Chest Tubes | Nursing Care for the Patient with a Chest Tube NCLEX Review

Management of chest tubes can be a complex procedure for nurses. Understanding how to interpret assessment findings and what to look for is a skill that will be assessed on the NCLEX.

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[hopeallen]

John, we didn't see one chest tube in my clinicals and I re-listened to my lecture tapes. We didn't even cover nursing care of a chest tube.   God, thank you so much for this video.

[rebeccamilam]

Your calm voice really reminds me to stay calm and study on! Even when saying MUST KNOW... you are calm. Keep your presentations that way.!

[christinejules]

From now on I'll be taking all of my nursing classes on YouTube. Presentation well done sir. Thank you

[leareeves]

I really enjoy your lectures.
I am now a respiratory Tx nurse and just love the simplicity of your lectures. It takes the stress out of nursing.
xoxo

[ccl]

Very good presentation! I graduated in 2003 and this one is better than my professor.

[moreennyagah]

Awesome job, I appreciate any of your word, you have made my day.
Nice lesson and well organized and not forgetting to mention your blessed calm voice. Mr. John, you are blessed!🙏

[jennifersharrardagacnp-bc]

I just want to point out in the opening section of indications for a chest tube, some the information presented was inaccurate.

*A Thoracotomy is not a "scraping of the lung tissue" for reasons of: "to make it easier for someone to breath and get rid of pain." A thoracotomy it is the surgical incision into the chest wall. For example it is performed to gain entrance into the chest wall cavity to perform a lobectomy for tumor resection. The closest procedure I know of that can perform "scraping of the lung tissue" for reasons of: "to make it easier for someone to breath and get rid of pain" would be a bronchoscopy. Bronchoscopy is an endoscopic procedure, which can alleviate mucous plugging, and lung tissue biopsy- however it is important to point out as well, that this procedure rarely results in the need for a chest tube placement.

*The speaker also said that a pleural effusion is "fluid in the lung." This also is incorrect. An pleural effusion is an abnormal collection of fluid in the pleural space resulting from excess fluid production or decreased absorption or both- the pleural space is the space that exists between the two layers of the pleura (the thin covering that protects and cushions the lungs) between the lungs and chest cavity. The pleural space is normally filled with a small amount of fluid. The correct term would be pulmonary edema; pulmonary edema is the fluid accumulation in the tissue and airspaces of the lung. Pulmonary edema would never be an indication for a chest tube. Pleural effusions also are rarely an indication for a chest tube, they can often be drained via a procedure known as a thoracentesis.

[anupamarao]

Thank you so much for making it so simple to

[waleoyedeji]

My Respiratory test is next week and you just made my day!

[shubbledc]

best nrsing video ive seen even better than more famous youtube nurses thanks for making thing easily understandable

[saramohamedahmed]

Thank you so much for your help and effort

[kittyibno]

Thank you very much sir! you make it easiest to understand!

[markjoseph]

I love it.. thanks for the illustrations.. in that way.. I don't have to use my imaginations since I haven't seen that in actual setting. thanks.. you have just gained a subscriber

[cholenahumphrey]

Thank you, this video was clear and concise.

[rebekahbryan]

great video and really helpful to refer to the actual image of the drain when explaining

[roxybuned]

Awesome!! So easy to understand. Thanks, it really helps in my review.

[essentallymobile]

What I'd you just accidentally disconnect drains at the Y connection. Do you clamp it for that second and reconnect? Or leave it open clean and reconnect? K

[Measadam]

What if no water in water seal (and hooked up to wall suction)?

[marvoht]

That was a great video! Thank you. You have a new subscriber :)

[jentong]

I've seen many vedio of chest tube setup and trouble shooting and what to be expected and what not to be expected, but none of the vedio gave a detail route from the point where the drainage comes out from the chest to the suction connection...How each one of these elements of this system connected and sffect each other? If I know that, it'll much easier to understand why certain chamber is expected to see bubbles while other chambers are not. Just "remember" does not work well. I can remember, but I don't understand.