Pneumothorax, Biology

Assignment Help:

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?

Related Discussions:- Pneumothorax

Define the food system in space, Define the Food System in space? Mercu...

Define the Food System in space? Mercury (1961-1963) astronauts had to eat bite-sized cubes, freeze dried powders, and semi liquids stuffed in aluminium tubes. For most asbonau

Show major treatments of diabetes mellitus, Q. What are the major treatment...

Q. What are the major treatments of diabetes mellitus? The general goal of the diabetes curing is to keep normal glycemic levels. Type I diabetes is treated with parenteral

Explain the process of angioplasty, Q. Explain the process of Angioplasty? ...

Q. Explain the process of Angioplasty? Inflation of stenotic segment causes stretching of the vessel, fracture of the intimal plaque, partial disruption of the media and adven

Syngamy - protozoan, Syngamy - Protozoan The two gametes may be morpho...

Syngamy - Protozoan The two gametes may be morphologically similar (isogametes) or dissimilar (anisogametes). The gametes also vary in form, they may be flagellated or amoeboi

Carbohydrate metabolism, CARBOHYDRATE METABOLISM The endproducts of car...

CARBOHYDRATE METABOLISM The endproducts of carbohydrate digestion absorbed into the blood and taken to  the liver by  hepatic portal vein  are four  monosaccharide sugar  ( C 6

Define functions of fluoride, Define Functions of fluoride? The only b...

Define Functions of fluoride? The only beneficial role demonstrated for fluoride is in reducing the prevalence and severity of dental caries in children and adults. This is en

Define term population, What is a population? In Biology a population i...

What is a population? In Biology a population is a set of individuals of the similar species living in a given place and in a given time.

What are the positions of actin and myosin molecules, What are the position...

What are the positions of actin and myosin molecules in the sarcomere before and during the muscle contraction? Schematically actin filaments attached perpendicularly to both s

Elaborates the pathophysiology of ventricular septal defect, Elaborates the...

Elaborates the Pathophysiology of ventricular septal defect? The shunt in the VSD is left to right. The magnitude of the shunt is determined by the size of the VSD and the, lev

What is placebo and nocebo, Problem 1: What is Placebo and Nocebo? Desc...

Problem 1: What is Placebo and Nocebo? Describe the significance of Placebo in clinical trials. Definition of placebo and Nocebo Significance of Placebo in clinical t

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd