Pneumothorax & Hemothorax

Question 1

Pneumothorax

Answer 1

Lung collapse

Question 2

Tension pneumothorax

Answer 2

When air can come in but has no way of coming out causing high pressure in blood vessels. Also limiting venous return leading to decreased cardiac output.

Can be deadly.

-causes mediastinal shift

Question 3

Hemothorax

Answer 3

Accumulation of blood in pleural space

Question 4

Flail chest

Answer 4

Instability of chest wall due to ribs that have possible gotten multiple fractures and have no support

Question 5

Sound of chest when there is pneumothorax and hemothorax

Answer 5

Hyperresonance (pneumo)

Dull (hemp)

Question 6

MedicAtions

Answer 6

• benzodiazepines (sedatives)

- opioids antagonists (pain medication)

Question 7

Benzodiazepines

Answer 7

(Sedative)

-lorezapam (Ativan) : used to decrease anxiety

Monitor: vital signs, (may cause hypotension or resp. Distress) & paradoxical effects (euphoria,rage)

Causes amnesiac effects and drowsiness

Question 8

Opioid agonists

Answer 8

(Pain medications)

• morphine sulfate & fentanyl (durgesic)
• used to treat moderate to sever pain.
• acts on the mu and kappa receptors that help alleviate pain
• Assess pain every 4 hours.
• Febtanyl patch acts slower
• If respirations are 12/min or less in elderly =STOP

Question 9

Objective data for flail chest

Answer 9

• unequal chest expansion
• tachycardia
• hypotension
• dyspnea
• cyanosis