Restrictive Lung Disease PP 1-29 Flashcards Preview

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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

Name the 5 types of pleural effusion

transudates, exudates, empyema, hemothorax, chylothorax/lymphatic