Page 202 - Clinical Managers Orientation Binder

4/11/2019

Visit Actions  Physical Assessment 
Respiratory

The questions in this section depend on how the questions
before them were answered.

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Key Points to Remember

 Check the MD order.
 Know your equipment: Aspira, Asept, Rocket, and Pleurex.
 Assess your patient pre, throughout, and post procedure.
 Stop if patient complains of pain, shortness of breath, or
discomfort. Then restart slowly, reassess.
 Notify MD:
• erythema, edema or excess exudate at catheter exit site
• SOB not relieved by draining fluid
• chest pain/chest pressure
• fever ≥ 100.5 F/38C
• less than 25-50 ml of drainage for 3 drainages in a row
• appearance of fluid changes significantly between drainages
• dizziness, blurred vision, confusion or weakness
• If the catheter is cut or damaged, clamp the catheter between the damaged site and
the catheter exit site and notify the physician immediately after clamping

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