A 32-year-old male comes into the ED with chest trauma. He is cyanotic, dyspneic, with a thread rapid pulse, and very hypotensive
a. What medical management would you consider for this client?
b. If this client shows flail chest, what else would you want to watch for?
Students' answers should include the following:
a. Discussion should include airway, oxygen perfusion, internal bleeding, x-ray, labs, and possible mechanical ventilation.
b. Discussion would include inadequate tissue perfusion, which would affect cardiac output. This may put the client at risk for respiratory acidosis. Discussion should address this.
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