Answers(RATED A+)
10 Signs and sx of tension pneumothorax - ANSWER1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign)
Tx of tension pneumothorax - ANSWER1. Needle decompression- large bore needle
2nd intercostal space midclavicular line 2. chest tube 4 or 5th intercostal space mid
axillary
triad of death - ANSWER-Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)
rule of 9's adult - ANSWERHead = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%)
Signs and sx of cardiac tamponade - ANSWER1. Becks Triad= increased venous
pressure(distended neck veins), decreased arterial pressure(hypotension), muffled
heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
tension pneumothorax can often be confused with cardiac tamponade, how do you
differentiate? - ANSWERCareful assessment of the pt's breath sounds is paramount
to differentiate the two
Rule of 9's - Pediatric - ANSWERAnterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
Anterior/Posterior Arms - 4.5% Each
Anterior/Posterior Legs - 7% Each