the patient’s chest.