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14 Cards in this Set
- Front
- Back
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pneumothorax |
presence of free air in pleural space resulting in partial or lung collapse |
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two different types of spontaneous pneumothorax |
primary & secondary |
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primary |
cause unknown
commonly in tall men, smokers |
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secondary |
known cause (overdistension and rupture of alveoli)
COPD, asthma, cystic fibrosis, TB |
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three types of traumatic pneumothorax |
open, closed, iatrogenic |
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open |
trauma from stab wound, gun shot, etc |
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closed |
blunt trauma (not open) from MVA, fall, CPR, fractured ribs |
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iatrogenic |
complication from medical tx or procedure
lung biopsy thorocentesis liver biopsy NG tube placement central line instertion |
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tension pneumothorax |
medical emergency!
normally from lung lac where air can leak into space but can't exit |
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tension pneumo s&sx |
mediastinal shift uneven chest expansion on cxr can see heart pushed over cyanotic resp distress tachy JVD decreased BP and breath sounds |
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common s&sx of pneumo |
tachy* most common increased resp, decreased breath sounds
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dx for pneumo |
chest xray |
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tx for pneumo |
chest tube |
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nursing care with chest tube and pneumo |
monitor vitals especially resp status skin color pain level site for bleeding/leakage encourage c&db, IS, ambulate asap! assess for crepitus |
