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PCCN Progressive Care Certified Nursing

Category - PCCN

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An old man was on ventilator support because of his worsening pulmonary edema. In spite of the ventilator’s support, after a few days the patient’s condition further deteriorated. He became breathless and complained of pain in left side of chest. Chest x-ray revealed mediastinal shift towards right and pneumothorax right. What has suddenly happened to the patient?
  1. Ventilator induced lung injury
  2. Pulmonary emphysema
  3. Atelectasis
  4. COPD
Explanation
Answer: A - The patient has experienced a ventilator induced lung injury. The patient with worsening pulmonary edema and breathlessness, and whose x-ray revealed mediastinal shift towards right and pneumothorax right, has suddenly developed ventilator induced lung injury. This occurs because of continuous positive pressure. Sometimes the pleural sac ruptures and a pneumothorax and mediastinal shift occur.
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