Exam (elaborations)
Chest Trauma
- Module
- SRU ELEC340 F
- Institution
- SRU ELEC340 F
Exam of 1 pages for the course SRU ELEC340 F at SRU ELEC340 F (Chest Trauma)
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Chest TraumaChest tube management - ANS-20cm of suction ( fill to the line )
- The chest tube is completely pulled out of the chest
- Cover it up with Vaseline gauze
- Put it back in another hole -
The chest tube is still in the chest , but the tubing is disconnected -
Place the tubing in a bottle of saline ( create a water seal ) or ... Wipe the edges off with
an alcohol pad Put them back together while you set drain system
Flail chest - ANS-2 + 2 = Flail -2 or more ribs broken in 2 or more places
Mush on chest X - ray paradoxical motion , respiratory distress pulmonary contusions
under the broken ribs
Pain management ( epidural vs. IV morphine ) , intubation prn ( not always ) , and time
Hemothorax - ANS-Collapsed lung ( with blood )
Put in a chest tube and watch them for a few days
Auto transfuse the chest blood if really shocky
Pneumothorax - ANS-- Collapsed lung ( with air )
Small pneumo - Admit and watch them for a few days
Big pneumo - Put a chest tube in and watch them for a few days Worry about little
pneumos becoming big pneumos with : Altitude aka flying somewhere over the top of
the mountains or on an airplane
Rib fractures - ANS-Fracture a rib Lower rib fractures think about liver and spleen injury
as well
Pain management
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