Rib Fracture
Results from direct blunt chest trauma and causes a potential for intrathoracic injury, such as pneumothorax or pulmonary contusion. Pain with movement and chest splinting result in impaired ventilation and inadequate clearance of secretions. S/S: Pain at the injury site that INCREASES with inspiration, tenderness at the site, shallow respirations, client splints chest, fractures noted on chest x-ray
Pleural Effusion
Pleural effusion is the collectio nof fluid in the pleural space; any condition that interferes with secretion or drainage of this fluid
Flail Chest
Occurs from blunt chest trauma associated with accidnets, which may result in hemothorax and rib fractures; the loose segment of the chest wall becomes paradoxical to the expansion and contraction of the rest of the chest wall
S/S of Flail chest
- Paradoxical respirations (inward movement of a segment of the thorax during inspiration with outward movement during expiration) - Severe pain in chest - Dyspnea - Cyanosis - Tachycardia - Hypotension- Tachypnea, shallow respirations - Diminshed breath sounds
Pulmonary Contusion
Characterized by interstitial hemorrhage associated with intraalveolar hemorrhage, resulting in decreased pulmonary compliance; the major complication is ARDS
Pneumothorax
Accumulation at atmospheric air in pleural space, which results in a rise in intathoracic pressure and reduced vital capacity; the loss of negative intrapleural pressure results in collapse of the lung
S/S of pulmonary Contusion
- Dyspnea - Hypoxemia - Increased bronchial secretions - Hemoptysis - Restlessness -Decreased breath sounds -Crackles and wheezes