How do you document PleurX drainage?
Table of Contents
How do you document PleurX drainage?
Every time you drain your PleurX catheter, write down:
- The date and time.
- The amount of fluid drained.
- The color of the fluid.
- Any symptoms you have (such as discomfort)
What is PleurX procedure?
The PleurX catheter is inserted in the chest for draining pleural effusions. The PleurX catheter is inserted in the abdomen for draining malignant ascites. The end of the catheter stays on the outside of the body, covered by a thin protective dressing while not in use.
What is a pleural catheter?
The pleural catheter is a flexible tube that is inserted through an incision (cut) in your chest and placed in the pleural cavity. The catheter sits in the pleural cavity and has many holes in it to collect the extra fluid.
What color should PleurX drainage be?
Normally, this area contains about 20 milliliters of clear or yellow fluid. If there’s excess fluid in this area, it can cause symptoms such as shortness of breath and coughing.
Is draining a PleurX catheter a sterile procedure?
A kit specifically designed to access the PleurX Catheter for drainage of pleural and ascetic fluid. The kit contains a drainage line, with a roller clamp to control rate of drainage, a vacuum bottle, and a sterile procedure pack with gloves, valve cap, slide clamp, alcohol swabs and dressing supplies.
What is chest drain procedure?
What is a chest drain? A chest drain procedure (or pleural drain procedure) drains air, blood or fluid through a tube that is inserted into the space surrounding your lungs, called the pleural space.
What is the difference between chest tube and pleural catheter?
The tube may be attached to a suction device to remove excess fluid or air. Or, it may be used in a procedure called pleurodesis in which medication is delivered into the space to decrease the likelihood that fluid will accumulate. A PleurX is like a chest tube except it is smaller and designed for use at home.
How do you flush a pleural catheter?
Procedure
- Clamp ICC near patient and above connections.
- Disconnect UWSD tubing.
- Unclamp and slowly aspirate tube, then instil sodium chloride.
- Gently aspirate sodium chloride from ICC.
- Clamp the tube and remove syringe.
- Reconnect to UWSD.
- Remove clamps and check patency.
Why is pleural fluid bloody?
The most common cause of bloody pleural effusion (BPE) was malignancy (47%). Fluid with a bloody appearance slightly increased the probability of malignancy in our series (odds ratio [OR], 1.73; 95% confidence interval [CI], 1.01 to 2.94; p = 0.04). Nevertheless, only 11% of the neoplastic effusions were BPE.
What does dark pleural fluid mean?
Presence of black pleural fluids may indicate massive bleeding and prolonged period of blood accumulation due to metastatic carcinoma and melanoma [1]. Also, it is important to differentiate between transudative and exudative pleural effusion to determine its cause.
How often should a PleurX be drained?
You should drain fluid as directed by your doctor, usually every one to two days. Consult your doctor before changing the frequency of your drainage. Chest: If you keep your chest fairly free of fluid, you will be less likely to feel short of breath.
What are indications for a chest tube?
Indications The most common indications for chest-tube drainage are: Pneumothorax that is recurrent, persistent, under tension, or bilateral; any pneumothorax in a patient on positive-pressure ventilation; hemothorax; recurrent or symptomatic large pleural effusion; empyema; and chylothorax.
How do you assess a chest tube?
Assess chest tube insertion site to ensure sterile dressing is dry and intact. Check insertion site for subcutaneous emphysema. Dressing should remain dry and intact; no drainage holes should be visible in the chest tube. Dressing is generally changed 24 hours post-insertion, then every 48 hours.
When do you drain a PleurX catheter?
What size is a PleurX catheter?
The PleurX system, which is commonly used in our practice, is a 15.5 French (15.5F) catheter with 30 beveled fenestrations along its distal 26 cm. The components of the catheter system are shown in Figure 1 (A, B). The catheter is constructed of silicone with a Dacron® cuff, which is approximately 36 cm from the tip.
How long can a PleurX catheter stay in?
Notify your doctor if you continue to feel short of breath after draining 1000mL of fluid. How long will the catheter be in my chest or abdomen? Chest: The catheter will be in your chest until fluid stops draining. The amount of time will vary from patient to patient, anywhere from a few weeks to several months.
How often do you drain a PleurX catheter?
What Colour is pleural fluid?
Normally, this area contains about 20 milliliters of clear or yellow fluid. If there’s excess fluid in this area, it can cause symptoms such as shortness of breath and coughing. An excess of pleural fluid, known as pleural effusion, will show up on a chest X-ray, CT scan, or ultrasound.
