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6823587
Pneumothorax
Descrição
Mind map of nursing care, assessment and breakdown of pneumothorax
Sem etiquetas
pneumothorax
nursing
nursing management
Mapa Mental por
Amanda Coutch
, atualizado more than 1 year ago
Mais
Menos
Criado por
Amanda Coutch
mais de 7 anos atrás
299
0
0
Resumo de Recurso
Pneumothorax
Pneumothorax is caused by air in the pleural space. This can result in complete or partial collapse of a lung due to the build up of air in the pleural space.
collapsed lung
NURSING CARE & MANAGEMENT
PAIN MANAGEMENT
pharmacological
subjective description & pain scale
PHYSICAL ASSESSMENT
Signs & Symptoms
dyspnea
Sudden onset of chest pain - SHARP & PLEURITIC (Ryan, 2005).
limited movement of involved chest wall
asymmetrical chest movement
Diminished or absent breath sounds
cyanosis
open chest wound
audible air escaping from chest wound
rapid, thready pulse
decreased blood pressure
asymmetrical blood pressure values in arms
narrowed pulse pressure
bruising
decreased O2 saturation
tracheal deviation
abrasions
Mental status changes - due to decreased cardiac output
DIAGNOSTIC TESTS
Chest Radiograph
CHEST XRAY
Electrocardiogram
Patient in upright position
Chest drain tube - inserted into the pleural space & attached to an underwater seal drainage bottle (Briggs, 2010).
aseptic technique
analgesia prior to insertion
TYPES
Primary spontaneous pneumonthorax is when the patient has no obvious underlying lung disease (Briggs, 2010).
HIGH RISK: young, men with low body weight and smoking
Secondary spontaneous pneumothorax occurs when the invidual has underlying lung disease (Briggs, 2010).
LUNG DISEASE
COPD
weakens the alveolar-pleural barrier (Ryan, 2005).
Closed Pneumothorax - not caused by trauma or external wound. Caused by ruptures of air-filled alveoli (blebs) on the edge of the lungs
Catamenial Pneumothorax - RARE CONDITION - onset during a woman's menstrual period (The Lung Association, 2012).
Women in their 30 & 40s
Open Pneumothorax - caused by air entry to the pleural space through an external wound, permeating the chest wall
Vented dressing - dressing secured on 3 sides of the opening. Fourth side left open to allow air to pass through
decreases chance of tension pneumothorax
Tension Pneumothorax - increased tension in the pleural space due to rapid build up of air, which increases intrapleural pressure
life-threatening complication - occuring in 1-3% of spontaneous pneumothorax (Ryan, 2005).
causes lung collapse on affected side
increased pressure causes mediastinum and compression of the contralateral lung, heart and great vessels (Ryan, 2005).
Traumatic Pneumothorax - caused by blunt or penetrating trauma (Ryan, 2005).
Gun wound
rib fracture
Car accident
Fall
AVOID SCUBA DIVING to prevent recurrence (The Lung Association, 2012).
Anexos de mídia
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