CASE SCENARIO: DAY 4 A 92-year-old man was referred to the…

Question Answered step-by-step CASE SCENARIO: DAY 4 A 92-year-old man was referred to the… CASE SCENARIO: DAY 4 A 92-year-old man was referred to the emergency department by his general practitioner because of suspicion of pneumonia. The patient reported increasing dyspnea and bilateral pain at the thoracic base. Four weeks earlier he fell from the stairs and since then he suffered from mid-dorsal back pain. Physical examination of the lungs revealed tachypnea, decreased breath sounds on the left side and unequal chest rise. Heart auscultation demonstrated regular rate tachycardia (110 bpm). Abdominal examination showed a distended abdomen with hypoperistalsis, but no tenderness. On a chest x-ray a left tension pneumothorax was seen with pleural effusion on the left side and three recent basal dorsolateral rib fractures. Surprisingly a pneumoperitoneum was also visible on the chest x-ray. Needle decompression was immediately executed. Subsequently an apical chest tube was inserted on the left side and approximately 500 ml of serous and bloody fluid was drained.  QUESTIONS:Physical examination of the lungs revealed tachypnea, decreased breath sounds on the left side and unequal chest rise, state the rationale behind why such patient present the above manifestations.Discuss needle decompression procedure and the significance of this to the condition of the patient.Explain the chest tube thoracostomy. Identify the one way, 2 way and 3 way bottle chest drainage. Health Science Science Nursing BSN 113 Share QuestionEmailCopy link Comments (0)