Chapter 29
Distended jugular veins, narrowing pulse pressure, and muffled heart tones are collectively known as _______.
Beck's triad
A patient with a chest injury has a blood pressure of 100/60 mm Hg and a pulse rate of 120 beats/min. Which of the following additional findings should make you suspect a pericardial tamponade?
Repeat BP of 90/68 mm Hg
pneumothorax is defined as...
accumulation of air in the pleural space
Patients with rib fractures will commonly...
breathe rapidly and shallowly
Signs and symptoms of a tension pneumothorax include all of the following EXCEPT...
collapsed jugular veins
Your are transporting a stable patient with a possible pneumothorax. The patient is receiving high-flow oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is MOST likely causing the patient's deterioration?
compression of the aorta and vena cava
Paradoxical motion is a sign of a __________.
flail chest
Common signs and symptoms of a chest injury include all of the following, EXCEPT
hematemesis
The pliability of the pediatric rib cage _______________.
increases the risk of internal injury
The treatment for relieving a tension pneumothorax involves...
inserting a needle through the rib cage into the pleural space
Hemoptysis indicates damage to the ____________.
lungs
The esophagus, trachea, and great vessels reside in the __________.
mediastinum
If a person's tidal volume decreases, but his or her respiratory rate remains unchanged...
minute volume will decrease
A rapid, irregular pulse following blunt trauma to the chest is MOST suggestive of a...
myocardial contusion
Irritation or damage to the pleural surfaces that causes sharp chest pain during inhalation is called...
pleurisy
Following blunt trauma to the chest, an 18 year old female presents with respiratory distress, shallow breathing, and cyanosis. Her blood pressure is 80/50 mm Hg and her pulse is 130 beats/min and thready. You should...
provide ventilation assistance with a BVM
When assessing a patient with a hemothorax, you will MOST likely find...
signs and symptoms of shock
Immediate death from blunt chest trauma following a motor vehicle crash is MOST often the result of:
traumatic aortic rupture
The body's ability to move air in and out of the lungs in called...
ventilation
A 19 year old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of the injury, what MOST likely occurred?
ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle
