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From Tackle to Tension Pneumothorax


Author(s)

William B. Kist


william.kist.wk@gmail.com
Kyle Smith
School of Nursing
Southern Illinois University Edwardsville
kylesmith_68@hotmail.com
Andrea Fentem
Department of Psychiatry
Washington University in St. Louis
afentem718@gmail.com
Chaya Gopalan
Departments of Applied Health, Primary Care and Health Systems
Southern Illinois University Edwardsville
cgopala@siue.edu

Abstract

Tension pneumothorax is a condition that is associated with air in the pleural space. In this case study, tension pneumothorax is caused by a rupture in the pleura of the lung due to blunt force trauma. Students are presented with a patient scenario that entails a physical assessment, vital signs, blood labs, medical history, and a method of treatment. Students must correlate lab and diagnostic testing to the underlying pathology, interpret the data, and create a treatment plan that is appropriate for a tension pneumothorax in the acute stages and follow-up period. The case was written for use with a modified team-based learning format involving groups of four to five students, but it could also be completed as an individual project. It is targeted to premedical/allied health students and is appropriate for any respiratory course at the undergraduate or graduate level in a biomedical science program, nursing science program, or for health-related professional courses such as advanced physiology or advanced pathophysiology.

 


Objectives

  • List the major lung capacities and lung volumes.
  • Compare anatomical vs. physiological dead space.
  • Explain ventilation-perfusion matching.
  • Locate the central and peripheral chemoreceptors.
  • Explain how each type of chemoreceptor specifically responds to chemical stimuli.
  • Explain the major respiratory centers in the brainstem and how they are thought to control breathing.
  • Explain the Henderson-Hasselbalch equation and its relevance to the body's major buffering system.
  • Compare obstructive vs. restrictive lung diseases.
  • Obtain electrolyte values and calculate anion gap.
  • Determine how tension pneumothorax affects ABGs.
  • Understand key treatments to a pneumothorax and asthma.
  • Correlate physical assessment data with potential underlying pathophysiology.

Keywords

Collapsed lung; ventilation-perfusion; obstructive; restrictive; FEV; lung capacities; arterial blood gas; chemoreceptors; respiratory centers; anion gap; Henderson-Hasselbalch; lung disease; treatment; long-term management; clinical manifestations

Topical Areas

N/A

Educational Level

Undergraduate upper division, Graduate, Clinical education

Format

PDF

Type / Methods

Directed, Discussion

Language

English

Subject Headings

Physiology  |   Medicine (General)  |   Nursing  |   Pharmacy / Pharmacology  |  


Date Posted

12/23/2019

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