Pneumothorax Flashcards

1
Q

Where does free air accumulate in a pneumothorax?

A

The pleural space

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2
Q

What two pleura affect the recoil of the lung and expanding of the chest wall?

A

Visceral and parietal pleura

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3
Q

What occurs as the lung collapses?

A

The alveoli are compressed and atelectasis ensues

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4
Q

In severe cases, what may happen to the great veins and heart?

A

The great veins may be compressed and cause venous return to the heart to diminish

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5
Q

What kind of lung disorder is a pneumothorax?

A

A restrictive lung disorder

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6
Q

What are the major pathologic and structural changes associated with a pneumothorax?

A

Lung collapse, atelectasis, chest wall expansion, compression of the great veins and decreased cardiac venous return

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7
Q

In what kind of pneumothorax does gas in the pleural space is not in direct contact with the atmosphere?

A

Closed pneumothorax

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8
Q

In what kind of pneumothorax does the pleural space come in direct contact with the atmosphere?

A

Open pneumothorax

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9
Q

In what kind of pneumothorax does the intrapleural pressure exceed the atmospheric pressure?

A

Tension pneumothorax

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10
Q

Which forms of pneumothorax are identified on the basis of origin?

A

Traumatic, Spontaneous and Iatrogenic pneumothorax

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11
Q

Which form of pneumothorax is caused by penetrating wounds to the chest wall?

A

Traumatic Pneumothorax

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12
Q

In which form of pneumothorax may a sucking chest wound occur?

A

Traumatic Pneumothorax; open pneumothorax

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13
Q

Which form of pneumothorax is an emergency situation?

A

Tension Pneumothorax

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14
Q

Which form of pneumothorax occurs suddenly and without any obvious underlying cause?

A

Spontaneous Pneumothorax

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15
Q

What are some underlying pathological processes that a spontaneous pneumo may occur?

A

Pneumonia, tuberculosis, chronic obstructive pulmonary disease (COPD)

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16
Q

What form of pneumothorax sometimes occurs during special diagnostic or therapeutic procedures?

A

Iatrogenic Pneumothorax

17
Q

What are some procedures that may cause a iatrogenic pneumothorax?

A

Thoracentesis, intercostal nerve block, cannulation of a subclavian vein, and tracheostomy

18
Q

What form of pneumothorax is always a hazard during positive-pressure mechanical ventilation

A

Iatrogenic Pneumothorax

19
Q

Which direction will the trachea shift in a pneumothorax?

A

Toward the unaffected side; or away from the pneumo

20
Q

What percentage of a pneumothorax requires evacuation of air from the pleural space?

A

20% or greater

21
Q

What is a pleurodesis?

A

A procedure injecting medication (talc, tetracycline, bleomycin sulfate) to inflame the outer surface of the lung and chest cavity for adhesion.