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학습 자료 둘러보기 →A significant, sudden decrease in drainage from a chest tube in a client with empyema is a critical finding. The priority is to rule out tube obstruction, not to assume resolution of the infection. Failure to drain can lead to tension pneumothorax or re-accumulation of infected fluid causing sepsis.
Immediately inspect the entire drainage system. Check for kinks, dependent loops filled with fluid, or visible clots obstructing the lumen. Ensure the tubing is not compressed by the client or bed rails.
Do not strip or milk the chest tube routinely, as this creates dangerously high negative pressures. If a clot is suspected, gentle milking may be performed only per specific institutional policy and provider order. Never clamp a chest tube for an extended period without a specific order, especially if an air leak is suspected.
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