ACII - Exam 3 Study Guide complete latest update A+ graded
pneumothorax occurs when air collects in the pleural space, causing the
... [Show More] lungs to collapse
- negative to positive pressure
dyspnea, decreased, decreased, hyperresonance Manifestations of Pneumothorax
- ______ (difficulty breathing)
- _______ movement of involved wall
- ______ to absent breath sounds
- _________ to percussion
cover, stabilize, chest tube Intervention for Pneumothorax
pre-hospital care
- ________ wound with occlusive dressing
- _________ impaled object with bulky dressing
acute care
- ______ ______ insertion with chest drainage system
open, closed categories of pneumothorax
open pneumothorax air entering through an opening in the chest wall
closed pneumothorax air can enter the pleural cavity from internal airways, no opening in chest wall
types of pnuemothorax - tension
- spontaneous
- iatrogenic
- hemothorax
- chylothorax
tension pneumothorax air in the pleural space that doesn't escape
- increased air shifts organs and increases intrathoracic pressure
cyanosis, hunger, agitation, emphysema, distention, hyperresonance, tracheal, good, dyspnea, tachy, diaphoresis, decreased Manifestations of Tension Pneumothorax
- ______ (skin)
- air ______
- extreme ______
- subQ ______
- neck vein ________
- ________ to percussion
- _________ deviation to _______ side (late sign)
- severe ______
- marked ______cardia
- profuse _________
- __________ to absent breath sounds
needle decompression with chest tube insertion intervention for tension pneumothorax
- MEDICAL EMERGENCY
spontaneous pneumothorax A pneumothorax that occurs when a weak area on the lung ruptures in the absence of major injury, allowing air to leak into the pleural space.
- occurs d/t small blebs (air filled sacs) on the surface of the lungs
- Ex. COPD, asthma, cystic fibrosis, pneumonia
iatrogenic pneumothorax Pneumothorax that occurs as a complication of a surgery or medical procedure.
Ex. transthoracic needle aspiration, subclavian catheter insertion, pleural biopsy, transbronchial lung biopsy, barotrauma, esophageal procedures
hemothorax accumulation of the blood in the pleural space from injury to chest wall, diaphragm, lung, blood vessels, or mediastinum
chest tube, autotransfusion Interventions for Hemothorax
- immediate insertion of ____ ______
- ________ of blood
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