Respiratory Care on Admission (First two hours)

1. Patient is incubated and ventilator-dependent. 
2. Monitor blood gases hourly and take corrective action immediately. 
3. Hourly endotracheal suction with strict asepsis. 
4. Asses breath sounds to document the placement of the endotracheal tube and aeration of lungs bilaterally. 
5. Continuously observe drainage form chest tubes. If the drainage is greater than 70 ml/hr form each individual tube and is wann, bright red and free flowing, haemorrhage is suspected. Do an immediate chest x-ray and view the film to identify and complication.