Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/65

Click to flip

65 Cards in this Set

  • Front
  • Back
In the context of normal atmospheric pressure - the thorax is a _________ pressure chamber.

a) positive

b) negative
negative
If intrathoracic pressure equalizes with atmospheric pressure the lung(s) _________ creating a pneumothorax.
collapse
If intrathoracic pressure equalizes with atmospheric pressure the lung(s)collapse creating a ___________.
pneumothorax.
The purpose of a chest tube is to restore _________ negative pressure and ____________ the lung(s)
negative

re-expand
The chest Wall includes ___ ribs having ____ on each side
24 ribs

12 on each side
__________ protect lungs & heart from injury
Ribs & Sternum
The structure of chest wall include ____, _____ & ________ muscles
ribs, pleura and respiratory
The _______ lines the chest cavity?
Parietal
The _________ lines or covers the lungs
Visceral pleura
The parietal pleura line the:

a) chest cavity

b) line or cover the lungs
chest cavity
The ________ lines or cover the lungs:

a) Parietal pleura

b) Visceral pleura
Visceral pleura
An ___________ space is a potential space between the
parietal & _________ pleura:

a)
Intrapleural

visceral
Under normal conditions, a ________ pressure exists within the pleural space creating a _______ that keeps the lungs adherent to the chest wall
negative / vacuum
Lubricating fluid (small amount) between the viseral & parietal layers facilitates ________ and increases cohesion between pleural layers facilitating ___________ & ___________ inspiration & expiration
movement

inspiration

expiration
Excess fluid in the intrapleural space is drained by the ________ circulation & ___-___ mls is normal
lymphatic

15 - 20ml's
Ventilation involves inspiration & expiration. Air moves in and out because of changes in the ___________ ________ gradient at the ______ opening
intrathoracic pressure

airway
Under normal conditions, intra-pleural pressure is _____ below atmospheric pressure

a) above

b) below
below
Under normal conditions, intra-pleural pressure is
< 4 - 5cm H2O during ______ & < 8 - 10cm H2O during ______

a) inspiration / expiration

b) expiration / inspiration
expiration

inspiration
Under normal conditions, intra-pleural pressure is below atmospheric pressure
with:

a) < 2-4 cm H20 during expiration

b) < 4 - 5 cm H2O during expiration

c) < 8 - 10 cm H2O during expiration
< 4 - 5 cm H2O during expiration
Under normal conditions, intra-pleural pressure is below atmospheric pressure
with:

a) < 2-4 cm H20 during inspiration

b) < 4 - 5 cm H2O during inspiration

c) < 8 - 10 cm H2O during inspiration
< 8 - 10 cm H2O during inspiration
Air in the intrapleural space (between the lung & the chest wall) resulting in partial or complete collapse of a/the lung(s)is _________.
Pneumothorax
Always suspect ________ after blunt trauma to the chest
Pneumothorax
Pneumothorax may be accompanied by _______ (hemothorax) or _____ (pleural effusion).
blood (hemothorax)

fluid (pleural effusion)
Spontaneous rupture of bullae or bleb can cause ________ Pneumothorax.

a) open

b) closed

c) transitional
closed
Spontaneous rupture of bullae or bleb in a closed Pneumothorax means forceful ______ , bending over to tie shoe laces, or sudden changes in ________
coughing

position
Perforation of esophagus, broken ribs, & chest injury can result in _______ ________
Closed Pneumothorax
Clinical Manifestations of Closed Pneumothorax are acute onset of _____ _____ & dyspnea
chest pain
Clinical Manifestations of Closed Pneumothorax are acute onset of chest pain & _____
dyspnea
In a Open Pneumothorax
Air enters ___________ space through an opening in the _______ _______
intrapleural

chest wall
Pneumothorax from stab wounds, GSW, & surgical thoracotomy would be open or closed pneumothorax
open
Open Pneumothorax is also called/ known as a _________ chest wound.
Sucking Chest Wound
Treatment for Open Pneumothorax is to cover with _______ dressing that is placed with three sides _______ & one side open
vented

closed
In the event of an Open Pneumothorax you should stabilize or remove ________ the impaled object?
stabilize

