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    ANA Delafuente
    Pleurisy refers to inflammation of the pleural membranes lining the lungs. It causes severe, sharp chest pain that can be relieved with analgesics, NSAIDs, or nerve blocks. A pleural effusion is a collection of fluid in the pleural space that is usually caused by an underlying condition and may cause fever, chills, chest pain, and difficulty breathing. Treatment involves draining the fluid via thoracentesis or chest tube. Empyema is a collection of thick, infected fluid in the pleural space causing symptoms like fever, night sweats, and weight loss. It requires drainage and possibly surgery. Acute respiratory distress syndrome (ARDS) is a spectrum of lung injury where the lungs fill with fluid, impair

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    Pleurisy refers to inflammation of the pleural membranes lining the lungs. It causes severe, sharp chest pain that can be relieved with analgesics, NSAIDs, or nerve blocks. A pleural effusion is a collection of fluid in the pleural space that is usually caused by an underlying condition and may cause fever, chills, chest pain, and difficulty breathing. Treatment involves draining the fluid via thoracentesis or chest tube. Empyema is a collection of thick, infected fluid in the pleural space causing symptoms like fever, night sweats, and weight loss. It requires drainage and possibly surgery. Acute respiratory distress syndrome (ARDS) is a spectrum of lung injury where the lungs fill with fluid, impair

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    Pleurisy refers to inflammation of the pleural membranes lining the lungs. It causes severe, sharp chest pain that can be relieved with analgesics, NSAIDs, or nerve blocks. A pleural effusion is a collection of fluid in the pleural space that is usually caused by an underlying condition and may cause fever, chills, chest pain, and difficulty breathing. Treatment involves draining the fluid via thoracentesis or chest tube. Empyema is a collection of thick, infected fluid in the pleural space causing symptoms like fever, night sweats, and weight loss. It requires drainage and possibly surgery. Acute respiratory distress syndrome (ARDS) is a spectrum of lung injury where the lungs fill with fluid, impair

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    14 views2 pages

    Oxy Reports

    Uploaded by

    ANA Delafuente
    Pleurisy refers to inflammation of the pleural membranes lining the lungs. It causes severe, sharp chest pain that can be relieved with analgesics, NSAIDs, or nerve blocks. A pleural effusion is a collection of fluid in the pleural space that is usually caused by an underlying condition and may cause fever, chills, chest pain, and difficulty breathing. Treatment involves draining the fluid via thoracentesis or chest tube. Empyema is a collection of thick, infected fluid in the pleural space causing symptoms like fever, night sweats, and weight loss. It requires drainage and possibly surgery. Acute respiratory distress syndrome (ARDS) is a spectrum of lung injury where the lungs fill with fluid, impair

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    MEDICAL SURGICAL NURSING  Pleurodesis (may be performed using

    (Oxygenation) either a thoracoscopic approach or


    a chest tube).
     Surgical pleurectomy (insertion of a
    Pleurisy (Pleuritis) refers to inflammation of small catheter attached to a
    both layers of the pleurae (parietal and drainage bottle for outpatient
    visceral). The result is severe, sharp, knife- management).
    like pain.
    Empyema is an accumulation of thick,
    Medical Management: purulent fluid within the pleural space, often
    with fibrin development.
     Analgesic agents and topical
    applicators of heat or colds provide Clinical Manifestations:
    symptomatic relief.
     Fever
     NSAIDS may provide relief while
     Night sweats
    allowing the patient to take deep
     Pleural pain
    breaths and cough more effectively.
     Cough
     If the pain is severe, an intercostal
     Dyspnea
    nerve block may be required.
     Anorexia
    Pleural Effusion is a collection of fluid in  Weight loss
    the pleural space and is rarely a primary
    Assessment and Diagnostic Findings:
    disease process, usually secondary to other
    diseases.  Chest auscultation
     Chest CT
    Normal pleural space contains a
     Diagnostic thoracentesis (often with
    small amount of fluid (5-10 mL) which acts
    ultrasound guidance)
    as a lubricant that allows the pleural surfaces
    to move without friction. Medical Management:
    Clinical Manifestations: (usually the  Thoracentesis (needle aspiration)
    clinical manifestations are caused by  Tube Thoracostomy (chest drainage
    underlying disease) using a large-diameter intercoastal
    tube attached to waster-seal
     Fever
    drainage).
     Chills
     Pleuritic chest pain Acute Respiratory Distress Syndrome
     Malignant effusion may result in (ARDS) can be thought of as a spectrum of
    dyspnea, difficulty lying flat, and disease, progressing from mild to moderate
    coughing. to its most severe, fulminant form.
    Medical Management: Mild ARDS (>200mmHg but ≤
    300mmHg)
     Thoracentesis (to remove fluid, to
    Moderate ARDS (>100mmHg but ≤
    obtain specimen for analysis, and to
    200 mmHg
    relieve dyspnea and respiratory
    Severe ARDS (≤100mmHg)
    compromise).
    Assessment and Diagnostic Findings:
     Plasma brain natriuretic peptide
    (BNP) levels
     Echocardiography
     Pulmonary artery catheterization
    Medical Management:
     ET Intubation
     Mechanical ventilation
     Circulatory support, adequate fluid
    volume, and nutritional support are
    important.
    Nursing Management:
    A patient with ARDS is critically ill and
    requires close monitoring in the ICU.
     Oxygen administration
     Nebulizer therapy
     CPT and ET Intubation or
    Tracheostomy
     Mechanical ventilation
     Suctioning
     Bronchoscopy
    Pulmonary Edema (Noncarcinogenic) is
    the abnormal accumulation of fluid in the
    lung tissue, the alveolar space, or both. It is
    a severe, life-threatening condition.

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