Respiratory Flail Chest & Rib Fx Pathophysiology Signs & Symptoms: Deadly Complications Interventions • Broken ribs typically result after any major trauma: Car accident, falls & the like. • Flail chest: a segment of the rib cage completely breaks & becomes detached from the rest of the chest wall, a life-threatening medical emergency. • Paradoxical chest wall movement (key sign) The ribs sort of sucks INward during inspiration & floats out during expiration • Extreme chest pain • Shallow respirations • High risk for infection Pneumonia is very common • Hypercapnic respiratory failure from High CO2 retention, putting the body in an acidotic state. 1. Priority = Pain Control 2. Pulmonary hygiene only AFTER Pain is controlled YES - Administer prescribed Opioids Morphine TCDB - Turn, cough, deep breathing IS - Incenve Spirometer to re - expand the lungs & prevenng atelectasis Hydromorphone Hydrocodone F FUNKY CHEST WALL MOVEMENT F FLAIL CHEST Memory Trick: 1 st PRIORITY Paradoxical chest wall movement
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RespiratoryFlail Chest & Rib Fx
Pathophysiology
Signs & Symptoms:
Deadly Complications
Interventions
• Broken ribs typically result after any major trauma: Car accident, falls & the like.
• Flail chest: a segment of the rib cage completely breaks & becomes detached from the rest of the chest wall, a life-threatening medical emergency.
• Paradoxical chest wall movement (key sign) The ribs sort of sucks INward during inspiration & floats out during expiration
• Extreme chest pain • Shallow respirations
• High risk for infection Pneumonia is very common • Hypercapnic respiratory failure from High CO2 retention, putting the body in an acidotic state.
1. Priority = Pain Control
2. Pulmonary hygiene only AFTERPain is controlled
YES - Administer prescribedOpioids
Morphine
TCDB - Turn, cough, deepbreathing IS - Incentive Spirometerto re - expand the lungs& preventing atelectasis
Hydromorphone Hydrocodone
FFUNKY CHEST
WALL MOVEMENT
FFLAIL CHEST
Memory Trick:
1st PRIORITY
Paradoxicalchest wallmovement
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