Questions and Answers
What is an open pneumothorax?
An open/sucking chest wound allows free passage of air into and out of the pleural space.
What are the signs and symptoms of an open pneumothorax? (OPEN is the acronym)
What is one of the first interventions when caring for a patient with an open pneumothorax?
Close the defect with a sterile occlusive dressing that overlaps the wound's edges.
How many sides should you tape the dressing when covering the defect on a patient with an open pneumothorax?
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What should you do if a tension pneumothorax develops?
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What is the definitive treatment for a patient with an open pneumothorax?
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When assessing a patient who has just arrived after an automobile accident, the emergency department nurse notes tachycardia and absent breath sounds over the right lung. For which intervention will the nurse prepare the patient?
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A patient is admitted to the emergency department with an open stab wound to the left chest. What is the first action that the nurse should take?
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Study Notes
Open Pneumothorax Overview
- An open pneumothorax is characterized by a sucking chest wound, which permits air to flow into and out of the pleural space with each breath.
Signs and Symptoms (OPEN)
- Onset of sudden chest pain
- Penetrating wound to the chest is present
- Early inspiration produces sucking sounds
- Absence of breath sounds on the affected side
Initial Intervention
- Close the chest defect using a sterile occlusive dressing that overlaps the wound edges adequately.
Dressing Application
- Tape the occlusive dressing securely on three sides to allow air escape during expiration and prevent air intake during inspiration.
Management of Complications
- If a tension pneumothorax occurs, promptly remove the dressing.
Definitive Treatment
- A chest tube placement is the definitive intervention for an open pneumothorax to facilitate drainage.
Emergency Nursing Assessment
- Tachycardia and absent breath sounds over the right lung in an accident victim indicate a right-sided pneumothorax or hemothorax. Preparation for inserting a chest tube and drainage is crucial.
First Action in Case of Stab Wound
- For a stab wound to the left chest, the initial action should be to tape a nonporous dressing on three sides over the wound to manage air movement effectively and mitigate the risk of tension pneumothorax.
Patient Positioning
- Elevate the head of the bed to 30-45 degrees to enhance respiratory function.
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Description
This quiz covers key concepts related to open pneumothorax, including its definition and the signs and symptoms associated with it. Use these flashcards to test your understanding of this critical medical condition. Perfect for students and professionals in the medical field.
