Case 1 Part 4

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Y-shaped incision
External assessment
Removal of chest plate
Contact with EKG leads

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Discussion Questions

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1. What organs are in the chest?
 
 
2. Why is it more important to stay close to the ribs on the left side than on the right (when removing the chest plate)?
 
 
3. What are some of the initial assessments of the chest after removing the chest plate?
 
 
4. What causes pleural fluid?
 
 
5. How much pleural fluid does this patient have on the left side?
 
 
6. Does it look infected?
 
 
7. Is it transudative or exudative?
 
 
8. Do you think the pleural fluid interfered with the patient’s breathing?
 
 
9. Why did the physician put towels over the rib edges?
 
 
10. Identify the xiphoid process.
 
 
11. Identify the diaphragm.
 
 
12. Identify the pectoralis major and pectoralis minor muscles.





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