Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
|
What is the quality of pain like in a rib fracture?
|
sharp, lancenating. May be intermittant or continuous
|
|
|
Describe the severity of pain in a rib fracture.
|
often exquisitely severe, and may compromise adequate respiratory toilet
|
|
|
WHat may exacerbate CP in a rib fracture?
|
-movement
-cough -deep inspiration -sneezing -turning over in bed |
|
|
A rib fracture is usuaully bening except for when?
|
there is respiratory compromise
|
|
|
What are some things that can occur in a rib fracture that could cause respiratory compromise?
|
-multiple rib fractures
-flail chest -tension pneumothorax -hemothorax -ruptured aorta |
|
|
Most of the time in a rib fracture, the cardiopulmonary and abdominal exams are what?
|
normal
|
|
|
In a rib fracture, you should have a high index of suspicion for associated intraabdominal injuries in what cases?
|
-multiple trauma
-high speed trauma -lower left rib fractures -pleuritic pain and splinting of respirations -alterned mental status |
|
|
Why do you want to get CXR for suspected rib fracture?
|
to R/O pneumothorax, pneumomediastinum, mass, or pulmonary contusion
|
|
|
For rib fractures, an oblique CXR is not helpful unless what?
|
you suspect multiple fractures, especially in the elderly
|
|
|
In rib fracture pts, which ones are considered high risk?
|
-multiple or associated trauma
-elderly -undelrying cardiac or pulmonary disease or injury |
|
|
In a high risk pt with a rib fracture, how do you want to treat them?
|
-consider hopitalization
-observation -monitoring -PFTs -ABGs -CXRs -pain control -incentive spirometry |
|
|
What rib fracture pts are considered low risk pts?
|
-no mupltiple trauma
-no high velocity injury -no underlying cardiac or pulmonary disease or injury -not elderly -normal VS, chest, and abdominal exams |
|
|
What are some tx options that are considered for outpatient treatment of a rib fracture?
|
-oral analgesics
-parenteral analgesia -intercostal nerve block -hematoma injections -intrapleural instillation -epidural anesthesia |
|
|
What are some things that can be done outpatient to help preserve the pulmonary toilet in a rib fracture?
|
-incentive spirometry
-periodic cough and deep breathing |
|
|
Why is rib belting not done?
|
because it increases the risk of:
-pneumonia -atalectasis -pulmonary emoblis |
|
|
In a rib fracture, you want to limit strenous activity for how long?
|
6-8 weeks
|
|
|
In a rib fracture, what don't you want to assume?
|
that a normal CXR = no fracture
|
|
|
Treat rib contusions and rib fractures with ________ pain control.
|
equivalent
|
