CHAP 29

Question 1

evisceration

Answer 1

an intestine or other internal organ protruding through a wound in the abdomen.

Question 2

flail chest

Answer 2

fracture of two or more adjacent ribs in two or more places that allows for free movement of the fractured segment.

Question 3

paradoxical motion

Answer 3

movement of ribs in a flail segment that is opposite to the direction of movement of the rest of the chest cavity.

Question 4

pneumothorax

Answer 4

air in the chest cavity.

Question 5

sucking chest wound

Answer 5

an open chest wound in which air is sucked into the chest cavity

Question 6

tension pneumothorax

Answer 6

a type of pneumothorax in which air that enters the chest cavity is prevented from escaping.

Question 7

What signs and symptoms would alert you that your patient has a flail chest?

Answer 7

paradoxical movement of chest cavity, difficulty breathing, and pain at the injury site. Signs of shock and hypoxia are likely. The patient may become tired and weak.

Question 8

What are the difference between a pneumothorax and a tension pneumothorax?

Answer 8

one of pressure. A pneumothorax occurs when the air enters the chest cavity. possibly causing collapse of a lung.
Tension pnuemothorax occurs when air trapped in the chest pushes the heart and other lung over.

Question 9

Describe the care for an open wound to the chest

Answer 9

Maintain open airway, provide basic life support if necessary Seal the open chest wound as quickly as possible, apply occlusive dressing, Administer oxygen, provide for shock, transport.

Question 10

Describe the care for an open abdominal wound.

Answer 10

airway, place patient on back, bent knees, administer O2, care for shock, check vitals. transport. Use most dressing, keep warm