96 Tension Pneumothorax

Question 1

What are the INDICATIONS for the TENSION PNEUMOTHORAX medical directive?

Answer 1

Pre-arrest/VSA
Absent/severely diminished breath sounds on the affected side

Question 2

What are the CONTRAINDICATIONS for NEEDLE DECOMPRESSION?

Answer 2

N/A

Question 3

What are the CONDITIONS for NEEDLE DECOMPRESSION?

Answer 3

Hypotension of VSA

Question 4

What is the axillary landmark?

Answer 4

4th intercostal space anterior axillary line

Question 5

What is the midclavicular landmark

Answer 5

2nd intercostal space in the mid clavicular line

Question 6

What is the preferred location of needle thoracostomy

Answer 6

4th intercostal space in the anterior axillary line

Question 7

What size needle for ADULTS over 13 years old for needle decompression

Answer 7

14guage, at least 2 inches

Question 8

What is the needle size for PEDIATRICS (under 13) for needle decompression

Answer 8

14/16G, at least 1.5 inches

Question 9

How does a TENSION PNUEMOTHORAX lead to shock

Answer 9

Decreased preload
Increased Afterload
Pressure on great vessels

Question 10

What kind of shock develops from a TENSION PNEUMOHTORAX

Answer 10

Obstructive shock

Question 11

How do you ensure you are in the right location for a needle decompression?

Answer 11

A syringe with fluid in it, pull back air to confirm placement

Question 12

Signs a pneumothorax is a tension pneumothorax

Answer 12

Hypotensive
Tracheal Deviation
JVD

Question 13

Signs of a pneumothorax

Answer 13

Decreased breath sounds, pain, SOB, hemoptysis, unequal chest rise and fall, subcutaneous emphysema