a patient arrives with a large open chest wound after being assaulted with a machete. prehospital providers placed a nonporous dressing over the chest wound and taped it on three sides. he is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood pressure. which of the following is the most appropriate immediate intervention? a. needle decompression b. tube thoracostomy c. dressing removal d. surgical repair

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31-10-2022
Medicine

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a patient arrives with a large open chest wound after being assaulted with a machete. prehospital providers placed a nonporous dressing over the chest wound and taped it on three sides. he is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood pressure. which of the following is the most appropriate immediate intervention? a. needle decompression b. tube thoracostomy c. dressing removal d. surgical repair

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luisvaschetto luisvaschetto · Answer 1 · 2022-11-03T12:30:19+01:00

In this emergency situation, dressing removal is the most appropriate intervention for an individual who shows signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood pressure (Option C).

What does dressing removal mean?

The medical term dressing removal is used to denote the change of the old dressings in order to avoid contamination or infection in the injured body area, which is fundamental before any medical intervention.

Therefore, with this data, we can see that dressing removal is critical to avoid the emergence of an infection that may worse the situation of a patient.

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ajinems ajinems · Answer 2 · 2022-11-03T12:41:27+01:00

The most appropriate immediate intervention that should be taken is dressing removal. That is option C.

What is nonporous dressing?

Nonporous dressing is also called occlusive dressing whereby a wound is being covered with materials that prevents the entrance of air, fluid or microorganisms.

The nonporous dressing can lead to complications due to the manifestations of the pre-existing microorganisms in the wound.

The clinical manifestations of a complicated nonporous dressing include the following:

anxiety, restlessness,

severe respiratory distress,

cyanosis and decreasing blood pressure.

When the patient presents with the above signs and symptoms, the wound dressing should be removed to enhance healing through ventilation by the use of porous wound dressing.

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