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Pleurx Drainage: Drainage Procedure
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- Опубликовано: 9 сен 2020
- The steps to completing the full procedure of draining a Pleurx Catheter. This includes removal of the dressing, drainage, and application of a new dressing.
I got to see this in person while in high school. It was for my favorite teacher who had been fighting pancreatic cancer for months. It was my job to take him to the nurse that day. It was interesting
Thank you very much for this video. I have to do that procedure for my husband home. I was a little bit trained and still am afraid to do it home w/o anybody's help. Your video makes me much more confident.
Thank you for that. And I'm glad you feel more confident taking on that responsibility, and I'm sure your husband appreciates it.
@@nursingeducation3952 what are the dangers of draining her too much I've heard that it is depleting her nutrition is that true?
Brought back old memories of doing this for my wife. 😢
Excellent instructions, well said.
Glad it was helpful!
Thanks for this clear and precise video! 😊
Thank you for this video!! I was trying to understand why this is used verses a thoracentesis.
Glad it was helpful!
Thanks helpful refresher
Glad it was helpful!
Excellent!
Very well explained. Thanks
Glad it was helpful!
If the emergency clamp is used to close the catheter after drain, will it create any adverse effect? Or is it used /designed to be used only in emergency situation? I have a patient insisted on applying the clamp in addition to the cap to valve because she thinks it makes sure her catheter is completely "closed" without any risk of having air leaking into the catheter. Is it Ok to keep emergency clamp on?
It you’re just using it after drainage is complete It won’t cause any issues. If that makes her comfortable, that’s fine.
@@nursingeducation3952 thank you very much and appreciate your quick reply.
this is excellent, thank you
You are welcome. I'm glad you find it helpful.
Thanks
Hello, my mother is going through relapsed cancer stage 4 and she has these ascites removed frequently, hence doctors have suggested us for Drainage Catheter. Is it the best way? Once inserted can she sleep properly? Will blood be drained out?
The patients I’ve cared for with this device haven’t had any issues with sleep from discomfort of the catheter. If blood is what is building up in the pleural space, then yes, that’s what you can drain with this. But because of the catheter design it won’t drain out unless you connect the bottle to the system. So don’t worry about uncontrolled leaking.
Thank you!
Hi. Thanks for the video. How long can the tube stay inserted in the body?. Can it be there for 3-4 months?. Will it be safe?
to my knowledge there is no inherent risk in having it in place longer term. The risks would probably just be from infection if the insertion site isn't cleaned consistently, or the sterility isn't maintained while accessing the tube. If the port is cared for, and accessed correctly, there shouldn't be any problem with keeping it in for longer periods of time. If at any point the site becomes red, tender, produces discharge, or any other signs of infection, that would be a big red flag to have it assessed immediately.
@@nursingeducation3952 thank you so much for your quick reply. Very helpful indeed.
Great video
Thanks. I’m glad you like it.
What if I don’t push down on the spike prior to collecting the fluid? Will it not work as well??
If you have the tubing clamped I suppose it still works fine. If you spike when you don’t have th tubing clamped and are not hooked to the catheter you will lose all the pressure in the bottle and it will not work. But that is not the recommended order of operations when performing a drainage.
@@nursingeducation3952 I’m talking about the spike on top of the collection device. What if I don’t push down on that spike? I hooked it up and it dropped out slowly and collected 250 ml over 30 minutes. Did I not get enough pressure?
@@Jen-qd7sc the negative pressure that pulls the fluid from the pleural space comes from the bottle. Pushing the spike into the bottle accesses that pressure and pulls the fluid from the body. If you don’t spike the bottle you won’t have any negative pressure pulling the fluid. But if you are saying you never spiked the bottle but it still drained…the bottle must have been spiked at some point because if it weren’t, no fluid would be able to even make it into the bottle because it would still be sealed up. 250 over 30 min seems like a slow drain it does sound like you didn’t get the full pressure that you’re supposed to from the bottle. I’m not 100% clear on the situation but I hope that cleared it up a little for you.
Well done!
What happens if there is blood in the fluid?
if it has been there the entire time, it's probably not a huge concern (and your physician would already be aware), sometimes there is blood in the fluid. If you have been draining previously with no blood present and suddenly there is blood in the fluid, contact your physician and let them know. There could be new trauma, or it could be nothing, but your physician should be aware of the change to give further direction.
Now I know
How often do u drain the site?
Depends on the patient. At first usually more often. Maybe a couple times a day. Maybe once a day. Then probably less after a few days. Maybe getting to the point where it’s every other day or so. But we usually also have a prn order as well. So if the patient feels short of breath or generally thinks they need to drain, we can do it. As long as it’s done appropriately there is little risk to doing the procedure, even if nothing comes out.
Awesome
Is it common to see a lot of foam.
Yes, you’ll see foaming near the end of the drainage. The bottle will keep pulling, but if the fluid isn’t there to pull, the result is usually a frothy foam that comes out. If that’s what you are getting right away, it probably means there isn’t much drainage in the pleural space to begin with. If you don’t think that is true, you may want to contact a physician to verify placement of the catheter.
No watch under your gloves!
The minute you touched the bag with drainage bottle you became no sterile 🤷♀️
Yeah, in no way is this a sterile procedure, but they call it “sterile” so that the patient doing this at home is as careful as possible. I have issue with the company pushing the term “sterile” but I understand the value of it on the back end
you forgot to put the seat up 6:00
What are the dangers of draining her too much
As far as I am aware there is no real danger of draining too much. You can only drain the fluid in the plural space. Additional drainage cannot pull fluid from anywhere else in the body. and there shouldn’t be fluid in the plural space. So you want to keep it drained. If you attempt to drain and there is no fluid, you just won’t get anything out. As long as you are diligent about performing the drainage with good aseptic technique the only negative thing that will happen when draining too often is you waste a kit.
@@nursingeducation3952 thank you very much.