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CONCEPT MAP
CONCEPT MAP: Pneumohemothorax secondary to Gunshot Wound
Bullet
Bullet penetrated at right upper chest wall and its vascular network
Possible infection
Air enters to the pleural cavity through the penetrated chest wall
Hemothorax
Chest X-ray
Pneumothorax
Tramadol hydrochloride 10mg slow IV as rescue analgesic Dolfenal 500mg 1 tab TID
Dyspnea RR: 26
Inefective breathing pattern Tramadol hydrochloride 10mg slow IV as rescue analgesic Dolfenal 500mg 1 tab TID Cefugen 750 mg IVTT every 8 hours CBC: WBC - 11.5 / 5-10 x 10g/L
Dyspnea RR: 26
Ventilation-perfusion mismatching
Legend:
Acute pain Risk for infection Hypoxia Ineffective Airway clearance Ventolin 1 neb every 8 hours & Robittusin Pulse Oximetry O2 sat: 90% Oxygen inhalation at 2L/minutes CBC hemoglobin: 113.0 Hypoxemia / 130 160g/L
Pathogenesis Nursing Care Plans Diagnostic Test Factor Nursing Management Clinical Manifestations
Medical/Surgical Management
Medication
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