Chapter 2.2 (Part 5) Flashcards
- the collapse of either lungs or alveolus.
- Collapse alveoli are airless and therefore do not participate in gas exchange.
- This results in a reduction in the surface area
available for diffusion, and respiration is
decreased
Atelectasis
collapse alveoli at
birth
Primary Atelectasis
collapse of previously expanded alveoli
Secondary Atelectasis
Causes of Atelectasis
- Obstruction of the Bronchus
- Compression of the Lung
- Loss of Pulmonary Surfactant
Types of atelectasis
Compression
Absorption
Occurs outside the alveoli
COmpression
There is no gas exchange
There is blockage in the main
stem alveoli
Absorption
Assessment FIndings
- S/S absent
- Dyspnea
- Cyanosis
- Decreased breath sound on affected side
- Dullness upon percussion
Diagnostic Test
Bronchoscopy
chest xray
PO2 decreased
Assessment
Diminished breath sounds
Dyspnea and cyanosis
Fever and other s/s of infection
Rapid pulse
Treatment
Vigorous coughing and CPT
Antibiotic
Bronchoscopy
PEEP and IPPB
Client education
Prevent Aspiration
Encourage pt to cough and deep breathing excrs
Turn pt frequently to stimulate cough
Early ambulation
Administer meds; cpt, nebu, anitbiotic