NEVER remove !!!
To prevent development or conversion of an open pneumothorax to a closed/tension pneumothorax before definitive treatment can be implemented the wound should be ?
Coverd with vented dressing closed on three sides & open on one side to to prevent development or conversion of an open pneumothorax to a closed/tension pneumothorax
Treatment of an Open Pneumothorax is to cover with vented dressing (closed on three sides & open on one side) to prevent development or conversion of an open pneumothorax to a ________ pneumothorax
closed/tension
A Tension Pneumothorax may be _______ or ________
open or closed
With a Tension Pneumothorax the flap may allow air ___ with inspiration but ____ ___ ___ with expiration
in

not out
With a Tension Pneumothorax there is a mediastinal shift toward the __________ ______ causing compression of the _____ _____ including the heart
unaffected side

thoracic organs
With a tension Pneumothorax Cardiac Output ______ leading to ________ ________
falls

cardiac arrest
Clinical manifestations of a Tension Pneumothorax include severe respiratory distress, ________, ________, ________, to name only a few!!!
1- Severe respiratory distress
2- Cyanosis
3- Hypotension
4- Tachycardia
5- Mediastinal displacement w/tracheal shift toward unaffected side
6- Subcutaneous emphysema
7- Neck vein distension
8- Severe agitation
9- Hyperresonance to percussion
Initial Interventions for Tension Pneumothorax are ______ C-spine, give high flow O2 with ___________non-rebreather mask & establish IV acess w/2 ____ ____ needles & begin fluid resuscitation
stabilze

non-rebreather

large bore
The initial interventions for a Tension Pneumothorax is to ensure a _________ _________.
patent airway
Patients having a Tension Pneumothorax should be positioned in _____ _____ position or on ________ side
semi - Fowler’s

injured side as tolerated!
With a ________ Pneumothorax a needle decompression w/large bore catheter is placed, until a _____ tube is inserted.
Tension

chest
Accumulation of blood in the intrapleural space is called a _____________. hemopneumothorax
hemopneumothorax
A hemopneumothorax is a accumulation of ______ in the ____________ space
blood

intrapleural
Causes for a hemopneumothorax include : _____ trauma; malignancy; ________ therapy; pulmonary emboli; tearing of ________ adhesions
chest

anticoagulant

pulmonary
Signs & Symptoms of a small pneumothorax are <10 - 15%mild ________ & dyspnea, anxiety
tachycardia
Signs & Symptoms of a large pneumothorax include respiratory distress such as ______ rapid respirations, dyspnea, & air hunger
shallow
Signs & Symptoms of a large pneumothorax include respiratory distress such as shallow ______ respirations
rapid
Signs & Symptoms of a large pneumothorax include respiratory distress & chest pain; ______ of mouth, face, nail beds & mucous membranes; anxiety; _____ w/ or w/out hemoptysis; absence of _____ _____ over the affected area; & hyperresonance
cyanosis

cough

breath sounds
A _____ pneumothorax is often resolve without intervention
small
A large pneumothorax is treated with:

______ venting (2nd ICS – MCL)

______ Flutter Valve Device

___ ___ to water seal drainage
Needle

Heimlich

Chest tube
The purpose of Chest Tubes is to remove air/fluid from _______ space & restore normal _______ intrapleural pressure and facilitate ____ re-expansion
pleural

negative

lung
Catheter placement for Chest Tubes to drain fluid & blood is the __________ chest at the 8th/9th _______ space
posterior

intercostal
Before chest tube placement the RN obtains a signed ______ _______ & explains the _______ to ___ _________.
informed consent

to the procedure to patient
Before chest tube placement the RN obtains a signed informed consent & explains the procedure to the patient, gathers all _______ & establishes a ________ _____ drainage system.
supplies

water seal
Before chest tube placement the RN obtains a signed informed consent, explains the procedure to the patient, gathers all needed supplies, establishes a water seal drainage system & uses a ___-___fr or a thoracic catheter for ________.
32-36 fr

adults
For chest tube placement, the patient should be placed in a _________ or _____ _______ position.
upright or side lying
For chest tube placement, the patient should be placed in a upright or side lying position & the RN will _____ physician w/ tube placement & establishing the water seal drainage system, _______ tube placement w/_______ ______ & assess patient & _______ _______.
assist

confirm

chest x-ray

drainage system
Pleural Drainage Systems have _____ basic compartments which are:

1- ______ chamber

2- ______ ______ chamber

3- ______ ______ chamber
three

collection

water seal

suction control
The Collection chamber of a Pleural Drainage System receives ____ & _____.
air & fluid
The Water seal chamber of a Pleural Drainage System acts as a one way valve & allows air from ________ chamber to ________.
collection

escape
The Suction Control chamber of a Pleural Drainage System applies ________ suction to the system. The ______ of tube in water or amount of water in chamber determines amount of _______suction; not the _________ of suction applied to the system.
controlled

depth

suction

amount
Intermittent _______ in 3 Bottle Water seal drainage System is seen during __________ or when patient _________ or ________.
bubbling

exhalation

coughs or sneezes