The Canadian nurse . Fre-opcrativemedication of morphine and hyoscinewas given half an hour before surger)*. At the close of the operation a cath-eter was inserted in the 8th intersf>acein the posterior axillary line with theend of the catheter up in the apex. Thepatient stood the operation well and,while the blood loss was considerable,it was adequately replaced. His con- dition was good on return to the ^^ the operation Mr. Yorke wastaken to the recovery- rooni where hewas given 55 cc. coramine and oxygenby mask until conscious. His bloodpressure was 98/70, pulse 80, regular,colo
The Canadian nurse . Fre-opcrativemedication of morphine and hyoscinewas given half an hour before surger)*. At the close of the operation a cath-eter was inserted in the 8th intersf>acein the posterior axillary line with theend of the catheter up in the apex. Thepatient stood the operation well and,while the blood loss was considerable,it was adequately replaced. His con- dition was good on return to the ^^ the operation Mr. Yorke wastaken to the recovery- rooni where hewas given 55 cc. coramine and oxygenby mask until conscious. His bloodpressure was 98/70, pulse 80, regular,color fair. His pulse and blood pres-sure were checked every 15 minutesuntil he was conscious. He was thenplaced in an oxygen tent and givenmorphine gr. 1/6 for restlessness. Thedrainage catheter was connected im-mediately to a closed drainage purpose of the closed drainagewas to suction the fluid and air out ofthe space where the lobe was removedso that the rest of the lung wouldexpand and take up the Set-up in Recovery Room For the first few days Mr. Yorkewas watched carefully for signs ofdyspnea, cyanosis or a rapid pulse thatwould denote a bronchopleural fistuladue to leakage of air through the endof the .severed bronchus. Fortunately,his pulse, rcsj)irations and color re-mained g(XKl. The drainage returnsthat were examined and measuredtwice a day changed gradually to clear. The drain was re-moved in five days. The dressingwas changed under aseptic techniqueand showe<l no signs of infection. Thesecond week he was given codeine as a cough depressant. His positionwas changed frequently with specialskin care. Making a good recovery, by thethird week Mr. Yorke was ready forexercise once more. At this time hewas informed by his surgeon that hewould require one more operation, a 29S THE CANADIAN NURSE first-stage thoracoplasty, to preventover-dilatation of the remaining twolobes of his right lung. The ribs areremoved sub-periostially and so
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