(2)
Respiratory rate--The number of breathes per minute.
(3) Minute volume--The amount of air delivered each minute (tidal volume
multiplied by respiratory rate).
(4)
Oxygen concentration--Percentage of oxygen mixed with room air.
d. Management of the ventilator and the ventilator patient is normally done by a
physician, a respiratory therapist, and specially trained professional nurses.
Paraprofessional nursing personnel assigned to patient care areas where ventilator
patients are managed will receive special training in the principles of mechanical
ventilation.
2-23. THORACENTESIS
a. General. Thoracentesis is the procedure in which a puncture is made into
the chest wall to withdraw fluid or air from the pleural cavity for diagnostic or therapeutic
purposes. A thoracotomy needle is inserted through the intercostal area into the pleural
cavity. Suction is then applied by syringe to aspirate the accumulated fluid or air. The
procedure is usually done at the patient's bedside.
b. Assembling the Necessary Equipment. Assemble the following:
(1)
Sterile thoracentesis tray (obtain from CMS).
(2)
(3)
Sterile gloves.
(4)
4x4 gauze compresses.
(5)
Prescribed local anesthetic.
(6)
Alcohol prep sponges.
(7)
Adhesive tape.
(8)
Mobile table or stand.
(9)
Waste receptacle.
MD0917
2-18