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NUR2755_NUR_2755_Multidimensional_Care_IV_Final_Exam_Review_Rated

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what are the assessment findings in pneumothorax? - Sudden dyspnea - Chest pain - Feeling of doom/anxiety - JVD - Tachy - Chest petechiae - ECG changes - Abnormal heart sounds 2. what are the... s/s of flail chest - paradoxical chest movement - dyspnea - cyanosis - tachycardia - hypotension 3. how does the patient usually present with flail chest - anxious - short of breath - in pain 4. what are interventions for flail chest - humidified oxygen - pain management - promotion of lung expansion through deep breathing and positioning - secretion clearance by coughing and tracheal suction 5. can a person with flail chest recover - manageable with vigilant respiratory care 6. when is mechanical ventilation needed for a patient with flail chest - respiratory failure - shock - severe hypoxemia and hypercarbia 7. nursing care for flail chest - monitor ABGs - monitor vitals 8. with flail chest, what causes increase the risk of respiratory failure - lung contusion - underlying pulmonary disease 9. how is flail chest usually stabilized - positive pressure ventilation 10. what interventions are needed for low BP - fluid replacement - Trendelenburg - compression stockings - medication 11. what causes a high pressure vent alarm - thick mucus/secretions blocking the airway - coughing - biting on tube - fighting vent - wheezing - bronchospasms - pneumothorax - displaced tube - obstruction - water in vent circuit 12. what causes a low pressure vent alarm - leak in circuit - cuff leak - patient disconnected - *apnea alarm* 13. possible interventions for high pressure vent alarm - check patient first! - check all tubing is connected and not kinked - suction patient - medication for pain, anxiety, sedation - change vent settings 14. what causes increased or thick secretions/mucus in a patient who is intubated - not enough humidity 15. possible interventions for low pressure vent alarms - check patient first! - manually bag patient - reconnect/unkink tu [Show More]

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