Thoracic Surgery (Lobectomy, Pneumonectomy) for Progressive Care Certified Nurse (PCCN)
Included In This Lesson
Outline
Thoracic Surgery (Lobectomy, Pneumonectomy)
Definition/Etiology:
- Lobectomy, pneumonectomy
- Lobe vs. lung
Pathophysiology:
- Why performed?
- To diagnose a condition (e.g. cancer, TB, PF)
- Remove diseased lung
- Cancer
- Trauma
- Abscess
- Emphysema
Noticing: Assessment & Recognizing Cues:
- Preparing for surgery
- Consent for surgery
- General anesthesia
- Blood work
- Diags previously (PFT, CT scan, EKG, etc.)
Interpreting: Analyzing & Planning:
- Potential complications
- Bleeding risk
- Monitor drainage (can be sudden, assess frequently)
- Pain (expected and can be difficult to manage)
- WBCs Infection risk
- Surgical site
- Other
- Air leak
- Arrhythmia
- Bronchopleural fistula
- Hemothorax
- Pulmonary embolism
Responding: Patient Interventions & Taking Action:
- Post-procedure
- Chest-tube management (be familiar with your facility protocol)
- Suction
- Water-seal
Reflecting: Evaluating Patient Outcomes:
- Recovery after discharge
- Monitor for infection
- Pain management
- Monitor for bleeding
- Considerations
- Lobectomy vs. pneumonectomy
- Overall health
- Underlying conditions
- Open vs. minimally invasive procedure
Linchpins (Key Points):
- Surgery: ABC 1st, Prevent complications 2nd
- ABCs
- Prevent complications
- Chest tube management
Transcript
References
- Anderson, D., Chen, S. A., Godoy, L. A., Brown, L. M., & Cooke, D. T. (2022). Comprehensive review of chest tube management: A review. JAMA Surgery, 157(3), 269-274. doi: 10.1001/jamasurg.2021.7050.
- Cleveland Clinic (2022). Lobectomy. https://my.clevelandclinic.org/health/treatments/17608-lobectomy.
- Cleveland Clinic. (2022). Lung resection. https://my.clevelandclinic.org/health/treatments/21868-lung-resection.
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System