Table of Contents
What is the best position to place a patient when you assess for jugular?
To properly evaluate jugular venous distension, the patient must be placed at a 45-degree angle, or slightly less. Visualization of the jugular veins is best done at an oblique angle, so sit beside the patient and elevate the head of the cot into a semi-Fowler’s position.
In which condition is recommended you use positive pressure ventilation?
Noninvasive positive pressure ventilation (NIPPV) using a face mask or helmet is recommended for use in certain patients with chronic obstructive pulmonary disease or congestive heart failure.
Which blood vessels can be lacerated by a fractured rib?
A sharp end of a break in one of the first three ribs at the top of your rib cage could rupture your aorta or another major blood vessel. Punctured lung. The jagged end of a broken middle rib can puncture a lung and cause it to collapse. Lacerated spleen, liver or kidneys.
What are the 2 most common injuries caused by penetrating chest trauma?
Hemothorax, pneumothorax, and a combination of these two injuries are the most common fatal complications of penetrating and blunt chest traumas.
How do you assess JVP?
It has been taught that the best method for evaluating the JVP is to position the patient supine in bed, elevate the patient’s head to approximately 30–45 degrees, and measure or estimate the vertical height of the meniscus of the right internal or external jugular vein above the sternal angle (angle of Louis) which is …
How is JVD assessed?
While you’re lying down on an exam table, with the head of the table at a 45-degree angle and your head turned to the side, your doctor will measure the highest point at which pulsations can be detected in your internal jugular vein.
When assessing a patient with a hemothorax you would most likely find?
Dullness to percussion over a portion of the affected hemithorax is often noted and is more commonly found over the more dependent areas of the thorax if the patient is upright. Decreased or absent breath sounds upon auscultation are noted over the area of hemothorax.
How do you assess chest trauma?
Assess the chest – expose:
- Note respiratory rate / effort / Sp02.
- Look for open / penetrating wounds / tracheal deviation / plethoric facies.
- Observe any bruising / deformity / abnormal chest movements: Intercostal & / or supraclavicular in-drawing.
What is penetrating chest injury?
Penetrating chest wounds can be classified as either high- or low-energy injuries. High-energy injuries include ballistic-type injuries such as gunshot wounds, arrow wounds, and those resulting from explosions. Low-energy injuries are sustained from stabbings and slashings.