From Mosby's Medical, Nursing, & Allied Health Dictionary (Fourth Edition):
pneumothorax /noo'mothor'aks/ [Gk, pneuma, air, thorax, chest], a collection of air or gas in the pleural space causing the lung to collapse. Pneumothorax may be the result of an open chest wound that permits the entrance of air, the rupture of an emphysematous vesicle on the surface of the lung, or a severe bout of coughing, or it may occur spontaneously without apparent cause.
OBSERVATIONS: The onset of pneumothorax is accompanied by a sudden, sharp chest pain, followed by difficult, rapid breathing, cessation of normal chest movements on the affected side, tachycardia, a weak pulse, hypotension, diaphoresis, an elevated temperature, pallor, dizziness, and anxiety.
INTERVENTIONS: The patient is assured that the condition can be treated, is urged to remain quiet, and is placed in bed in Fowler's position. Oxygen is administered through a nasal cannula, unless contraindicated, and the air is immediately aspirated from the pleural space. A chest tube is inserted and attached to a water seal drainage system; the tube is not removed until air is no longer expelled through the underwater drainage system and an x-ray examination shows that the lung is completely expanded. Pain may be controlled by administering appropriate analgesics, but the use of respiratory depressants is avoided. Intermittent positive pressure breathing may be administered, and the patient is taught how to turn, cough, breathe deeply, and perform passive exercises and is told to avoid stretching, reaching, or making sudden movements.
NURSING CONSIDERATIONS: The patient is advised not to smoke but to drink fluids copiously, to exercise, to avoid fatigue and strenuous activity, and to report any symptoms of recurrence to the physician, such as chest pain, difficult breathing, fever, or respiratory infection.
4 comments:
Sheesh! What a "lovely" Easter present for Nigel. UGH!
Ouch!!
I hope he's doing OK.
YUK! Is he okay? That could not have been a fun trip to the hospital.
BOUFMOM9 -- yes, this will be one Easter we won't forget!
JILL -- he's doing much better, thank you.
McMILLANS -- when is a trip to the hospital ever fun? OK, I have to admit that I actually like hospitals (but only when I get to come home with a new baby afterwards).
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