[Applause] [Music] now for chest tubes as you know chest tubes are used to drain fluid blood or air from the plural space within the lung in order to re-expand a collapsed lung and so the main purpose is to restore a normal negative pressure within the plural space like with a plural affusion where we have fluid in the plural lung space or a hemothorax that blood in that plural lung space and even pneumothorax that air inside that lung space now how does a chest tube work well by inserting the tube into this plural lung space it simply sucks out that air fluid or blood into a closed oneway drainage system so naturally we must keep the drainage system below the chest level to help with drainage so hessie mentions this asking interventions for a client with a chest tube for a p numo thorax and the answer is to keep the drainage below the chest level yes gravity helps with drainage now for chest tube care the three chambers to know for your nursing exams and the enlex is number one the suction control chamber right here number two the water seal chamber that also has an airly gauge right here and third The Collection chamber to measure output so starting with number one the suction control chamber key terms here write this down we want to see gentle steady or key terms continuous bubbling this means we have a good amount of suction being applied especially with clients with a new Mo thorax that air inside the lung again G continuous bubbling means the chest tube is working not vigorous or violent bubbling this means that the suction is too high so the memory trick we use just think of a child sucking down a milkshake in the suction control chamber we want gentle continuous bubbling not vigorous or violent bubbling just like the milkshake vigorous bubbling is not good and could get a little bit messy next we have the water seal chamber and air leak monitor this guy acts as a one-way valve to help drain air and fluid from the lung and also prevents air from entering that chest cavity now it's good to see a steady rise and fall with breathing this is known as tidaling and this is good it means that the system is working correctly and keeping that negative pressure naturally rising and falling with each breath and this will naturally reduce as the lung re-expands now continuous bubbling is very bad typically it means that there's an air leak inside the system oh no but we'll cover this more in detail in a moment so the memory trick just think of a seal inside the ocean for the water seal this seal floats up and down with the tides of the Waves nice and even every time it takes a breath so this is titling that rise and fall with the tide now a big no no is we never want this seal to be blowing continuous bubbles under the water so just think of a lifeguard saying hey no bubbling in the water you seal thanks for watching for our full video and new quiz Bank click right up here to access your free trial and please consider subscribing to our YouTube channel last but not least a big thanks to our team of experts helping us make these great videos all right guys see you next time [Music]