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G.S., a 36-year-old secretary, was involved in a motor vehicle accident where a car drifted left of the center line and struck her head-on, pinning her behind the steering wheel. She was intubated and injuries were extensive: bilateral flail chest, torn innominate artery, right hemothorax and pneumothorax, fractured spleen, multiple small liver lacerations, compound fractures of both legs, and probable cardiac contusion. She was taken to the operating room for repair of her injuries. G.S. was admitted to the ICU postop, where she developed adult respiratory distress syndrome (ARDS). She has bilateral chest tubes to water suction with closed drainage, both dressings are dry and intact. She has a duodenal feeding tube, a Foley catheter to down drain, and a double lumen PICC line.

What is ARDS and the risk factors this patient has for developing ARDS?

What is the significance of the flail chest?

Explain hemothorax and pneumothorax, how are they different?

What are the priority nursing interventions for a patient with ARDS? Include rationale?

What are the priority nursing assessments/interventions for a patient with a chest tube? Include rationale?

SCIENCE
HEALTH SCIENCE
NURSING
MDCA 1432

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