chest trauma
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| show | when the chest strike or is struck by an object the impact can cause deceleration, acceleration, shearing and compression of thoracic structures. The external injury may appear minor but but internally the organs may have severe injuries
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| Describe a penetrating trauma to the chest | show 🗑
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| What is a pneumothorax? | show 🗑
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| show | Air enters through an opening in the chest wall/ parietal outer lining.
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| show | The visceral inner lining of the pleural cavity is disrupted . Air enters the pleural space from the lung. There is NO external wound
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| What diagnostic test is used to diagnose a pneumothorax and what are the results if there is one? | show 🗑
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| Clinical manifestations of a pneumothorax | show 🗑
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| What is a spontaneous pneumothorax? | show 🗑
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| what is PRIMARY spontaneous pneumothorax | show 🗑
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| show | Bleb occur as a result of lung disease like COPD, asthma, cystic fibrosis and pneumonia
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| show | smoking
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| Other risk factors for bleb formation | show 🗑
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| What is a iatrogenic pneumothorax? | show 🗑
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| What type of pneumothorax is a spontaneous pneumothorax? | show 🗑
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| show | It is refereed to as a sucking chest wound since air enters the pleural space through the chest wall during inspiration.
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| show | A vent dressing( an occlusive dressing that is secured on 3 sides)
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| What do you do for a if a person has an impaled object in them | show 🗑
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| show | It can lacerate the lung and cause air frm lung to enter the laeural space
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| What is a tension pneumothorax? | show 🗑
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| Clinical manifestations of a tension pneumothorax are? | show 🗑
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| Treatment for a tension pnuemothorax | show 🗑
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| show | YES it is they have low CO they can die
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| What is a hemothorax? | show 🗑
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| Treatment for a hemothorax? | show 🗑
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| What is a hemopneumothorax? | show 🗑
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| show | depends on severity
may resolve spontaneously
thoracentesis ( sucking liquid out with syringe)
chest tube
pleurodesis/ plurectomy (surgeries)
needle compression ( for tension pneumothorax followed by a chest tube) Medical emergency
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| What is the most definitive and common treatment for a pneumothorax and a hemothorax? | show 🗑
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| What is the purpose of chest tubes? | show 🗑
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| What are the steps and material needed for a chest tube insertion? | show 🗑
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| What are the parts of the water suction plural drainage system? | show 🗑
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| show | the collection chamber receives fluid and air from the pleural or mediastinal space
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| What is the purpose of the water seal chamber | show 🗑
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| show | tidaling
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| Increased bubbling in the water seal chamber could indicate what? | show 🗑
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| What is the purpose of the water suction control chamber? | show 🗑
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| Is gentle bubbling okay in the water suction control chamber? | show 🗑
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| show | There is no water
A dial is used to chose the desired negative pressure
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| What are the steps in chest tube nursing management | show 🗑
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| show | NO also don't kink or clamp tubing becseu that creates positive pressure.
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| show | It should be placed below the chest. NEVER elevate above chest
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| what amount of drainage per hour needs to be reported to the doctor? | show 🗑
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| show | Change the whole unit. DO NOT TRY TO EMPTY IT
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| show | Reexpanion pulmonary edema or a vasovagal response with symptomatic hypotension
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| What is subcutaneous emphysema? | show 🗑
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| show | drastic swelling of neck /head which leads to an airway compromise
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| Infection is a complication of chest tubes how can this be prevented? | show 🗑
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| show | return it to an upright position, have patient take a few deep breaths followed by a forced exhale and cough
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| What do you do if the chest tube is disconnected? | show 🗑
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| When is a chest tube removed? | show 🗑
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| show | the suction is discontinues and chest drain is on water seal for 24hours,
Premedicate the patient with pain meds,
Valsalva maneuver during removal,
apply occlusive dressing,
A chest x ray and monitor for resp. distress
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| show | to observe for a pneumothorax or reaccumulation of fluid.
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| The ribs that get broken the most are | show 🗑
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| What can be damaged by fractures ribs? | show 🗑
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| show | pain,
splinting,
shallow respirations,
,Atelectasis,
pneumonia
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| Treatment for a rib fracture | show 🗑
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| why don't you strap and bind broken ribs? | show 🗑
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| show | it results from the fracture of several consecutive ribs, in two or more separate places, causing an unstable segment
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| what are the clinical manifestations of a flail chest | show 🗑
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| Diagnostic tests for flail chest | show 🗑
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| show | Airway management, adequate ventilation, supplemental O2, careful administration of IV fluids, pain control, surgical intervention
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| show | dyspnea, cough, cyanosis, tracheal deviation, decreased BS, decreased O2 sat, bloody sputum/secretions
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| show | rapid thready pulse, decreased BP, JVD, muffled heart sounds, chest pain, dysrhythmias,
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| show | Patent airway, SpO2 more thatn 90, IV access, remove clothing to access injury, stabilize impaled objects, semi fowlers, needle decompression,Assess: VS, cardiac rhythm, Urine output,
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| show | profuse bleeding
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| Abdominal trauma: what happens when a hollow organ is damaged? | show 🗑
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| show | pain, guarding, splinting, decreased bowel sounds, bowel sound in chest, rigid hard abdomen, hematemesis, ( decreased RR and decreased CO indicate abdomen compartment syndrome), grey turners sign, cullens sign
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| show | bruising on the flanks
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| show | Blue bruising around belly button
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| Diagnostic tests for abdominal trauma | show 🗑
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| nursing management for abdominal trauma? | show 🗑
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| Charateristics of pelvic trauma | show 🗑
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| show | swelling, tenderness, ecchymosis, deformity, unusual movement.
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| show | Assesss, neurovascular assessment, special mattress, minimize complications ( DVT, PE, sepsis), urinary and bowel function
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| show | Assess neurovascular _ 6Ps, Immobilize, treat compartment syndrome with fasciotomy.
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Rbailey16
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