wk 3 respiratory ppt/5 Flashcards
pneumothorax
air in pleural space
pneumothorax - air in pleural space from
5
- hole in chest wall - open
- hole in the lung - closed
- central line insertion
- trauma
- spontaneous
pneumothorax dx
2
- chest x ray
2. absence of breath sounds over the area
pneumo - tx
1
chest tube insertion
pneumo - tx if chronic or recurrent
pleurodesis
<20 % pneumo tx
- best rest
2. limited physical activity
> 20% pneumo tx
2
- thoracentesis
2. chest tube attach to underwater seal
tension pneumo
pressure increase in the pleural space
pressure increase in the pleural space
tension pneumo
tension pneumo puts pressure on
mediastinum; can put pressure on uninjured side
pneumo - suck in air but it can’t escape is to
tension pneumo
tension pneumo dx
3
- chest x ray
- tracheal deviation
- displaced heart sounds
hemothorax
blood in pleural space
hemothorax - hemorrahge from
2
chest wall
lung or mediastinum
hemothorax is often accompanied by a
pneumothorax
chest tube drainage device set up
2
- add sterile water to water seal chamber
2. add sterile water to suction control chamber
what are the three drainage chambers
suction
drainage
water seal compartment
drainage set up - will see bubbling where
water seal chamber if you’re draining air from a pneumo
which chamber is dry or weight
suction chamber
how much water for wet drainage
20 cm