Restrictive Lung Disease And Pneumo/Hemothorax N180 Stokke

Intrinsic Lung Disease

Extrinsic Lung Disease

Interstitial Lung Disease

Reduced lung volume

Reduced lung compliance

Reduced gas exchange due to deterioration of pulmonary vascular system

It is a problem with the parenchyma of the lung

It is an inflammatory process

The alveoli fill with exudate and fluid

Causes include Scleroderma, Lupus, and Scoliosis

None of the above

Extrinsic; swelling caused by damage to the thoracic cavity

Intrinsic; decreased space in the thoracic cavity due to pregnancy

Extrinsic; black lung disease

Intrinsic; a general term for occupational lung diseases such as asbestosis

It is extrapyramidal

It can be caused by chest wall problems such as scoliosis, chronic PE, and abdominal problems

It can be caused by cardiac and neuromuscular problems

None of the above

Dyspnea that gets worse with exertion

Absent breath sounds on one side

Chest pain

Fatigue

Use of accessory muscles during breathing

Subcutaneous emphysema

Rapid, shallow respirations

Aspiration due to difficulty managing secretions

Decreased chest wall movement

ABGs may be normal at rest, but hypoxemic during exercise

CXR may be normal

Wheezing

Dry cough (if intrinsic)

Dyspnea that gets worse with exertion

Absent breath sounds on one side

Chest pain

Fatigue

Use of accessory muscles during breathing

Subcutaneous emphysema

Rapid, shallow respirations

Aspiration due to difficulty managing secretions

Decreased chest wall movement

ABGs may be normal at rest, but hypoxemic during exercise

CXR may be normal

Wheezing

Dry cough (if intrinsic)

O2 therapy

CPAP (if refractory)

Chest tube

Chest wall surgery (if extrinsic)

Pleurodesis

Heart valve replacement, cardiac meds (if cardiac problem)

Antibiotics or steroids (if inflammatory)

Ventilator (if severe refractory)

Wedge resection

Lobectomy

Pneumonectomy

Spontaneous blood leak from the lung

Traumatic injury

Iatrogenic (surgery)

Spontaneous lung collapse

None of the above

O2 therapy

CPAP (if refractory)

Chest tube

Chest wall surgery (if extrinsic)

Pleurodesis

Heart valve replacement, cardiac meds (if cardiac problem)

Antibiotics or steroids (if inflammatory)

Ventilator (if severe refractory)

Wedge resection

Lobectomy

Pneumonectomy

Surgically removing a section of the lung.

A procedure in which the surgeon opens the chest wall and irritates the surface of the lung so it will adhere to the chest wall as it heals.

A procedure in which a talc solution is injected into the pleural space, which irritates the surface of the lung, causing it to adhere to the chest wall as it heals.