Final answer:
The priority in care for a patient post lobectomy with a chest tube includes ensuring negative pressure for lung expansion, close monitoring of chest tube drainage, checking for signs of infection, managing pain, and monitoring respiratory status and oxygenation.
Step-by-step explanation:
Post Lobectomy Priority Care with Chest Tube
A priority in care for a patient post lobectomy with a chest tube in place for drainage is to ensure the removal of air and fluid from the chest cavity to reestablish and maintain negative pressure within the pleural space. This is crucial for proper lung expansion and to prevent complications such as pneumothorax or hemothorax. Close monitoring is essential to oversee the chest tube function and the volume and character of the drainage. Signs of infection around the chest tube site and overall lung function should also be consistently observed. Additionally, managing pain, monitoring respiratory status, and ensuring proper oxygenation are key components of postoperative care to facilitate optimal recovery.
After surgery, attention must be given to potential airway obstruction due to relaxation of muscles during general anesthesia. Endotracheal intubation is a safety measure to maintain an open airway during surgery, and careful monitoring is necessary when the tube is removed, as the muscles of respiration may take some time to regain full function.
Overall, the interdisciplinary team including the surgeon, nurse, and anesthesia professional will review and manage several concerns for the recovery and care of the patient, ensuring a comprehensive approach that addresses respiratory, infectious, and wound healing post lobectomy challenges.