CCRN Hemothorax
CCRN Hemothorax Overview
Hemothorax is a collection of blood in the space between the chest wall and the lung (the pleural cavity).
Signs and Symptoms
- Anxiety
- Chest pain
- Low blood pressure (shock)
- Pale, cool and clammy skin
- Rapid heart rate
- Rapid, shallow breathing
- Restlessness
- Shortness of breath
Causes
The most common cause of hemothorax is chest trauma. Hemothorax can also occur in people who have:
- Blood clotting defect
- Chest (thoracic) or heart surgery
- Death of lung tissue (pulmonary infarction)
- Lung or pleural cancer — primary or secondary (metastatic, or from another site)
- Tear in a blood vessel when placing a central venous catheter or when associated with severe high blood pressure
- Tuberculosis
Treatments
The goal of treatment is to get the person stable, stop the bleeding, and remove the blood and air in the pleural space.
- A chest tube is inserted through the chest wall between the ribs to drain the blood and air.
- It is left in place and attached to suction for several days to re-expand the lung.
If a chest tube alone does not control the bleeding, surgery (thoracotomy) may be needed to stop the bleeding.
The cause of the hemothorax will be also treated. The underlying lung may have collapsed. This can lead to breathing difficulty. In people who have had an injury, chest tube drainage may be all that is needed. Surgery may not be necessary.
Critical Care Courses
Overview
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Continuing Education
- Each Of Our Online Courses Has Been Approved Continuing Education Contact Hours by the California Board of Nursing
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How It Works
How It Works
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