question

The lungs are separated into sections called ____, 2 on the left and 3 on the right.

answer

Lobes

question

The visceral and parietal pleurae are head together by ______ pressure.

answer

Negative

question

Pleural Space

answer

If air, fluid, or blood enters the space between the two membranes, a ____ ____ is developed.

question

A clear fluid that collects in the pleural space when there are fluid shifts in the body from conditions such as CHF, malnutrition, renal and liver failure.

answer

Transudate

question

Cloudy fluid with cells and proteins that collects when the pleurae are affected by malignancy or diseases such as tuberculosis and pneumonia

answer

Exudate

question

Thoracentesis; Chest tube

answer

Remove fluid and air through a ____ or ___ ____ drainage system

question

Transudate or exudate in the pleural space

answer

Pleural Effusion

question

Multiple rib fractures results in free-floating segment of rib cage and paradoxical movement of the detached part with breathing

answer

Flail Chest

question

1. Supportive care (PAIN, Deep breathing, cheerleader) 2. TREAT PAIN (it can be severe) 3. Possible PCA pump (depending on severity and the client) 4. Intercostal nerve blocks 5. epidural analgesia 6. Intrapleural administration of opioids (directly to the site)

answer

Treatment of Flail Chest

question

1. MANAGE THE PAIN**** 2. Monitor pulse ox, Temp, Pulse, Resp 3. Encourage client to sit up and cough every hour (clears lungs and prevent Pneumonia) 4. Promote mobility ASAP (may mobilize arm and shoulder to ease pain) --- Prevents blood clots and Pneumonia 5. Assess breath sounds and depth of respirations regularly

answer

Nursing Management of Flail Chest

question

When there is a breach (opening) on the surface of the lung (parietal or visceral pleura) -Opening allows air to enter the pleural space which results in exposure to positive atmospheric pressure

answer

Pneumotthorax

question

Air between the pleurae

answer

Pneumoothorax

question

when air escapes from a laceration in the lung itself and allows atmospheric air to enter the pleural space

answer

Traumatic Pneumothorax

question

When a wound in the chest wall is large enough to allow air to pass freely in and out of the thoracic cavity with each attempted respiration

answer

Open Pneumothorax

question

Vent

answer

The opening of an Open Pneumothorax acts as a ____ so pressure from trapped air cannot build up in the chest

question

Chest wall is intact -Rupture of the lung and visceral pleura allows air into the pleural space

answer

Closed or Simple Pneumothorax

question

Rupture of an air filled bleb or blister on the surface of the lung Client will have symptoms but NOT LIFE-THREATENING

answer

Spontaneous Pneumothorax

question

Air is drawn into pleural space from lacerated lung or small opening or wound in chest wall -Air enters with every inspiration and has no way to leave (TRAPPED) -NO vent to expel air

answer

Tension Pneumothorax

question

CLOSED

answer

Tension Pneumothorax occurs when a ___pneumothorax creates positive pressure in the pleural space that continues to build with air

question

Mediastinal shift

answer

With each breath, tension is increased which causes the lung to collapse and the heart, great vessels and trachea to shift to unaffected side (_______)

question

EXTERNAL

answer

When the pressure is ____, CPR WILL NOT HELP

question

large bore needle followed by a chest tube -relieves pressure -like deflating a balloon -usually 14 gauge needle at 2nd intercostal space midclavicular line on affected side

answer

Emergency Tx for Tension Pneumothorax

question

Occurs when the pressure gets so high that it pushes the heart and great vessels into the unaffected side of the chest

answer

Mediastinal shift

question

Cardiovascular

answer

Mediastinal shift can quickly lead to ____ collapse

question

CARDIAC OUTPUT

answer

The Vena Cava on the right side of the heart cant accept venous return so there is NO ____ ____

question

blood in the pleural space -negative pressure is disrupted and lung will collapse to some degree -best seen in an upright chest radiograph

answer

Hemothorax

question

WHOLE lung

answer

Pneumonectomy

question

ONE lobe

answer

Lobectomy

question

SEGMENT of the lung

answer

Segmentectomy

question

SMALL AREA of the lung

answer

Wedge Resection

question

Lobectomy, Segmentectomy, Wed Resection

answer

-Lie on non-operated lung (GOOD lung) -better match of ventilation and perfusion -Can do all three if not specified (back->side and flat->semii upright

question

-operative side should be dependent -lie on operative side -fluid stays below level of bronchial stump -other lung can expand -prevents good lung and heart from swifting

answer

Pneumonectomy

question

Airway is cleared of secretions to reduce chance of post-op atelectasis or infection -Humidification, postural draiinage and chest percussion are done befoore BRONCHODILATORS are administered (if preescribed)

answer

Pre-op care for Lung Surgery

question

Antibiotics

answer

____ are administered for infection

question

position

answer

Teach client ___ for effective cough techniques and cough schedule

question

ventilator; chest tube

answer

Inform pt of possible ____ or ___ ___ depending on surgery, how it went, or how breathing after

question

respiratory; cardiovascular

answer

Monitor V/S as wells as ___ and ____ status

question

TCDB (Turn Cough and Deep Breathe)

answer

Impove airway clearance by ___ qh (for first 24 hrss at minimum) then q2h

question

Positioning

answer

___is IMPORTANT. Surgeon should be contacted about ____ after surgery

question

remove access air, fluid, and blood from the pleural cavity to allow re-expansion of the lung

answer

Cheest tubes

question

Includes the right or left pleural space and the mediastinum

answer

Pleural Cavity

question

Creates an opening in the chest wall through which a chest tube (thoracic catheter) is placed, which allows air and fluiid to flow out of the chest

answer

Thoracotomy

question

is attached to an unobstructed drainage device to allow air and fluid to leave the chest into a collective container bellow chest level to allow draining by gravity

answer

Chest tube

question

prevents air and fluid returning to the chest

answer

One-Way Valve

question

2cm

answer

Straw attached to chest tube from patient is placed under ___ of fluid (water seal)

question

-Amt set by level of water addeed to suction control chamber (20cm) -gentle bubbling in suction control chambeer when wall suction properly applied

answer

Wet Suction System

question

-Amy set by a dial (20 cm) -Float indicator or bellows will be visible when wall suction is properly applied -if STOPS moving, check for kinks

answer

Dry Suction System

question

clamping

answer

Avoid ___ tube as that can causee a tension pneumothorax

question

CHANGING the drainage system

answer

ONLY clamp the tube when:

question

BELOW

answer

Always keep ____ level of client's chest

question

COUGH

answer

If disconnection occurs, reconnect and ask client to ___

question

I&O

answer

Drainage chamber should be marked for

question

connections and tubing

answer

Check __ and __ frequently

question

CLAMP

answer

DO NOT ___ chest tube during transport

question

OPEN

answer

Leave drainage system ___ to atmoshere when disconnected froom suction

question

1. instruct client to perform the Valsalva Maneuver 2. Remove at height of expiration (stand level with pt) 3. Tube is clamped and removed by physician 4. SIMULTANEOUSLY, small airtight bandage is applied

answer

REMOVAL of chest tube

question

chest x-ray

answer

A post-procedure ___ ____ should be performed to exclude a pneumothorax

Chest Tubes, Pneumothorax, and Flail Chest – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards