Respiratory Acidosis and Electrocardiography
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Questions and Answers

What is a significant complication of severe hypoxemia?

  • Tension pneumothorax (correct)
  • Cardiac arrest
  • Respiratory failure
  • Bradycardia

What underlying disease can make it difficult to maintain adequate alveolar ventilation in acute hypercapnic respiratory acidosis?

  • Pneumonia
  • Chronic obstructive lung disease (COPD) (correct)
  • Cardiovascular disease
  • Asthma

Which of the following is a radiologic diagnosis?

  • Cardiovascular disease
  • Chronic obstructive lung disease (COPD)
  • Pneumothorax (correct)
  • Respiratory acidosis

What is the primary focus of treatment for hemodynamically unstable patients with pneumothorax?

<p>Stabilizing the airway, breathing, and circulation (C)</p> Signup and view all the answers

What is the characteristic of a simple pneumothorax?

<p>No mediastinal shift to the contralateral side (A)</p> Signup and view all the answers

Which patients may require chest computed tomography (CT) for diagnosis?

<p>Those in whom the diagnosis is uncertain (B)</p> Signup and view all the answers

What percentage of patients are likely to develop tension pneumothorax?

<p>1 to 2 percent (B)</p> Signup and view all the answers

What is the term used to describe patients who have evidence of both fluid and air in the pleural space?

<p>Hydropneumothorax (B)</p> Signup and view all the answers

According to the British Thoracic Society (BTS) guidelines, what is the definition of a small pneumothorax?

<p>A distance of 3 cm from the chest wall to the visceral pleural line at the level of the hilum (C)</p> Signup and view all the answers

What is the recommended treatment for unstable patients with pneumothorax?

<p>Immediate chest tube thoracostomy (D)</p> Signup and view all the answers

What is the clinical evidence of tension pneumothorax?

<p>Tachycardia, hypotension, and severe dyspnea (D)</p> Signup and view all the answers

What is the recommended treatment when chest tube thoracostomy is delayed?

<p>Needle decompression of the pleural space (A)</p> Signup and view all the answers

What is the suggested treatment for patients with recurrent pneumothorax during the same hospital admission?

<p>Chest tube thoracostomy with a small-bore tube followed by a definitive procedure (C)</p> Signup and view all the answers

Which of the following is an indication for a definitive procedure after the first episode of PSP?

<p>Patients with a strong desire to avoid recurrence (A)</p> Signup and view all the answers

What is the purpose of radiologic evaluation in outpatient follow-up?

<p>To ensure continued full expansion of the lung (D)</p> Signup and view all the answers

Why should patients be advised to stop smoking?

<p>To reduce the risk of PSP recurrence (D)</p> Signup and view all the answers

What is the significance of large, bilateral, or life-threatening PSP?

<p>It is a relative indication for a definitive procedure (D)</p> Signup and view all the answers

Why should patients with high-risk occupations undergo a definitive procedure?

<p>To reduce the risk of PSP recurrence (A)</p> Signup and view all the answers

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