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Ingrijirea pacientului cu pneumotorax spontan

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DEF: pneumotoraxul este o efectiune  caracterizata prin prezenta unei colectii gazoase in cavitatea pleurala

CAUZE:

  • bronsiectazii
  • emfizem pulmonar
  • TBC
  • bronsite cronice
  • tuse convulsiva
  • pneumotorax traumatic


SIMPTOME:

  • junghi toracic violent asemanator unei lovituri de pumnal
  • dispnee foarte accentuata
  • tahipnee
  • anxietate
  • cianoza
  • tuse chinuitoare cu fenomen de insuficienta respiratorie acuta
  • uneori fenomen de soc pleural cu tahicardie si puls mic si rapid
  • fenomen de colaps
  • transpiratii reci

CONDUITA DE URGENTA:

  • asezarea pac in poz semisezand
  • repaus absolut vocal
  • combaterea durerii cu antialgice
  • administrare de enxiolotice ( blegomazin, diazepam)
  • oxigenoterapie
  • sedative ale tusei (codeina)
  • in fenomenul masiv de pneumotorax se executa exuflatia decompresiva (trocar la care se adapteaza un tub de cauciuc care se introduce in apa)

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