Chapter 17 End of life care includes: palliative care- comprehensive care for patients whose disease is not responsive to cure; care also extends to patients’ families; management of psychological‚ social‚ and spiritual problems as well as control of pain and other physical symptoms; to improve pt and family’s quality of life hospice- care provided to terminally ill patient’s and their families; death has been accepted‚ bereavement for family; generally associated with palliative care that is
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A pneumothorax can be either open or closed. An open pneumothorax can be the result of a ruptured emphysematous vesicle on the surface of a lung‚ an open chest wound that allows air inside‚ or a severe case of coughing; some happen without any apparent reason. This type of pneumothorax often produces a sucking or gurgling sound. A closed pneumothorax indicates that the presence of air is in the pleural space. This type of injury
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European Journal of Cardio-thoracic Surgery 20 (2001) 645±646 www.elsevier.com/locate/ejcts Case report Epidural emphysema associated with primary spontaneous pneumothorax Olgun Kadir Aribas a‚*‚ Niyazi Gormus b‚ Demet Aydogdu Kiresi c a b Department of Thoracic Surgery‚ School of Medicine‚ University of Selcuk‚ Konya‚ Turkey Department of Cardiovascular Surgery‚ School of Medicine‚ University of Selcuk‚ Konya‚ Turkey c Department of Radiology‚ School of Medicine‚ University of
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TRAUMA AND EMERCENCY NURSING BY SEELAA SEGARAN The nursing care and management of a client with Tension Pneumothorax. INTRODUCTION ANATOMY OF THE LUNG DEFINATION OF TENSION PNEUMOTHORAX PROGRESSIVE BUILDUP OF AIR WITHIN THE PLEURAL SPACE DUE TO A LUNG LACERATION AIR TO ESCAPE INTO THE PLEURAL SPACE BUT NOT TO RETURN ’ONEWAYVALVE’ EFFECT PUSHES THE MEDIASTINUM OBSTRUCTS VENOUS RETURN = CIRCULATORY INSTABILITY TRAUMATIC ARREST. SYMPTOMS Respiratory distress Distended neck vein
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frontal or lateral impact injury must be suspected of aortic disruption a. TRUE b. FALSE 12 The diagnosis of an open pneumothorax is by rapid bilateral chest auscultation a. TRUE b. FALSE 13 Serious chest injuries impair the process of internal respiration a. TRUE b. FALSE 14 The chest should be auscultated only in the secondary survey to identify tension pneumothorax a. TRUE b. FALSE 15 Injuries to the liver are commonly caused by correctly placed lap belts a. TRUE b. FALSE 16
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Pleurisy is actually a symptom of an underlying disease rather than a disease in itself. The pleurae may become inflamed as a complication of a lung or chest infection such as pneumonia or tuberculosis‚ or the inflammation may be caused by a slight pneumothorax or chest injury. The pleural inflammation sometimes creates a further complication by causing fluid to seep into the pleural space‚ resulting in a condition known as pleural effusion. However‚ pleurisy is not the only condition that can lead to
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EMERGENCY NURSING Your guide in becoming an Emergency Nurse INTRODUCTION According to Emergency Nurses association‚ Emergency nursing is a specialty area of the nursing profession like no other. To provide quality patient care for people o all ages‚ emergency nurses must possess both general and specific knowledge about health care to provide quality patient care for people of all ages. Emergency nurses must be ready to treat a wide variety of illnesses or injury situations‚ ranging from
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ACUTE RESPIRATORY DISTRESS SYNDROME Is a clinical syndrome characterized by a sudden and progressive pulmonaryedema‚ increasing bilateral infiltrates on chest x-ray‚ hypoxemia refractory to oxygensupplementation‚ and reduced lung compliance. These signs occur in the absence of left side failure. Patients with ARDS usually require mechanical ventilation with a higher than normal airway pressure. * PATHOPHYSIOLOGY ARDS Occurs as a result of inflammatory trigger that initiates the release of cellular
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nurse is assessing a client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client? * Diminished breath sounds Rationale: This client has sustained a blunt or a closed chest injury. Basic symptoms of a closed pneumothorax are shortness of breath and chest pain. A larger pneumothorax may cause tachypnea‚ cyanosis‚ diminished breath sounds‚ and subcutaneous emphysema. Hyperresonance also may occur on the affected side
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the physician that it was difficult to ventilate A.W. A STAT portable chest x-ray (CXR) and arterial blood gases (ABGs) are obtained. A.W. has an 80% pneumothorax on the right‚ and her ABGs on 100% oxygen are pH 7.18‚ PaCO2 92 mm Hg‚ PaO2 32 mm Hg‚ HCO3 27 mmol/L‚ base excess (BE) -5 mmol/L‚ SaO2 53%. 1) Given the diagnosis of pneumothorax‚ explain why the paramedic had difficulty ventilating A.W. The paramedics couldn’t ventilate C.W. because the pleural space is full of air‚ which
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