Pneumothorax/Hemothorax Flashcards
1
Q
Pneumothorax/Hemothorax is a collection of what and where?
A
Collection of air (Pneumothorax) /blood (Hemothorax) in the pleural
space
2
Q
Pneumothorax/Hemothorax reduction in and of what?
A
Reduction in the negative thoracic
pressure and poor lung expansion
Reduction of gas exchange at the
alveolar level resulting in hypoxemia
3
Q
Manifestations
A
- Decreased oxygenation
- Tachypnea = Respiratory alkalosis
- Later - respiratory acidosis
- Pain
- SOB
- Agitation, anxiety
- Later – Decreased LOC
do CXR and ECG
4
Q
What do we use to treat?
A
Either water filled or dry suction chest tube
Dry is used most of the time.
5
Q
Assessments/Actions
A
• Monitor vital signs, SpO2, pain, SOB • Secure Connections • Observe tidaling • Observe for air leak (bubbling in water-seal chamber) • Monitor drainage • If break in system, place distal end in sterile water to maintain water-seal • Do NOT clamp!
