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Chest Tubes

Across
Follow from drain to cannister looking for kinks and pinched tubing
Sshould be clean, dry and occlusive
Coil tubing on bed
Abnormal if found in water seal chamber
Normal in suction control chamber
Down
Must be checked every shift
This can cause dangerously high negative pressure in the chest
Record amount, type,and mark canister
Related to intrapleural pressure changes with breathing