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Flashcards in Exam 1 - Lung conditions Deck (12)
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Complications of pulmonary embolism

o Cardiac arrest
o Death
o Shock
o Pleural effusion
o Pulmonary hypertension


Management of pulmonary embolism

o Ventilator
o Chest tube
o Anticoagulant and thrombolytic therapy
o For hypotension – dobutrex (dobutamine) or dopamine (intropin) to cause vasodilation
o Pain management
o Monitor bleeding times (PT, PTT, INR)
o Surgery – embolectomy, greenfield filter


Prevention of PE

o Exercises to avoid venous stasis
o Early ambulation
o Anticoagulant therapy
o SCDs


Complication of pleurisy

Severe knife-like pain


Management of pleurisy

o Objective of treatment is to figure out the underlying condition and relieve pain
o As underlying condition is treated, pleuritic inflammation usually resolves
o Analgesic agents and topical applications of heat or cold provide symptomatic relief
o Turn frequently onto affected side to splin the chest wall and reduce the stretching of pleurae
o Teach pt to use hands or a pillow to splint the rib cage while coughing


Prevention of pleurisy

o Difficult to have set methods of prevention d/t usually being caused by an underlying condition i.e. pneumonia, upper respiratory tract infection, trauma


Complications of pneumothorax



Management of pneumothorax

o Depends on cause and severity
o Goal is to evacuate the air or blood from the pleural space via chest tube


Prevention of pneumothorax

Can be spontaneous, traumatic, or tension


Management of chest tubes

• Record drainage by marking with a permanent marker then figure from last shift how much you have pulled off.
• Only change when container is full
• Be aware of color, consistency, bubbling in drainage system (indicates leak), fluctuation of tubing with inhalation/exhalation
• Always have Vaseline sterile dressing at bedside


Conditions that require chest tubes



Chest tubes education

• Comes out when there is not much fluid anymore
• Used to drain either air or fluid
• Teach breathing and coughing techniques – splinting
• Keep area clean and dry – make sure pt has enough dressings to reinforce rather than change it
• Come to ER if there is a lot of drainage
• Mobility helps drain faster
• Report – dyspnea, significant drainage (bloody/purulent), fever, severe pain