chest tube & under water seal
TRANSCRIPT
![Page 1: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/1.jpg)
Disediakan Oleh : Nassruto
![Page 2: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/2.jpg)
![Page 3: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/3.jpg)
CHEST TUBE INSERTION.
Prosidur memasukkan tiub dada ke ruang pleura untuk mengeluarkan udara, darah atau cecair yang terkumpul dalam ruang pleura untuk memastikan pengembangan semula paru-paru.
![Page 4: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/4.jpg)
UNDER WATER SEAL.
MERUPAKAN PROSIDUR YANG DILAKUKAN SELEPAS KEMASUKAN ‘CHEST TUBE’ KE RUANG PLEURA.
![Page 5: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/5.jpg)
Tujuan Chest Tube & Under Water Seal.
Menyinkirkan combinasi udara dan cecair dari ruang plural paru-paru.Pemulihan pernafasan.Penyedutan berterusan.Mengenalpasti permasalahan pesakit.
![Page 6: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/6.jpg)
Tujuan Utama.
Untuk mengeluarkan udara , cacair , nanah atau darah dari ruang pleura supaya membolehkan paru-paru mengembang seperti sediakala.
![Page 7: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/7.jpg)
INDIKASI.
Pneumothorax. Haemothorax. Tension Pneumothorax. Emphysema.
![Page 8: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/8.jpg)
Lokasi memasukkan chest tube.
2th / 3th intercostals space.6th / 7th intercostals space.
Garisan midclavicular / anterior axillary.
![Page 9: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/9.jpg)
Peralatan diperlukan.
Set T & S. Chest tube. Set Under Water Seal.
![Page 10: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/10.jpg)
Set “ chest Tube” dan saiz.
Dewasa 28 – 32.Kanak-kanak 8 – 12 .
![Page 11: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/11.jpg)
Set Under Water Seal.
![Page 12: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/12.jpg)
Penjagaan sebelum prosidur.
Semak arahan dalam BHT pesakit.
Beritahu pesakit.Dapatkan consent.Nilai keadaan pesakit.Sediakan troli & set peralatan.
Beri Priversi.
![Page 13: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/13.jpg)
Posisikan pesakit ( up-right ).Pelindung disposible.Dedahkan bahagian untuk insisi.
Beritahu Doktor.Basuh tangan secara surgikal.
![Page 14: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/14.jpg)
Penjagaan Semasa Prosidur.
Prosedur sterile.Pakai Glove sterile.Langkah. Prosidur – slide )
![Page 15: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/15.jpg)
![Page 16: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/16.jpg)
![Page 17: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/17.jpg)
Ruang Pleura.
![Page 18: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/18.jpg)
![Page 19: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/19.jpg)
![Page 20: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/20.jpg)
![Page 21: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/21.jpg)
Penjagaan Selepas Prosidur.
Selesakan pesakit.Pastikan botol drainage/ tubing diikat
dibawah katil.Pastikan Chest Tube dan U.W.S.
berfungsi.
![Page 22: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/22.jpg)
![Page 23: CHEST TUBE & UNDER WATER SEAL](https://reader031.vdocuments.net/reader031/viewer/2022012303/5881f2df1a28abb4748b507b/html5/thumbnails/23.jpg)
Pemeriksaan vital sign.Kemaskan pesakit. Kemaskan troli dan peralatan.
Rekod dalam buku prosedur harian.