Question

chapter 2 Pulmonary disorder case study 27
question 11: That afternoon, a powerful storm causes a power failure. what should you do?

chapter 2 Pulmonary Disorders Case Study 27 8. What should your next actions be? (apl 9. You note that the tissue surrounding the incision is edematous. As you palpate the area, your fingers sink into the skin and you auscultate a popping sound through your stethoscope. Is this to be expected? [cl 10. Based on your findings in question 9, what action should you taketap) 11. That afternoon, a powerful storm causes a power failure. What should you do? (apl 12. You evaluate P.W.'s activity tolerance and note that she desaturates when turned to her right side. You auscultate tubular breath sounds in the entire right lung posteriorly. Based on your knowledge of pathophysiology, explain the probable cause of the Mosby items and derived items © 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.

Answer 1

8. The actions to be done are :-

- Manually resusitate the patients who are under ventilated supportnuntil the battery mode or generator is on .

- Switch on the battery mode of the ventilator if it was not in the autoplay mode

- Switch on the backup generator for power supply

9. If the incision is one day old -- there should be a tracheostomy in the incision itself.

It this the case here -- and there is a popping sound here --the diagnosis is subcutaneous emphysema.

Air can escape from the trachea itself -- to the underneath the skin and tissues of the neck -- and this is relatively common following a tracheostomy procedure.

10. Nothing generally needs to be done with a small amount of subcutaneous emphysema.

If this area becomes larger (as you will note the neck and face can get very "puffy") -- then there should be concern for air continuing to escape into these tissues, either from a poorly fitting tracheostomy cannula or injury to the trachea itself causing a "leak".

11. Actions to be taken are :-

- Manually resusitate the patients who are under ventilated supportnuntil the battery mode or generator is on .

- Switch on the battery mode of the ventilator if it was not in the autoplay mode

- Switch on the backup generator for power supply if not autoplay ( generator should be always in the one mode )