Seen in pts with pleural effusion
compressed lung, mediastinal shift (AWAY from bad side), Depressed diaphragm, Atelectasis, Compression of great veins.
A lot of blood cells (increased WBC'S) Develops with DIsease..INFECTION, PNEUMONIA, MALIGNANY,TB, FUNGAL DISEASE
prescence of BLOOD in pleural CHEST TRAUMA, Check Hct of the pleural fluid, needs to be at least 50% blood to be considered a hemothorax
prescense of CHYLE in pleural space, MILKY liquid produced from digestion, transported by lymphatic system(thoracic duct), HEAD NECK TRAUMA
dx of Pleural Effusion
Breath sounds(Abscent over the effusion), Percussion, Dull or Flat over FLUID, CXR
CXR laying on affected side, FLUID moves when pt lays on affected side, SOLID would not move or shift..Identifies FLUID or SOLID
tx of pleural effusion
Thoracentesis(used to dx and tx), Pleurodesis(prevent REOCCURANCE of accumulated pleural fluid. TALC injected into chest cavity, visceral and parietal stick together., Thoracentesis(used to dx and tx), Pleurodesis(prevent REOCCURANCE of accumulated pleural fluid. TALC injected into chest cavity, visceral and parietal stick together.
prevent REOCCURANCE of accumulated pleural fluid. TALC injected into chest cavity, causing visceral and parietal to stick together.
MOST DEADLY, ACUTE DISTRESS.."one way valve" Air enters on Inspiration, but can't escape..Air gets trapped, compressing the intrathoracic vessels impairing venous return CAUSING reduced cardiac output, hypoxemia.
Primary Spontaneous Pneumo
Unsuspected, Arise in healty people without cause, 20-40 year old men, tall and thin...Rupture of bleb(blister on lung surface)
Occurs during diagnostic or therapeutic procedure..ex. mech ventilation, thoracentesis, biopsy, chest tube insertion, tracheostomy.
Sudden dyspnea, dry cough, chest pain, cyanosis, tachycardia HYPERRESONANT percussion, ABSCENT breath sounds, Tracheal deviation AWAY from affected side, Subcutaneous emphysema
tx of pnemo
<20%, NO tx..>20%..pleurodesis, Supportive O2 therapy, Thoracentesis, Chest tube, Surgical