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6 Cards in this Set
- Front
- Back
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What does asymetrical breath sounds indicate? |
Possible tension pneumothorax if..... |
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What would indicate tension pneumothorax? |
Pt unstable, unequal chest rise, asymetrical breath sounds |
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What do you do for asymetrical breath sounds? |
If unstable + evidence of tension pneumo ➡ consider decompression |
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When do you perform pleural decompression? |
Suspect tension pneumothorax. Consider for pt w/ PEA as possible revers cause. |
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How does tension pneumothorax present? |
At least one of: -Severe resp distress in conscious/breathing pt w/ hemodynamic compromise. -Difficult to ventilate in conscious/apneic pt w/ et tube placed & hypotension. *Also trach deviation |
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How to perform pleural decompression? |
-Maintain airway/ventil o2 -IV cath 14g⬆, 2" ⬆ long -Antiseptic wipe, dressing, tape -ID landmarks: insert mid~clavicular 2nd intercostal space, top of 3rd -Prep area, remove flash chamber, insert until air rushes out, advance cath, remove needle. -Reassess breath sounds & pt condition. PEDS 18-20g |
