السبت، 23 يونيو 2018

60-Subcutaneous emphysema

About
Air leaking out of the lungs into the tissues. Causes a crackling sound when the tissue is palpated. Usually corrected by correcting the air leak.
Assess
Crackles when palpating skin on chest wall or neck, pre-existing trauma causing air leak
Complications
Tracheal and laryngeal edema, airway obstruction, complications from other injuries.
Diagnosis

  • Risk for injury related to edema and swelling.
  • Risk for infection.
Goals
The client will remain free from injury.
The client will maintain a patent airway.
Interventions

  • Assess lung sounds, edema extent and severity, airway, pulse-oximetry, vitals signs frequently.
  • Monitor for stridor, wheezing, dyspnea or other indicators of tracheal edema or obstruction.
  • Prepare for tracheostomy if airway edema worsens or progresses.
  • Monitor for decreasing swelling and crackles upon palpation indicating resolution of condition.
  • Teach client signs and symptoms that may indicate worsening of condition or potential complication.

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