Develop 2 Top Priority Nursing Care Plan to this patient. 2. Develop a patient centered Pathophysiology of the patient. 3. Summarize the Article: Care of A Chest Tube a. URL: https://www.ncbi.nlm.nih.gov/books/NBK556088/ b. Enumerate your Nursing Responsibilities for client with CTT

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
icon
Related questions
icon
Concept explainers
Question
A 21-year-old man with a past medical history of asthma presented with acute worsening shortness of breath overnight with no identifiable trigger. The patient had experienced this symptom for three weeks although less severe initially. He also stated that the symptom was accompanied by cough, chest tightness, and pain across the anterior chest but could not clearly describe the characteristics of the pain. The difficult breathing was worsened with lying flat. He denied any history of smoking. On initial presentation, his vital signs included a temperature of 36.7°C, a blood pressure of 119/83 mmHg, a heart rate of 105 beats/min, respiratory rate of 18 breaths/min, and an oxygen saturation of 97% on room air. The patient was 170.2 cm tall and weighed 57.2 kg and BMI of 19.79 kg/m2. Physical examination revealed a distressed and ill-appearing male. Cardiopulmonary examination was notable for tachycardia, tachypnea, and decreased breath sounds in both upper lung fields. Laboratory results showed mild leukocytosis with a white blood cell count of 12.9 × 109 cells/L, 72% neutrophils, and 16% lymphocytes. His hemoglobin level was 16.2 g/dl with a hematocrit of 48.6% and platelet count of 243 × 109 cells/L. The blood biochemical profiles were unremarkable. Chest X-ray (CXR) (Figure 1) showed bilateral large pneumothorax (>2cm) with minimal bilateral pleural effusions and significantly compressed mediastinum. A diagnosis of Simultaneous Bilateral Primary Spontaneous Pneumothorax (SBPSP) was made. Chest tubes were placed bilaterally with immediate improvement in breathing and tachycardia. The right- and left-sided chest tubes drained serosanguinous fluids, 5 ml and 10 ml, respectively. Patient’s clinical condition continued to improve and a follow-up CXR immediately following the procedures (Figure 2) showed a decrease of pneumothorax in both sides. However, during the hospital course, the chest tubes continued to have an air leak and the follow-up CXR continued to demonstrate residual pneumothorax without full lungs expansion. Computed tomography (CT) scan without contrast of the chest revealed subpleural blebs in both upper lobes. Due to continuous air leak without full lung expansion with conservative management, the patient was referred to thoracic surgery evaluation. Questions/ Activities: 1. Develop 2 Top Priority Nursing Care Plan to this patient. 2. Develop a patient centered Pathophysiology of the patient. 3. Summarize the Article: Care of A Chest Tube a. URL: https://www.ncbi.nlm.nih.gov/books/NBK556088/ b. Enumerate your Nursing Responsibilities for client with CTT
Expert Solution
steps

Step by step

Solved in 2 steps

Blurred answer
Knowledge Booster
Organ system
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning