ch. 29 chest injuries

Question 1

chest trauma

Answer 1

blunt vs penetrating
open chest wound
impaled object

Question 2

chest injuries

Answer 2

hemothorax
pneumothorax
cardiac tamponade
rib fractures
flail chest
commotio cordis

Question 3

ventilation

Answer 3

the body’s ability to move air in and out of the chest and lung tissue

Question 4

oxygenation

Answer 4

the process of delivering oxygen to the blood by diffusion from the alveoli following inhalation into the lungs

Question 5

the chest (thoracic cage)

Answer 5

extends from the base of the neck to the diaphragm

Question 6

where does the neurovascular bundle lie?

Answer 6

closely along the lowest margin of each rib

Question 7

the small amount between the parietal and visceral pleural allows the lungs to

Answer 7

move freely against the inner chest wall during respiration

Question 8

vital organs are protected by the

Answer 8

ribs

Question 9

what does the mediastinum contain

Answer 9

heart, great vessels, esophagus and trachea

Question 10

diaphragm

Answer 10

muscle that separates the thoracic cavity from the abdominal cavity

Question 11

where are the intercostal muscles located

Answer 11

between each rib

Question 12

minute volume

Answer 12

amount of air moved through the lungs in one minute

Question 13

closed chest wound

Answer 13

caused by blunt trauma
cardiac pulmonary contusion
heart may not be able to pump or refill blood
lung tissue bruising

Question 14

blunt trauma to the chest can cause

Answer 14

chest fractures, bruising of lungs and heart, damage of aorta, vital organs can be pulled for their attachment in the chest cavity

Question 15

MOI of chest injuries

Answer 15

MVC’s, falls, industrial accidents, assaults

Question 16

pnuemothorax

Answer 16

open chest wound, often called a sucking chest wound, occlusive dressing

Question 17

tension pnuemothorax

Answer 17

results from on going air accumulation in the pleural space, increased pressure in the chest, causes collapse of the unaffected lung.

Question 18

hemothorax

Answer 18

blood collects in the pleural space from bleeding around the rib cage or from a lung or great vessel
S/S
shock w/o obvious external bleeding or apparent reason for shock . decreased breath sounds on affected side