Pneumothorax, Biology

K.L. is a 30-year-old Caucasian male was brought to Emergency Department (ED) after a bicycle accident.  He was hit from behind by a compact car traveling at 35 miles per hour.  On arrival to the ED, he was alert and oriented to person, place and time, and he was complaining of right sided chest pain 9/10 on a 0-10 scale pain.  His medical history includes smoking 2 packs per day for 10 years.

His physical examination reveals a blood pressure of 100/59 mm Hg manually; heart rate 109 beats per minute, respiration rate 30 breaths per minute, temperature 99.0 and oxygen saturation of 90% on room air.    His stated weight is 195 lbs, height 5'11". His physical assessment revealed absent breath sounds on the left middle and left upper chest.  His chest x-ray showed results are consistent with 2 rib fractures and large left traumatic pneumothorax.  Oxygen is placed on K.L. at 3L nasal cannula to keep oxygen saturations at a level of greater than or equal to 93%. An 18 gauge peripheral IV is started in his left AC fossa.  K.L. will be prepped for chest tube placement immediately and then admitted to the progressive care unit (PCU).   

1.       Explain the pathophysiology of a traumatic pneumothorax.

2.      What are common clinical findings associated with pneumothorax?

3.       You are to assist with chest tube insertion.  Explain the chest tube insertion procedure.

  1. List five nursing considerations that should addressed as the nurse preps K.L. for chest tube insertion?
  1.  K.L. is attached to a three chamber chest tube system.  Explain the three chambers of the chest tube.
  2. The MD orders "chest tube to wall suction."  What is the rationale for this and how much bubbling should be present in the suction chamber?
  3. After the chest tube is inserted, what will the nurse document in K.L.'s assessment? Give specific assessments. 
  1. The nurse is doing an assessment of the chest tube insertion site.  What should the nurse assess?
  2. 48 hours later, the repeat chest x-ray confirmed that the pneumothorax is resolved and the chest tube will be removed today.  What should the nurse consider in regards to chest tube removal?
Posted Date: 2/27/2013 7:16:02 AM | Location : United States







Related Discussions:- Pneumothorax, Assignment Help, Ask Question on Pneumothorax, Get Answer, Expert's Help, Pneumothorax Discussions

Write discussion on Pneumothorax
Your posts are moderated
Related Questions
Q. How does sexual reproduction take place in bacteria? How dissimilar are the modalities of bacterial sexual reproduction? Sexual reproduction occurs when bacteria incorporate

Tasks of  Orientation Phase: Establishing contact with the patient  Developing  the pactlcontract  Talking to the patient  Establishing Contact with the Patient

Explain about functions of the lacrimal apparatus. Tear Secretion Aqueous tears are secreted by the main (reflex secretion) and accessory (basic secretion) lacrimal

Evolution of Photosynthesis and Aerobic Respiration It is assumed that the earlier form of the bacteria utilised H 2 S for the preparation of food. The following reaction shows

Explain Mechanism for reduce the absorption of nutrients? The absorption of nutrients is also reduced by mechanisms other than increasing the viscosity of gastrointestinal cont

Sterilization of Apparatus for Microbiology Experiments : Containers of dangerous biological materials and the doors leading to laboratories or rooms in which work with pathogenic

Therophytes - Classes of Life Form These are annual plants of the summer season or of the favourable season. They complete their life cycles in a single favourable season and

Q. What are the terms used in sterilization? Sterilization: It is defined as freeing the object or substance from all life of any kind. It is defined alternatively as the

Q. Foods for Growth in microorganisms? Microorganisms differ in their ability to use various nitrogenous compounds as a source of nitrogen for growth. The primary nitrogen sour

Explain about the Enteral feeding in elderly? Enteral, as you may already be aware, is defined as provision of nutrition support through the GI tract or by accessing the gut. Th