Chest Trauma Case Study

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  1. This is a discussion on Chest Trauma Case Study in Nursing Student Assistance, part of Nursing Student ... Hi, I am working on a case study for Med/Surg on a pt with a chest trauma. I am trouble finding...

    by Mar 25, '05
    Hi,
    I am working on a case study for Med/Surg on a pt with a chest trauma.
    I am trouble finding the answers to these questions
    Any ideas would be helpful

    The patient has a closed drainage system attached to wall suction to drain a penetrating chest injuring

    1. What equipment is needed at the bedside?
    2. What do you do if the drainage system tips over?
    3. Can the patient get up and leave the unit, and if so what do you do?
    4. How much fluids should the patient consume and why is he on I/O?

    Thanks,
    Melanie
    Last edit by mel82 on Mar 25, '05
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    by mel82 Mar 25, '05 8:41 am
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  4. Mar 25, '05 by
    Quote from mel82
    Hi,
    I am working on a case study for Med/Surg on a pt with a chest trauma.
    I am trouble finding the answers to these questions
    Any ideas would be helpful

    The patient has a closed drainage system attached to wall suction to drain a penetrating chest injuring

    1. What equipment is needed at the bedside?
    2. What do you do if the drainage system tips over?
    3. Can the patient get up and leave the unit, and if so what do you do?
    4. How much fluids should the patient consume and why is he on I/O?

    Thanks,
    Melanie
    Your patient will definitely have chest tubes in, so you will need a set of clamps at the bedside. They will probably be on oxygen. Should have a PCA pump for pain control.
    As far as the system tipping over, it can happen, but you should have the drainiage system positioned so as to minimize this. It would depend on which type of system that you are using. Worst case scenerio is that you change the system out, which just involves changeing the actual drainage system "box" -- not the tubing, or anything else.
    The patient can leave to go for any exams, etc. only once he is stabilized.
    He would be on I/O to make sure that he is getting enough fluids, may need repalcement for the amount fo fluid that he is putting out........also close monitoring of cbc because he may be losing blood also.

    Hope that this helps..............