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12 Cards in this Set

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What are the indications for treating a tension pneumothorax?

  • You have a suspected tension pneumo, and pt. is critically ill or VSA
  • Pt. has absent or severely diminished breath sounds on the affected side
  • No age/weight criteria

What are the conditions for treating a tension pneumothorax?

pt. BP is <90mmHg or VSA

What is the procedure for treating a tension pneumothorax?

First you must patch the BHP for an order

After you patch for a BHP order what do you want to do next?

Prepare your equipment

What is the equipment you want to prepare?

  • alcohol swab
  • 14 guage catheter
  • 10cc syringe with 5cc NS,
  • one way valve,

What do you want to do after preparing your equipment?

Landmark the 2nd intercostal space midclavicular line over the third rib & clean with alcohol wipe

After you have landmarked and prepared the site, what do you want to do?

Insert the 14 G catheter with syringe attached

After you have inserted the 14 G catheter with syringe attached what do you want to do?

Aspirate for free air while inserting / observing bubbles in the syringe.

After you have aspirated for free air, what do you want to do next.

Remove the needle and syringe "sharp safety"

You have removed the needle and syringe what do you want to do next?

Secure the catheter - ensure its pushed all the way in.

You have secured the catheter, ensured it is all the way in, what do you want to do next?

Attach a one way valve or chest seal (asherman)

What is your final step in treating a tension pneumothorax?

Reassess the patient's lung sounds & ABC's