20 Questions Oxygenation
lOMoARcPSD|47166518lOMoARcPSD|47166518
20 Questions Oxygenation
1. What are potential causes or risk factors for pneumothorax? A blunt or penetrating chest injury,
damage from underlying lung disease. What are symptoms of pneumothorax? Sudden chest
pain, SOB, collapsed lung Treatments? Needle aspiration, chest tube, nonsurgical repair, or
surgery, supplemental o2
2. What are potential causes or risk factors for hemothorax? Open heart surgery, lung transplant,
blunt force, chest trauma What are symptoms of hemothorax? SOB, rapid, shallow breathing,
chest pain shock, pale cool clamy skin, tachycardia, restlessness, anxiety Treatments? Chest tube
to remove air and blood from pleural space.
3. What are potential causes or risk factors for pleural effusion? Smoking, alcohol, heart lung liver
disease, history of any contact with asbestos. What are symptoms of pleural effusion? Chest
pain, dyspnea, dry nonproductive cough Treatments? Diuretics and heart failure medications
4. What is a thoracentesis? A procedure used to obtain a sample of fluid from the space around the
lungs (pleural space)
5. Picture you are taking care of a patient with a new order for a thoracentesis. Create a checklist of
things you need to do/check/assess prior to the procedure. Check doctors’ orders, identify client,
witness signed consent, explain importance of procedure, check VS, have patient remove
jewelry, inform not to cough, How might you assist during the procedure? Position patient in the
sitting position with arms and head resting supported on a bedside adjustable table, continuous
monitoring of VS, observe for signs of distress, List patient teaching for
preprocedural/intraprocedural/postprocedural care. PRE- length of procedure, not to cough
while needle is inserted to avoid puncturing the lung, pt may receive a sedative, INTRA- no deep
breathing or moving POST- take easy for 48 hours, no strenuous activities such as lifting until
doctor signs off.
6. What is acute lung failure? When the lungs cannot release enough oxygen into the blood, which