Pneumothorax Flashcards
what are the signs of pneumothorax
Dyspnea, short, shallow, rapid respirations, tachycardia, decreased O2 saturation, absent breath sounds over the affected area.
what is a suckling wound
A penetrating chest wound where air enters the pleural space during inspiration, creating a “sucking” sound.
How does a patient with a small pneumothorax present?
Mild tachycardia and dyspnea
How does a patient with a large pneumothorax present?
Severe respiratory distress, chest pain, absent breath sounds, and possible tracheal deviation.
What should you assess in a patient with suspected pneumothorax?
Vital signs, respiratory effort, chest movement symmetry, breath sounds, and signs of respiratory distress.
What auscultation findings suggest a pneumothorax?
Absent or diminished breath sounds on the affected side.
How does a chest wall injury relate to pneumothorax?
An open chest wound allows air to enter the pleural space, causing lung collapse.
What imaging is used to confirm a pneumothorax?
Chest x-ray shows air or fluid in the pleural space and reduced lung volume
What test assesses oxygenation status in pneumothorax?
Arterial blood gases (ABGs) to evaluate hypoxia.
What is the emergency intervention for an open pneumothorax?
Apply a vent dressing (nonporous dressing taped on 3 sides) to prevent air from re-entering
How is a small pneumothorax managed?
It may resolve on its own or require needle aspiration.
What is the definitive treatment for a large pneumothorax?
Chest tube insertion with a drainage system.
How is a recurrent spontaneous pneumothorax prevented?
Pleurodesis, a procedure to fuse the pleura together and prevent recurrence.
W
avoid smoking, sudden pressure changes (e.g., scuba diving, high-altitude travel), and strenuous activities.
What should patients with a chest tube avoid?
Disconnecting the drainage system, lying on the chest tube, and submerging the tube in water
