Across
- 4. A nursing diagnosis could be "impaired gas ______ r/t ventilation-perfusion imbalance, decreased functional lung tissue.
- 5. Procedure that involves the insertion of a large-bore needle through the chest wall to get specimens and drain fluid so that the lung can re-expand.
- 9. CPR and mechanical ventilation can cause fractured ribs and this type of pneumothorax that is a medical emergency.
- 14. This tube is placed as a treatment for a significant pneumothorax that involves a device for fluid collection, and is attached to suction.
- 16. When air enters the pleural space, the change to ________pressure causes a partial or complete lung collapse.
- 17. An adjective, meaning; induced inadvertently by a physician or surgeon or by medical treatment or diagnostic procedures.
- 19. A pneumothorax is caused by ____ entering the pleural cavity.
- 21. Pneumothorax can be caused by perforation of the visceral or parietal _______,where a negative pressure normally exists.
- 23. If the patient is unstable, a _________ chest x-ray can be done.
- 24. Along with notifying the doctor, you also contact this therapist in the event of a suspected pneumothorax.
- 25. It is extremely important to _______ to breath sounds front and back after a thoracic medical procedure.
- 27. respiratory distress may include _______, rapid respirations, air hunger and dyspnea.
- 28. The situation is considered a high priority, or "____________".
- 29. Procedures such as a TEE (trans-esophageal echocardiogram), or the insertion of a gastric tube can tear this structure, allowing air into the mediastinum and pleural space.
- 30. NANDA definition of Impaired Gas Exchange is the excess or ___________ in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane.
- 31. The insertion of a central line catheter below the collar bone, called a subclavian approach. Can cause pneumothorax. Need a _________ after insertion.
Down
- 1. Transthoracic needle ______________ is the leading cause of iatrogenic pneumothorax, (where they remove fluid from the pleural space).
- 2. As the volume of air in the pleural space increases, the lung volume ________________.
- 3. Medical term for the bluish tinge of mouth, face, nailbeds, mucous membranes.
- 6. Chest pain and cough with or without __________may be present.
- 7. Oxygen levels with pulse oximetry may show oxygen _____________.
- 8. Name for the observation that finds the trachea to is off to the side.
- 10. In the event of a sudden pneumothorax, you place the patient in this position.
- 11. Assessment and report to the physician are the vital signs, work of _________ (respiratory effort) and lung sounds.
- 12. If a pneumothorax is _______, MILD tachycardia and dyspnea may be the only manifestations.
- 13. A procedure in which the bronchi are visualized through a fiber-optic tube. Tissue and sputum specimens can be obtained using this. Uncommon cause of pneumothorax, but possible.
- 15. If a pneumothorax occupies a large area, respiratory ____________may be present.
- 16. As the nurse, you need to _________ for a chest tube insertion if a pneumothorax is diagnosed.
- 18. You may find _________ breath sounds over the affected area of the lungs.
- 20. Monitor vital signs, cardiac _________, oxygen saturation, respiratory status and urine output.
- 22. Administer ___________ in the event of a pneumothorax. You can do this without a doctor's order.
- 26. Term of a pathologic occurrence due to excessive ventilatory pressure during manual or mechanical ventilation that ruptures alveoli or bronchioles.