Spontaneous Pneumothorax
- Accumulation of Air in Pleural Space
- Tall and Thin Young Males
- Bleb or Bulla Rupture
- Underlying Disease
- Hypoxemia
- Chest Pain
- Decreased Breath Sounds
- Hyperresonance
- Shortness of Breath (SOB)
Tension Pneumothorax
- Air Enters Pleural Space, but Can't Exit
- Trauma or Infection
- Decreased Breath Sounds
- Trachea Deviates Away from Affected Side
- Chest Pain
- Tachycardia
- Tachypnea
- Hypotension
- Hypoxemia
- Hyperresonance
- Emergency
Chest Tubes: Management and Care
- Confirm suction order
- Crepitus
- Kinking
- Shortness of Breath (SOB)
- Infection
- Excessive bubbling
- If tube dislodges from patient, use petroleum gauze taped 3 ways
- If drainage system is damaged, place disconnected drainage tube in sterile water
Flail Chest
- Trauma
- Shallow Respirations
- Chest Pain
- Paradoxical Chest Movement
- Mechanical Ventilation
- Analgesics
- Intercostal Nerve Blocks
- Surgical Rib Fixation
- Monitor Pulmonary Contusion
Obstructive Sleep Apnea (OSA)
- Narrowed or Obstructed Air Passage
- Apnea
- Loud Snoring
- Startle Response
- Daytime Drowsiness
- Positional Therapy
- Oral Appliance
- Continuous Positive Airway Pressure (CPAP)
- Surgery
- Weight Loss
Cyanide Poisoning Diagnosis and Treatment
- Lactic Acidosis
- Elevated Venous PO2
- Check Carboxyhemoglobin
- Sodium Nitrate PLUS Sodium Thiosulfate
- Methemoglobinemia
- OR Hydroxocobalamin (First Line)
Cyanide Poisoning: Pathophysiology and Clinical Manifestation
- Inhibits Complex IV of Oxidative Phosphorylation
- Forces Cells Into Anaerobic Metabolism
- Exposure to Fire Fumes
- Industrial Exposure
- Headache and Confusion
- Arrhythmias
- "Cherry Red" Skin
- Almond Breath/Taste
- Acute Renal Failure
Alpha 1 Antitrypsin Deficiency
- Decreased Alpha Anti Trypsin
- Increased Elastase Activity
- Decreased Elastic Tissue
- Misfolded Protein Aggregates
- PAS+ Globules
- Panacinar Emphysema
- Dyspnea
- Cirrhosis
- Hepatocellular Carcinoma
Idiopathic Pulmonary Fibrosis
- Interstitial Restrictive Lung Disease
- Age over 50 years, Males, Tobacco
- Dyspnea and Cough
- Fatigue
- Crackles
- Digital Clubbing
- Bronchiectasis
- Honeycomb Pattern
- Restrictive Pattern
- Respiratory Failure
- Right Heart Failure
- Oxygen
- Antifibrotic Medications
- Lung Transplant