Flashcards in Restrictive Lung Disease PP 1-29 Deck (65)
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1
Accumulation of air in the pleural space
Pneumothorax
2
Spontaneous
Occurs in tall, thin men 20 to 40 years
Primary pneumothorax
3
No underlying disease factors
Cigarette smoking increases risk
Primary pneumothorax
4
Result of complications from preexisting pulmonary disease
Secondary pneumothorax
5
Associated with menstruation
Associated with endometriosis
Catamenial pneumothorax
6
Primarily in right hemothorax
Catamenial pneumothorax
7
Traumatic origin
Results from penetrating or nonpenetrating injury
Tension pneumothorax
8
May also be from iatrogenic causes
Medical emergency
Tension pneumothorax
9
Due to
Rupture of small subpleural blebs in apices
Air enters pleural space, lung collapses, and rib cage springs out
Primary pneumothorax
10
Due to
Results of complications from an underlying lung problem
May be due to rupture of cyst or bleb
Secondary pneumothorax
11
*Results form buildup of air under pressure in pleural space
*Air enters pleural space during inspiration but cannot escape during expiration
this describes typical pathogenesis of ______
tension pneumothorax
12
*Lung on ipsilateral (same) side collapses and forces mediastinum toward contralateral (opposite) side
*Decreases venous return and cardiac output
this describes typical pathogenesis of ________
tension pneumothorax
13
We associate pneumothorax with an __________chest wall wound
open sucking
14
Air enters during inspiration but cannot escape during expiration leads to shift of mediastinum
open sucking chest wall wound in pneumothorax
15
Small pneumothoraces less than ___% a manifestation of pneumothorax
20
16
Tachycardia
Decreased or absent breath sounds on affected side
symptoms of _______
pneumothorax
17
Hyperresonance
Sudden chest pain on affected side
Dyspnea
symptoms of ________
pneumothorax
18
_____ and large ______ pneumothorax are emergency situations in Pneumothorax
tension; spontaneous
19
Severe tachycardia
Hypotension
Tracheal shift to contralateral (opposite) side
result from _________ and ________
Tension and large spontaneous pneumothorax
20
Neck vein distention
Hyperresonance
Subcutaneous emphysema
result from __________ and ________
Tension and large spontaneous pneumothorax
21
Decreased PaO2, acute respiratory alkalosis
diagnoses ________
pneumothorax
22
When diagnosing _______, you will see
Expiratory films show better demarcation of ____-line than inspiratory
Depression of hemidiaphragm on side of pneumothorax
on chest x ray
pneumothorax; pleural
23
Management depends on severity of problem and cause of air leak
pneumothorax
24
Patient may or may not be hospitalized
Treat symptomatically and monitor closely
when the lung collapses ________ during ________
Lung collapse <15% to 25%; pneumothorax
25
Chest tube placement with H2O seal and suction
Oxygen
when the lung collapses ________ during ______
Lung collapse >15% to 25%; pneumothorax
26
Promotes adhesion of visceral pleura to parietal pleura to prevent further ruptures
this is _________ used for treatment of ________
Chemical pleurodesis; spontaneous pneumothorax
27
Permits stapling or laser pleurodesis of ruptured blebs
this is _________ used for treatment of _______
Thoracotomy; pneumothorax
28
Pathologic collection of fluid or pus in pleural cavity as result of another disease process
pleural effusion
29
Normally, ____ml of serous fluid is contained in pleural space in pleural effusion
5-15
30
