- Nursing Care for Mech. Ventalition - - -keep tubing clear of pooled water
-check oxygenation status
-check for proper settings
- Assess ABCs
*if too much pressure alarm sounds to indicate the correct tidal volume is not
being delivered*
- Thoracentesis - - to remove pleural fluid, instill medication, or obtain fluid
for diagnostic studies
- Indications for thoracentesis - - with ultrasound guidance a large bone
needle is inserted through the chest wall into the pleural space and fluid is
withdrawn
- Thoracentesis positioning - - Sitting, facing the bed, leaning over bed table
with arms crossed.
- After thoracentesis nursing interventions - - -monitior respirations and skin
color
-chest radiograph is ordered after
-monitior vitals every 15 mins for 1 hour or until stable
- Thoracentesis findings to report to provider - - -rapid breathing
-cyanosis
-changes in breath sounds
-tachycardia
- Lumbar puncture procedure - - -to determine whether CSF pressure is
elevated to determine if there is a blockage to the CSF flow
-to inject medications
-to obtain fluid or chemical anaylsis and culture
- Lumbar puncture indications - - sterile procedure into the arachnoid space
between L3-L4 or L4 -L5 opening pressure is obtained and fluid is aspirated
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