Pneumothorax/Hemothorax Nursing Care Plan: Ineffective Breathing ...
I. Pathophysiology Partial or complete collapse of lung due to accumulation of air (pneumothorax), blood (hemothorax), or other fluid (pleural effusion) in the pleural space Intrathoracic pressure changes induced by increased pleural space volumes and reduced lung capacity, causing respiratory distress and gas exchange problems and producing tension on mediastinal structures that can impede cardiac and systemic circulation Complications include hypoxemia, respiratory failure, and cardiac arrest. II. Classification Primary spontaneous pneumothorax Secondary spontaneous pneumothorax Iatrogenic pneumothorax Traumatic pneumothorax III. Etiology Primary spontaneous: rupture of pleural blebs typically occurs in young people without parenchymal lung disease or occurs in the absence of traumatic injury to the chest or lungs Secondary spontaneous: occurs in the presence of lung disease, primarily emphysema, but can also occur with tuberculosis (TB), sarcoidosis, cystic fibrosis, malignancy, and pulmonary fibrosis Iatrogenic: complication of medical or surgical procedures, such as therapeutic thoracentesis, tracheostomy, pleural biopsy, central venous catheter insertion, positive pressure mechanical ventilation, inadvertent intubation of right mainstem bronchus Traumatic: most common form of pneumothorax and hemothorax, caused by open or closed chest trauma related to blunt or penetrating injuries IV. Statistics (American Lung Association, June 2005) Morbidity: Primary spontaneous pneumothorax affects 9,000 persons per year and is more common in tall, thin men between 20 and 40 years of age. Recurrence rate: Is about 40% for both primary and secondary spontaneous pneumothorax, occurring in intervals of 1.5 to 2 years. Mortality: Rate is 15% for those with secondary pneumothorax. Care Setting
Client is treated in inpatient medical or surgical unit.
Nursing Priorities Promote or maintain lung reexpansion for adequate oxygenation and ventilation. Minimize or prevent complications. Reduce discomfort and pain. Provide information about disease process, treatment regimen, and prognosis. Discharge Goals Adequate ventilation and oxygenation maintained. Complications prevented or resolved. Pain absent or controlled. Disease process, prognosis, and therapy needs understood. Plan in place to meet needs after discharge.Pathophysiology Of Pneumothorax - Bookshelf
Pathophysiology applied to nursing practice
WHAT IS THE PATHOPHYSIOLOGY? The pathophysiological mechanisms of pneumothorax are subtle". When air is present in the intrapleural space, the dynamics of ...Medical-surgical nursing, a nursing process approach
PNEUMOTHORAX Pathophysiology In pneumothorax air enters the pleural space between the lung and the chest wall. It can occur spontaneously or as a result of ...Clinical Review of Surgery - ABSITE Preparation, Second Edition
TREATMENT Tension pneumothorax requires emergency management and is treated with decompression by needle followed by tube thoracostomy. ...Pathophysiology made incredibly easy!
Pathophysiology The causes of pneumothorax vary according to classification. Traumatic pneumothorax A penetrating injury, such as a stab wound, ...Clinical review of surgery, ABSITE preparation
TENSION PNEUMOTHORAX ETIOLOGY AND PATHOPHYSIOLOGY Tension pneumothorax occurs with air under pressure within the pleural space, leading to impingement upon ...Perfect Information Directory
Pneumothorax - Wikipedia
User-submitted information on the medical emergency caused by the collapse of the lung within the chest cavity.
MVS Pathophysiology: Pneumothorax
Pneumothorax is an accumulation of gas, commonly air, in the pleural space. ... Other causes of pneumothorax such as asthma, certain interstitial lung diseases, lung ...
Air Leaks, Pneumothorax, and Chest Drains: Pathophysiology
Pathophysiology: An up-to-date look at the pathophysiology, management, and prevention of pneumothorax in perioperative settings.
Pneumothorax
Pneumothorax is defined as the presence of air or gas in the pleural cavity, that is, in the potential space between the visceral and parietal pleura of the lung.
Pathophysiology of Pneumothorax
PATHOPHYSIOLOGY Of PNEUMOTHORAX A. Description 1. Pneumothorax is the accumulation of air in the pleural ... but how can i connect the pathopysiology of pneumothorax Rx PTB. ...