Lung Ectomy

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When a patient has a lung removed what side do we need to lay them on when recovering?

Also does anyone know of any sites that might be dedicated to Nursing treatments or nursing interventions for various conditions?

Thanks in advance

Sean

delta32

76 Posts

Specializes in ICU/CCU, Rehab, insurance, case manager. Has 5 years experience.

When a patient comes out of the OR from a pneumoectomy, they will be on there back at 30 degee's HOB elevation. These patients will be on a Ventilator and have Chest tubes in place.

As for laying the patient on a particular side you are going to be limited in the amount of turning with this patient d/t the tubes that the patient will have. it is important to make sure the the remaining lung is able to fully expand but you also need to ensure proper drainage of the previous cavity of the removed lung.

Daytonite, BSN, RN

4 Articles; 14,603 Posts

Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience.

when a patient has a lung removed what side do we need to lay them on when recovering?

you are going to be turning the patient. drainage goes to gravity's lowest point. these patients are at risk for developing pneumonia in the unaffected lung. the removal of a lobe of the lung is called a lobectomy. see
http://www.surgeryencyclopedia.com/la-pa/lobectomy-pulmonary.html

also does anyone know of any sites that might be dedicated to nursing treatments or nursing interventions for various conditions?

the sticky threads of allnurses have all kinds of information and weblinks to some of this information. you have to explore them to see if what you need is there. most nursing interventions are in your textbooks. some threads on allnurses have discussed specific nursing interventions so do a search to find them.

delta32

76 Posts

Specializes in ICU/CCU, Rehab, insurance, case manager. Has 5 years experience.

Actually a lobectomy is removal of a lobe of the lung, not the entire lung.

Daytonite, BSN, RN

4 Articles; 14,603 Posts

Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience.
Actually a lobectomy is removal of a lobe of the lung, not the entire lung.

True. I was trying to be kind in the way I corrected the student's incorrect use of the term "lung ectomy".

delta32

76 Posts

Specializes in ICU/CCU, Rehab, insurance, case manager. Has 5 years experience.

:)

not a problem :)

I really enjoy lungs, i did not want to confuse him.

Sarah Hay

184 Posts

Good lung down.

Sarah Hay

184 Posts

pneumonectomy = removal of a lung

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