CHEST INJURIES : SHORT NOTE FOR NURSES

CHEST INJURIES : SHORT NOTE FOR NURSES

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CHEST INJURIES

A chest injury can occur as the result of an accidental or deliberate penetration of a foreign object into the chest. This type of injury can also result from a blunt trauma, leading to chest wall injury (causing rib bruises, fracture, lung or heart contusions

RIB FRACTURE



Most common sites is between 4th to 8th ribs because these ribs are least supported or protected by chest muscle

SIGNS ANS SYMPTOMS

– Pain increase with respiration
– Shallow breath
– Decreased breath sound
– Tenderness in the sight

DIAGNOSIS

• X-RAY chest
• ABG shows respiratory acidosis

MANAGEMENT

– Provide High Fowler’s Position
– Administer pain medication
– Splint the sight with hand
– Apply supportive dressing
– If pain is severe give intercostal nerve block by inj xylocaine

FLAIL CHEST

Flail chest is a life-threatening medical condition that occurs when a segment of the rib cage breaks due to trauma and becomes detached from the rest of the chest wall. Two of the symptoms of flail chest are chest pain and shortness of breath.

SIGNS AND SYMPTOMS

– Paradoxical respiration( chest moves inward during inspiration and out ward during expiration)
– Pain, tachypnea, tachycardia, shallow respiration, dyspnea, cyanosis, hypo-tension.



MANAGEMENT

– Provide fowler’s position
– Administer humidified oxygen
– Maintain patient on mechanical ventilator if needed
– Provide bed rest to reduce O2 demand
– Administer pain medication
– Frequent turning, coughing, and deep breathing exercises
– Monitor spontaneous reunion of ribs

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