tension pneumothorax Flashcards

1
Q

what are the signs and symptom of a Tension pneumothorax

A
pleuritic chest pain
sob 
reduced air entry 
deviated trachea
reduced breathe sounds 
sudden onset
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2
Q

how can you differentiate between tension and not?

A

tension pneumothorax must have hypotension

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3
Q

management

A
abcde 
sit upright 
oxygen 15L/min non-rebreatheable mask 
IV access
insert a large bore needle 14-16G at the 2nd intercoastal space midclavicular line 

abx if infection also suspected
insert chest tube to expel air

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