Common Lung Surgeries
Removal of a small portion of the lung
What is a wedge resection?
How many times a day at least should the patient brush their teeth
What is three times
What signage should be kept in the room to encourage progression
What is thoracic flowsheet progression chart?
Patients can go into this rhythm due to changes in the intrathoracic pressures and dynamics on the chest cavity
What is A-fib?
The patient should not lift over
what is 8 pounds?
Removal of a lung right or left
What is Pneumonectomy?
The patient will be on oxygen for how long at least
What is 24 hours?
Important information the nurse should know about pain treatment that happens during surgery
What is Cyro Nerve Block?
These are made to remove subcutaneous air
What is a blow hole?
What can be used for over the counter pain control as long as it is not applied directly on the incision
What is a lidocaine patch?
Removal of a section of a lobe in the lung
What is a Segmentectomy?
The nurse should perform this before the patient can eat
What is a nursing dysphasia screen?
Before calling CTS, to see if issue can be answered/resolved who should you ask
Patients are on fluids 24 hours post-op to help with this complication
What is Hyponatremia?
Where are the discharge instructions located
What is the HUB under NLH Forms Repository?
Removal of debris in the lung space, peel over the lung and chest wall
What is Decortication?
The patient may go home with this tube
What is a mini atrium?
Type of medication that is least effective in managing pain
What is narcotics?
What kind of challenge can be done in the treatment of a chyle leak
What is a milkshake challenge?
If the patient goes home with the a mini atrium they should do what the night before there follow-up appointment
What is clamping their chest tube?
Which of these approaches is the gold standard for cancer curative intent
What is Lobectomy?
The patient may have an epidural for pain if they had this lung surgery approach
What is a thoracotomy?
For thoracic patients specifically, what is more than expected for chest tube drainage: two answers
What is 300 in first 8 hours or 100ml in an hour
Air leaks are common with this population however what should be reported with these
What is an new/ increasing air leak?
When can the patient take their first shower
What is 24 hours after chest tube removal?