Thursday, June 6, 2019

You are caring for a patient with multiple-trauma. Of all of these injuries and conditions.. A deviated trachea



You are caring for a patient with multiple-trauma. Of all of these injuries and conditions, it the most serious?
A- A deviated trachea.
B- Gross deformity of a lower extremity.
C- Hematuria.
D- Decreased bowel sounds.

Correct Response: A
A deviated trachea is a serious life threatening condition.
A deviated trachea is a symptom of tension pneumothorax which can be life threatening.
All of the other symptoms will need to be addressed and treated, however, it is the deviated trachea that is the most severe and of the greatest priority.

Tracheal deflection occurs when the trachea is pressed to one side of your neck by abnormal pressure in the chest or neck cavity.

The trachea, also known as your wind tube, is a tube made of cartilage that allows the air to pass in and out of the lungs during breathing.
Usually, the trachea runs down the middle of the throat behind the larynx.
But when pressure builds up in your chest cavity, the trachea can be pushed to one side of the throat whenever the pressure is lower.
An injury that causes too much swelling or internal bleeding in the neck can create enough pressure to neutralize the trachea.

Tracheal deflection is a symptom:
- Some cases of chest, neck and lung.
- Chest injuries.
- Conditions aggravated by smoking or other sources of toxic air causing swelling or bleeding inside the neck.
In some cases, pregnancy can be caused by pressure exerted on your body.

What causes tracheal deflection?
Tracheal deflection is the most common caused by injuries or conditions that cause pressure to build up in the chest cavity or neck. Slots or hole in the chest wall, lungs, or other parts of your pleura cavity can cause the air to move only in one direction to the inside.
Pneumothorax is the most common cause of tracheal deflection of pressure buildup. This condition occurs when excess air accumulates in the cavity of your chest and can not escape. It is also known as lung collapsed.
The growth of cancerous tumors, lymph nodes and glands can also create stress in your chest.

What are the symptoms of tracheal deflection?
When the trachea deviates from normal, the air can not pass through it easily.
This can lead to the following symptoms:
- Cough.
- Problem breathing.
- Breathing or other unusual breathing sounds.
- Pain in your chest.
Symptoms are pretty much the same in both children and adults.

How is tracheotomy diagnosed?
- X-ray imaging test can show tracheal trachea. This can be done within a few hours and can provide a starting point for your doctor to look for underlying conditions.
- Other tests that can help your doctor diagnose a condition cause tracheal deflection include: Blood tests.
- Your doctor takes a sample of blood and sends it to a lab for analysis. The presence of certain antibodies or other substances can indicate a condition. MRI chest.
- Magnetic resonance imaging (MRI) is used to create a cross-sectional image of your body. This can indicate a block or other causes of chest compression. Computed tomography (CT).
- CT is another imaging test that uses X-rays to create a cross-sectional image of your body. Chest dislocation.
Your doctor inserts a needle into your ribs to remove fluid from your chest. A biopsy can then be performed to test the liquid.