What is the significance of the flattened diaphragms

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ASSIGNMENT:

An elderly man presents in the emergency department with acute exacerbation of his longstanding COPD. A decision is made to intubate him. It is difficult auscultate breath sounds and chest movement is minimal; however, your impression is that breath sounds are more diminished on the left. A chest radiograph is obtained which shows the tip of the endo trachiaeal tube 1 cm above the carina. The left lung field is slightly smaller than the right. Both diaphragms appear flat, and you are able to count eight anterior ribs above the diaphragms.

1. Where should the tip of the tube be in relationship to the carina?

2. With regard to the endotracheal tube, what action should you take?

3. What is the significance of the flattened diaphragms and the number of ribs seen above the diaphragm?

Reference no: EM133546113

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