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FLAIL CHEST (CLINICAL S/S (Cyanosis, Tachypnea, Tachycardia and BP due to …
FLAIL CHEST
CLINICAL S/S
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Tachypnea, Tachycardia and BP due to hypoxemia
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DIAGNOSTICS TESTS
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*Note- Severe tissue hypoxia will cause pH and HCO3- to be lower then expected for a particular CO2 level when lactic acid is present.
Hemodynamics
Inc CVP, Inc RAP, Inc PAP, Inc PVR, Inc RVSWI
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Increased opacities (atelectic areas), rib fractures
MV x 5-10 days for calcification/healing PEEP, ARDS prevention
Tx for hypoxia, decreased WOB and myocardial work, may be refractory to oxygen due to capillary shunting
Tx for atelectasis and consolidation CPAP, PEP, IS, IPPB, Cough & deep bthg
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Mild to Moderate: Inc pH, Dec PaCO2, Dec HCO3-, Dec PaO2, Dec SaO2
Severe: Dec pH, Inc PaCO2, Inc HCO3-, Dec PaO2, Dec PaO2
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Double fracture of numerous adjacent ribs, rib instability, lung volume restriction, atelectasis, lung collapse (pneumothorax), lung contusion (trauma), secondary pneumonia (due to weak cough from pain).