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LUNG COMPRESSION
Objectives
MVA
Falls
Hitting the chest
Patient being thrown into an object
Compression e.g. crush injury
Results
Chest x-ray
CT scan
CBC
INR, PT, PTT
Type and cross match
Pulse Ox
Arterial blood gases
ECG
Goals
SOB
Anxious patient
Tachypnea
Sucking sound heard because of the rush of
air through the wound in the chest wall e.g.
sucking chest wounds
Tension
SOB
Respiratory failure
Tachycardia
Bloody
Purulent
Clear
Chest x-ray
Thoracentesis
Pleural fluid gram stain and culture
CT scan of chest
Drain pleural cavity to achieve full lung expansion
Thoracentesis
Chest drainage tube
Thoracotomy
Administer antibiotics
Nursing Management
Vent support
Clear secretions from lungs
Control pain
Severe flail requires endotrachial intubation and
mechanical ventilation
Careful monitoring of chest x-ray, arterial blood
gases, pulse ox