Respiratory 2 Mgmt

Question 1

Treatment of choice to relieve pressure in TENSION pneumothorax

Answer 1

Large bore needle decompression

Question 2

On assessment of a pneumothorax one will hear/see:

Answer 2

SOB
Deceased breath sounds on affected side
Sucking sound
O2 sats are low

Question 3

Large bore needle decompression mgmt

Answer 3

14-16 G needle placed in 2nd ICS

**will hear swooshing sound upon air being released of pressure inside

Question 4

Flail chest

Answer 4

Caused by multiple rib fractures
- unstable chest wall that will most likely result in a pneumothorax

-painful and paradoxical breathing (chest will balloon out when exhaling)

Question 5

Heimlich valve for pneumothorax

Answer 5

One way valve to prevent air from flowing back in. Does not require a suction device.

Question 6

Purpose of a chest tube

Answer 6

To re expand the lung and make the air negative

Question 7

Insertion of hemo vs. pneumothorax

Answer 7

Air= Anterior
Fluid= lateral

Question 8

Nursing mgmt of chest tube INSERTION

Answer 8

**STERILE procedure

• emotional support for pt.
• pain mgmt- be an advocate for the pt and get an order!!!

Question 9

Position for pt getting a chest tube inserted

Answer 9

Sitting or lying down with affected side UP/elevated

Question 10

Acute mgmt of an open pneumothorax

Answer 10

• cover with STERILE gauze
• tape on only 3 sides= DO NOT want it to be an occlusive dressing
• O2
• airway
• IV access
• VITALS EVERY 5 MINUTES