tension pneumothorax Flashcards
1
Q
what are the clinical signs of a TPT?
A
- unequal breath sounds
- low SPO2
- subcutaneous emphysema
- stiff bag (increased inspiratory pressure)
- decreased ETCO2
- poor perfusion
- Tracheal shift
- decreaed conscious state
2
Q
what is the management goal of TPT?
A
- supplemental 02
- decompression of TPT
3
Q
what are the steps for decompressing a TPT?
A
- locate second intercostal space (below second and above 3rd rib)
- mid clavicular line
- insert 14g cannula at right angle to chest
- check for air to escape
4
Q
what is a TPT/PT?
A
the progressive build up of air in the pleural space which causes uncoupling of the lung from the chest wall. tensioning is when the pressures a so high it causes serious physiological distress.
