click below
click below
Normal Size Small Size show me how
Lindsey Jones 3C3
Lindsey Jones 3C3 - Therapeutics- Bronchoscopy
Question | Answer |
---|---|
What are the 2 Special Procedure in Bronchoscopy? | 1. Diagnostic and 2. Therapeutic. |
What is a Diagnostic value in a Bronchoscopy? | Allows cisualization of the trachea nad upper portions of the bronchial tree. |
What does the Bronchoscopy scope consist of and what does it do? | Consist of a multi-lumen tube inserted into a trachea. One lumen is used to collect tissue samples for analysis. Other lumen is to inject medications and saline. |
What is the use of Diagnostic value in a Bronchoscopy? | Diagnosis: 1. Foreign body obstructions(common w/pediatrics). 2. Active bleeding (Hemoptysis)3. Pathogenic involvement(identify infectious organisms). 4. Identify cancerous/malignant processess/areas. |
What is a Therapeutic value in a Bronchoscopy? | Able to provide suctioning of blood, sputum and areas in a bronchial tree. Used to place tamponade devices on bleeding sites to stop bleeding. Removal of foreign bodies & resolve atelectasis. Assist smooth intubation on a neck-trauma/burnt pt. |
What are the some of the consideration in Bronchoscopy? | 1. administers lidocaine to numb sensitive trachea. 2. Use FIO2-100%. 3. Monitors HR & SaO2 during procedure. If it increases then stop the procedure. Will cause increase in RAW. Adapter used to provide Mechanical ventilation during procedure. |
What are the 3 Hazard in Bronchoscopy? | 1. Bleeding in the bronchial tree. 2. Epistaxis (nasal bleeding) 3. Larngospasm/bronchospasm. |
What is the treatment for bleeding in the Bronchial Tree in a Bronchoscopy? | 1. First directly instill epinephrine on the site through the bronchoscope. 2. Apply pressure to the site w/the bronchoscope. 3. Inset a Fogarty catheter to keep pressure on the site and provide tamponade. |
What is the treatment for epistaxis in a Bronchoscopy? | 1. Lubricate bronchoscope. 2. Be gentle. |
What is the treatment for laryngospasm/Bronchospasm in a Bronchoscopy? | 1. deliver bronchodilators. 2. Use topical anesthetics (lidocaine etc,) |
What are the contra-inidication when a Bronchoscopy should not be done? | 1. Pt. on significant anticoagulant therapy (blood thinners). 2. Status asthmaticus. 3. Severe resp. acidosis. 4. Refractory hypoxemia. 5. Unstable hemodynamics. |
What is a Thoracentesis? | A procedure in which fluids are extracted from the pleural space through a large-bore needle inserted directly through the chest wall. |
What are the 2 special procedures in a Thoracentesis? | 1. Diagnostic and 2. Therapeutic. |
What color is extracted fluids in Diagnostic Thoracentesis? | 1. Extracted fluids(transudate)- should be clear/beige-colored. |
Cloudy or opaque causes what in Diagnostic Thoracentesis? | CHF, Empyema(fluid is called exudate). |
loculated causes what in Diagnostic Thoracentesis? | Thick Consistency |
Bloody causes what in Diagnostic Thoracentesis? | 1.Could be cancer, 2.bleeding mass 3. also known as Serosanguineous |
Pruluent contains what in Diagnostic Thoracentesis? | contains pus |
Yellow indicates what in Diagnostic Thoracentesis? | indicates infection |
Mucopurulent contains what in Diagnostic Thoracentesis? | contains pus and mucus. |
fluid any color other than normal is called what in Diagnostic Thoracentesis? | called as an exudate. |
Fluid can be tested for what in Diagnostic Thoracentesis? | Fluid can be tested for pH. Exudate present if pH < 7.30 |
What is the therapeutic consideration in Throacentesis? | 1. Relieves fluid/air from the pleural space. 2. Resolved pleural effusions. 3. Helps prevent complete lung collapse. 4. May Immediately benefit ventilation/perfusion status - ease breathing. 5. Signigicantly help a hemothorax. |
What are the some of the procedural consideration in Throacentesis? | 1. Pt. sits up&leans forward 2.Lidocaine is used. 3.Needle is inserted7site should be of greatest fluid.A slight vaccum is maintained by subtle aspiration w/the syringe.Insertion depth correct when air can be aspirated.When needle removed site is sutured. |