Hemothorax Study guides, Class notes & Summaries

A 42-year-old man is trapped from the waist down beneath his overturned tractor for several hours before medical assistance arrives. He is awake and alert until just before arriving in the emergency department. He is now unconscious and responds only to painful stimuli by moaning. His pupils are 3 mm in diameter and symmetrically reactive to light. Prehospital personnel indicate that they have not seen the patient move either of his lower extremities. On examination in the emergency depart...

Emphysema correct answer: • O2 therapy via nasal cannula at 24-28%. Keep saturations at approx. 88%-93%. • Bronchodilators • Bronchial hygiene as indicated. • NIPPV for acute vent failure (PaCO2>45 torr) Chronic Bronchitis correct answer: • O2 therapy via nasal cannula at 24-28%. Keep saturations at approx. 88%-93%. • Bronchodilators • Bronchial hygiene as indicated • Antibiotics as indicated • NIPPV for acute vent failure (PaCO2>45 torr) Chest Trauma/Flail...

1. A 24 year old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg, PaCO2 is 30 mmHg, and pH is 7.21. The treatment of his acid-base disorder is best accomplished by: A. Hyperventi...

MED-SURGE HESI RN 1. A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response. Based on this finding, the nurse anticipates assisting the physician with which treatment? A. Administer lidocaine, 75 mg intravenous push. B. Perform synchronized cardioversion. C. Defibrillate the client as soon as possible. D. Administer atropine, 0.4 mg intravenous push. Rationale: With uncontrolled atrial fibrillation, the treatment of choice is synchronized...

NCLEX: PNEUMOTHORAX & HEMOTHORAX EXAM 2 QUESTIONS WITH CORRECT ANSWERS REVIEWED 2023 A patient was admitted after a motor vehicle accident with multiple fractured ribs. Respiratory assessment includes signs/symptoms of secondary pneumothorax, which includes which of the following? A: Sharp pleuritic pain that worsens on inspiration B: Crackles over lung bases of affected lung C: Tracheal deviation toward the affected lung D: Increased diaphragmatic excursion on side of rib frac...

POST TEST ATLS 2023 LATEST QUESTIONS ANSWERS GRADED A+ AND VERIFIED SOAL 1. Cardiac tamponade after trauma a. is seldom life-threatening b. can be excluded by an upright, AP chest x-ray c. can be confused with a tension pneumothorax d. causes a fall in systolic pressure of > 15 mm Hg with expiration e. most commonly occurs after blunt injury to the anterior chest wall 2. Which one of the following statements regarding patients with thoracic spine injuries is TRUE? a. Log-rolling may...

POST TEST ATLS 2023 With Correct and Verified ANSWERS (SOAL POST TEST). ATLS Post Test Questions with All correct Answers (Advanced trauma life support) 1. Cardiac tamponade after trauma a. is seldom life-threatening b. can be excluded by an upright, AP chest x-ray c. can be confused with a tension pneumothorax d. causes a fall in systolic pressure of > 15 mm Hg with expiration e. most commonly occurs after blunt injury to the anterior chest wall 2. Which one of th...

Pneumothorax - Presence of air or gas in the pleural space that causes lung collapse Tension pneumothorax - When air enters the pleural space during inspiration through a one-way valve and is not able to exit upon expiration. Trapped air causes pressure on heart and lung. Increase in pressure compresses blood vessels and limits venous return leading to a decrease in cardiac output. Death can result if not treated immediately. Mediastinal shift - Result of tension pneumothorax, air and press...

HESI CAT EXAM 2 (Haitian) EXAM QUESTIONS AND ACCURATE ANSWERS RATED A.

ATLS10 2023 POST-TEST /ATLS POST-TEST (Answered 100%) 1. A 24-year-old male pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after injury. His blood pressure is 80/60 mmHg, heart rate 140 beats per minute and respiratory rate is 36 per minute. He is lethargic. Oxygen is delivered via face mask, and two large-caliber IVs are initiated. Arterial blood gases are obtained. His PaO2 is 118 mmHg (15.7 kPa), PaCO2 is 30 mmHg (4.0 kPa), and pH is7.21. The treatment of...