Please enable JavaScript.
Coggle requires JavaScript to display documents.
Respiratory - Coggle Diagram
Respiratory
Penetrating Chest Trauma
Hemothorax/Pneumothorax
-
S/S
-SOB
-Increased HR
-diminished breath sounds on affected side
-less movement on affected side
-chest pain
-cough
-air or blood on chest x-ray
-
Tension Pneumothorax
Causes
-Trauma
-Too much PEEP
-clamping a chest tube
-insertion of central venous lines or
-taping an open pneumothorax on all 4 sides without an air valve
Patho
-Pressure has built up in the chest/pleural space and has collapsed the lung > pressure pushes everything to the opposite side (mediastinal shift)
S/S
-Subq emphysema
-absence of breath sounds on one side
-asymmetry of thorax
-respiratory distress
-cyanosis
-distended neck veins or JVD
-can be fatal as accumulating pressure compresses vessels > decreases venous return > decreases CO output
Treatment
-Large bore needle into 2nd intercostal space (by the PCP) to allow excess air to escape.
-Treat the cause (chest tube will be inserted)
-
-
-
Blunt chest trauma
-
Flail chest
S/S
-Anxious, SOB
-pain
-paradoxical chest wall movement
-dyspnea
-cyanosis
-increased pulse
Treatment
-Humidified oxygen
-Pain management
-Stabilize the area
-Intubate
-Ventilate
-positive pressure ventilation stabilizes the area and promotes lung expansion
-