PNEUMOTHORAX CONCEPT MAP

PREDISPOSING FACTORS: KRIZLE ADAZA | September 4, 2020

PRECIPITATING FACTORS:
Age
Smoking
Genetics Any chest injury Exposure to second hand
Immunocompromised
smoke/Environment
Lung Disease
Previous Pneumothorax
Mechanical Ventilation
Aspiration of foods or fluids
Pleaural is breached, air
enters the pleural space

Air or blood enters the

Air enters the pleural space
pleural space through rub or
but does not leave
bleb rupture
Positive pressure has
entered the pleural space,
the lung or a portion of it
collapses

The pleural tear act as a ball

The pleaural tear is sealed
and valve mechanism

PNEUMOTHORAX

Rapid increase of pressure

The pleaural cavity pressure in chest with compression
is < the atmospheric atelectais of unaffected lung
pressure
Increase intrathoracic
pressure and reduction in
vital capacity Shift in mediastinum to the
opposite side of the chest
Closed Pneumothorax and compression of the vena
cava with impairment of
venous return to the ehart
The pleural cavity pressure
is = the atmospheric
pressure
Air filled bleb or blister on The pleural caivty pressure
the lung surface ruptures is > the atmmospheric
pressure

Open Pneumothorax

Spontanous Pneumothorax Tension Pneumothorax

Air escapes from laceration
in the lung itself and enters
the plerual space or from
wound in the chest wall
CLINICAL MANIFESTATIONS:
Air filled blebs rupture on Trapping of gases and
top of the lungs destruction of lung tissue Pain
Minimal Respiratiory distress
Fractured and dislocated
Dyspnea
ribs continously and Central Cyanosis
penetrate the pleura
Chest Ecpansion
Primary Spontanous Secondary Spontanous Breath sounds dimished or absent in both open
Pneumothorax Pneumothorax and tension pneumothorax
Tracheal alignment is midline or shifted away
Hemothorax from the affaected side

Legends:

ASSESSMENT AND DIAGNOSIS:

Predisposing
Traumatic Pneumothorax
Factors Thoracic CT
Chest x-ray
Precipitating ABGs
Factors Thoracentesis
Hb
Clinical
Manifestations

Assessment and MEDICAL/SURGICAL MANAGEMENT:

Diagnosis
Chest Tube
Medical Maintain a closed chest drainage system
Management Monitor chest tube unit for any kinks or bubbline
Autotransfusion
Antibiotics
Main Oxygen Therapy
Disease Thoracotomy

Classifications of the
Main disease in
assorted color