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Clinical vignette on Pneumothorax
Pneumothorax case study
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1. Describe the relationship between intrapulmonary pressure, atmospheric pressure, and air flow during normal inspiration and expiration, referring to Boyle’s law. - Boyles law states that as the pressure of gas increases then the volume of gas decreases. Which is how intrapulmonary and atmospheric pressure are connected to one another. Intrapulmonary pressure is lower while undergoing inspiration and higher than atmospheric pressure during the time of expiration.
Bronchioles constrict from the increased pressure in the lungs from exhalation. Inhalation is easier because it relieves the pressure.
The potential space between the instinctive and parietal pleurae is known as the intrapleural space. The intrapleural and intrapulmonary pressures fluctuate amid ventilation. The intrapulmonary pressure is subatmospheric amid inspiration and more prominent than the atmospheric pressure amid expiration. Pressure changes in the lungs are delivered by varieties in lung volume, as per the opposite relationship between the volume and pressure of a gas portrayed by Boyle's law. The mechanics of ventilation are affected by the physical properties of the lungs.
Hyaline membranes help to the development of fibrosis and atelectasis (collapse) essential to decrease in gas exchange capability and lung dysfunction. These changes cause the lungs to become stiff, patient work hard to inspire. Hypoxemia and the stimulation of juxtacapillary receptors in the stiff lung parenchyma leading to increase respiratory rate and decrease in tidal volume. Breathing irregular increase carbon dioxide removal,
Because they also encourage mucous secretions, macrophage activity on pneumococci is decreased while bacterial adhesion to the epithelium is increased. Pneumonia is a condition that aggravates the air sacs in one or both lungs. The air sacs may fill with fluid or pus causing cough with phlegm or pus, fever, chills, and difficulty breathing. Cyanosis occurs as a result of the decrease in gas exchange through the inflamed alveolar membrane and subsequent decline in hemoglobin saturation. One of the most common complications of the flu is a bacterial infection.
From these questions that were given out by Dr. Frander, many students should have a great understanding what to expect to the mid-term exam. Dr. Frander really encouraged us to study because most of these questions are difficult. For instance, she gave us an example in a patient who has COPD/ emphysema. What we have concluded from this question what they are looking for the emphysema patients don’t have a problem of taking air in rather they have a problem of taking the air out. The main problem of the emphysema, they have a lot of mucus, and the alveoli which where the gas exchange takes is impaired.
HFOV aims at accomplishing ultra fast tidal volume that are less than patients anatomic dead space. A mechanical diaphragm oscillates between 3-15 times a second which creates a push and pull effect on the airway from the endotracheal tube to alveoli. HFOV is useful in severe hypoxic respiratory failure and inpatient with large bronchopulmonary fistula where a tidal volume is lost through the chest tube. The advantage of HFOV is that it can increase the mean airway pressure and oxygenation without high subjecting lung tissue to distending pressures and volume. In essence, HFOV can prevent barotrauma as well as volutrauma.
Tension Pneumothorax happens when the air has become trapped between the lungs and the rib cage, which is called the pleural space. As the pleural space fills the lungs it not able to expand which causes the lung to collapse. After the lung collapses the air from one side begins to push to the functioning lung causing the working lung to function harder than usual. The pleural space can obtain oxygen through either a closed pneumothorax or through an open pneumothorax. Tension pneumothorax occurs after a closed pneumothorax or an open pneumothorax has been left untreated.
Pneumocephalus may not cause symptoms and the body may absorb the air over time. However, if intracranial air builds up and cannot be released or absorbed, it can put pressure on your brain (tension pneumocephalus). Tension pneumocephalus is a medical emergency that requires immediate treatment. CAUSES Neurosurgery is a common cause of pneumocephalus.
I believe that the main idea of the article Choking Under Pressure is Every Athlete’s Worst Nightmare is that you should never doubt yourself. Throughout the story you can see this theme come out in every athlete’s experience that was shown. For example, on line numbers 22 to 25 the story shows Laura Wilkinson doubt herself. It reads “Wilkinson knows what it’s like to get hung up in doubts and anxieties. At her first international meet, she says she was seized by a feeling of near panic.
Mesothelioma is a type of cancer that affects the lining of the lungs and the abdomen. It is one of the less common types of cancer affecting approximately 2000 people each year in the UK and it is almost always caused by asbestos exposure. If it affects the lining of the lungs (the pleura) it is referred to as pleural mesothelioma. In this article I will be outlining three of the most common symptoms for this type of cancer and explaining what you should do if you suspect you have developed this condition. The pleura (lining of the lungs) is actually comprised of two parts.
When Providing tracheostomy care it is important to utilize opproriate technique per facility procedure. It is essential to identify the correct patient. First one need to gather all necessary supply to perform the procedure. Proper hand washing is the key to prevent infection. Threachestomy care is a sterile technique it is vital to do not break sterility.
Live Like Endotracheal Tube, Live to Sustain Life in Times of Trouble Noticed the kind of world we live in. It is full of trouble, full of chaos. There are several threats of war everywhere. Other countries are even in an ongoing war at this very moment.
Pressure epiphysis is the ‘’secondary centre of ossification that forms at the articular end of a long bone”. Pressure is involved in the formation of joints. The pressure epiphysis assists transmitting the weight of the body. For example, the head of the femur as a component of the hip joint complex, also the head of the humerus, this forms a part of the shoulder complex.
If the blower places too much force into it, the balloon can burst. The result is the saliva and air will enter the body where it does not belong and could cause serious complications. The authors from the University Hospitals of Leicester NHS Trust said that after they examined the patient, they heard popping and crackling sounds that extended from the man’s neck to his rib cage. It is a sign that air bubbles have found their way into the tissue and muscles of the patient’s chest. Dr. Douglas Chepeha, an ear, nose, and throat specialist at the University Health Network in Toronto, described the tear in the man’s throat as