You have just recieved report on 4 patients. Which of the following should you see first?

 

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Correct

- The patient with continuous bubbling in the drainage chamber

- The patient with a chest tube whose chest tube drainage chamber is below the level of the insertion site

- The patient who has tidaling (movement in the water level during breathing) in their chest tube drainage system

- The patient with a suction pressure of - 20 cm H2O

Rationale

Continuous bubble reflects an air leak; therefore this patient is the priority. All other options are expected findings with a chest tube. A pressure of - 20 cm H2O is one of the most common suction pressures for a chest tubes.

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