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PNEUMOTHORAX (CLINICAL S/S (Hyperresonant percussion note over pneumo,…
PNEUMOTHORAX
CLINICAL S/S
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Tachypnea, Tachycardia, Inc BP - hypoxemia
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*Perforated abd viscus, esophageal fistula, or by perforation of the parietal pleura
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Inc translucency (dark fields) at pneumo site, mediastinal shift, depressed diaphragm, lung collapse, atelectasis
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Tx for atelectasis associated with pneumo CPAP, IS, PEP, IPPB
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Secondary to COPD, TB, ruptured bullae, Tall/thin individuals
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Inc pH, Dec PaCO2, Dec HCO3-, Dec PaO2, Dec SaO2
Dec pH, Inc PaCO2, Inc HCO3-, Dec PaO2, Dec SaO2
*When tissue hypoxia is sever enough to produce lactic acid, the pH and HCO3- values will be lower than expected for a particular PaCO2 level.
increase in chest diameter on affected side, Diminished BS
Tx for hypoxemia, Decreases WOB and myocardial work