Recognition and Signs and symptoms of an Airway obstruction Right Ans -
- Talking
-difficutly breathing
-shortness of breath
- noisy breathing
- stridor, wheeze and gurgling
- see - saw respiratory pattern, accessory muscles
Signs and Symptoms of tension Pneumothorax Right Ans - - splayed ribs
- Asymmetrical chest movement
- Emphysema
- increased effort of breathing
- Tracheal deviation
- distended neck Veins
- Chest Pain
- Hyper-resonance on percussion on affected Side.
- Absent / decreased breath sounds on affected side.
- Low Spo2
Where are the sites for needle Decompression ? Right Ans - - 2nd
intercostal Space, Mid clavicular line, over 3rd Rib
-5th intercostal space mid slightly Anterior of the mid Axillary line,
- Nipple( aproximate surface marking)
Explain the procedure for Needle Decompression? Right Ans - - insert
Pneumo- fix 8 at a 90 degree angle to the chest, note the orange indicator will
move away from the chest.
- slowly Advance still watching for the orange indicator to move towards the
chest.
- once indicator moves towards the chest STOP advancing.
- Twist and unlock Needle.
- advance the catheter a further 3-4 over the needle.
-confirm Aspiration with 5ML syringe.
-Dispose of Sharps
Signs and Symptoms of Open Pneumothorax? Right Ans - - low SPo2
-Shock
, -Respiratory distress
- Sucking chest wound - air enters wound rather than tract,
- decreased chest movement.
- affected side showing
- decreased breath sounds
how many Russell chest seal do you Apply? Right Ans - 1 on each side if
both sides are affected/two valves on each side.
2 x times wounds on the same side, one valve and one occlusive dressing.
Signs of a massive Haemothorax? and treatment Right Ans - - shock
-Tachycardia
-affected side showing reduced breathing sounds
- Hypo resonance - dull sound when Percussioning.
- Give fluids
- evacuate to role 1
Sings and Symptoms of Flail Chest Right Ans - - Serve Chest pain
-extreme respiratory distress
-external signs of blunt chest injury
- bruising swelling and seat belt marks
-crepitus, fractured ribs / surgical emphysema,\
-paradoxical movement of chest
-low Spo2
- signs of associated Haemothorax may be present.
- Exclude of treat associated tension, key indicator is over inflated
haemothorax
- absent tension may make needle decompression wrong and may make
person worse.
Sings and Symptoms of cardiac tamponade ? and what is cardiac tamponade?
Right Ans - - blood in the pericardial Space increasing pressure in the sac
which may lead to (PEA)
- tachycardia and hypotension.
- distended Neck Veins
- muffled heart sounds
- normal breath sounds.
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