مريض في اليوم الأول بعد جراحة قلب، تصريف أنبوب الصدر ٢٥٠ مل/ساعة لساعتين متتاليتين ودم أحمر فاتح. ما التصرف الصحيح؟

On day 1 after heart surgery, chest-tube drainage is 250 mL/h of bright red blood for two consecutive hours. What is correct?

1. Notify the surgeon immediately because bleeding exceeds expected levels
2. Record it and wait until the end of the shift
3. Strip the tube hard every 10 minutes to increase drainage
4. Clamp the tube to stop the bleeding

Answer: A) Notify the surgeon immediately because bleeding exceeds expected levels. Drainage above roughly 100–200 mL/h (per protocol) after cardiac surgery means significant bleeding that may need re-exploration or coagulopathy correction. Clamping the tube can cause tamponade.