CH. 30 Chest Injuries

Question 1

Types of chest injuries

Question 2

Types of pneumothorax

Answer 2

simple pneumothorax
open pneumothorax
hemothorax
hemopneumothorax
tension pneumothorax

Question 3

s/s pneumothorax

Answer 3

tracheal deviation
Jugular vein distention(JVD)
absent or dimineshed lung sounds
unequal chest tise:2-3 broken ribs
sucking chest wound

Question 4

cardiac tamponade

Answer 4

the pericardial sac fills w/fluid

Question 5

s/s cardiac tamponade

Answer 5

decreased mental status
chest pain
becks triad
-jugular vein distention
-narrowing blood pressure
-muffled heart tones

Question 6

chest fractures

Answer 6

clavicular
sternal
costal
-flail chest

Question 7

s/s chest fractures

Answer 7

paradoxical movement
difficulty breathing due to pain

Question 8

pulmonary/myocardial contusion

Answer 8

pulmonary: alveoli fill w/blood & fluid accumulates in the injured area
myocardial: causes irregular heart beats or dysrrhythmias

Question 9

s/s pulmonary/myocardial contusion

Answer 9

hypoxia
crackles: fluid build up
irregular heartbeat
chest pain
ecchymosis of chest wall

Question 10

Traumatic Asphyxia

Answer 10

sudden severe compression of the chest
-unrestrained drivers
-crush injury

Question 11

s/s: Traumatic Asphyxia

Answer 11

JVD
cyanosis
hemorrhage in the sacral, facial vessels
exopthalmos

Question 12

commotio cordis

Answer 12

a sudden, direct blow to the chest at an exact moment during heart contraction sending pt into ventricular fibrillation
s/s:

Question 13

laceration of the great vessels

Answer 13

s/s:
shearing/tearing chest pain radiating to the back(between shoulder blades)

Question 14

Gun shot wound(GSW)/ sucking chest wounds

Answer 14

open injury to the chest wall in which air enters the thoracic cavity &/or pulmonary space leading to hypoxia

Question 15

s/s: GSW & sucking chest wounds