Special Procedures Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| How is a tissue sample during this Percutaneous LUNG BIOPSY procedure? | show 🗑
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| show | local anesthetics are administered
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| In what position should the PT be placed for this Percutaneous LUNG BIOPSY procedure? | show 🗑
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| List the potenial hazzards of Percutaneous LUNG BIOPSY? | show 🗑
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| What is the most common disorder that requires a thoracentesis? | show 🗑
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| show | Physical Exam- revals flatness to percussion and diminished breath sounds and tracheal shift away from site. X-RAY- Lateral decubitus film shows concave upper border or a continual line from the diaphragm to apices. Ultrasound techniques
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| show | PT sitting up leaning forward, 3-10 ml of a 2% lidocaine is used,25 gauge neddle used, A longer neddle/anesthetize the thickness of chest wall, neddle is inserted the 7th 0r 8th intercostal space, neddle inserted to flud level reached,100-300ml/50syringe
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| show | clear/has a light straw color fluid also called serous fluid
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| show | CONGESTIVE HEART FAILURE
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| show | a chronic, irreversible disease of the lungs characterized by abnormal enlargement of air spaces in the lungs accompanied by destruction of the tissue lining the walls of the air spaces.
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| What type of fluid is associated with EMPYSEMA? | show 🗑
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| show | pH less than 7.30
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| PURULENT FLUID is defined as: | show 🗑
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| MUCOPURULENT FLUID contains both ___ and ____? | show 🗑
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| Infection would produce what color fluid? | show 🗑
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| show | CENTRAL APNEA due to loss of ventilation effort OBSTRUCTIVE APNEA due to blockage of the upper airway Mixed APNEAa combination of the Central and Obstructive types
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| show | if nasal flow DECREASES AND RESPIRATORY EFFORT DECREASES then desaturation is a result of CENTRAL problem
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| show | if nasal flow DECREASES but RESPIRATORY EFFORT CONTINUES then desaturation is a result of OBSTRUCTIVE problem
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| INDUCTIVE PLETHYSMOGRAPHY is performed to monitor? | show 🗑
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| Treatment for CENTRAL SLEEP APNEA would include? | show 🗑
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| Treatment for OBSTRUCTIVE SLEEP APNEA would include? | show 🗑
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| List the two common conditions requiring chest tube insertion? | show 🗑
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| Describe the location of the chest tube if the tube is to drain AIR from the pleural space? | show 🗑
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| show | it is placed in the fourth or fifth intercostal space in the midaxillary line)
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| How is suction regulated in a three-bottle suction drainage system? | show 🗑
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| Explain how PULMONARY EDEMA may result following insertion of a chest tube? | show 🗑
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| What does continuous bubbling in the water seal bottle indicate? | show 🗑
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| What action should be tacken if the water seal bottle breaks? | show 🗑
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| show | consists of three parts resembles the three bottle system
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| How much water should be in a water seal chamber? | show 🗑
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| Describe the movement of water in the water seal chamber during spontaneous ventilation. | show 🗑
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| show | the movement of water is reversed due to positive pressure within the thorax and the pleural cavity
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| show | there will be no bubbling in the suction control chamber; the unit will resemble a two-bottle gravity drainage unit
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| show | Delivered Tidal Volume (800ml) --- Exhaled tidal volume (600ml) = lost tidal volume(200ml)
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| show | 24 hours before removing the tube
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| show | unclamp tube for respiratory distress or the x-ray indicates a pneumothorax or pleural effusion
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| How should the PT be instructed to breath just before removing the chest tube? | show 🗑
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| What should be done if a 5% pneumothrax is shown to be present? | show 🗑
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| What should be done if a 25% pneumothrax is shown to be present? | show 🗑
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| Describe the purpose of an exercise tolerance test? | show 🗑
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| show | complaint of dyspnea on exertion Determine Ventilatory limitations to work Determine Cardiac limitations to work Determine Maximum workload
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| List the formula to calculate the PTs maximum heart rate? | show 🗑
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| show | treadmill or riding a cycle ergometer (bike)
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| show | is for the diagnosis and treatment of alveolar filling disorder
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| What piece of equipment is used when performing a BRONCHALVEOLAR LAVAGE of an entire Lung? | show 🗑
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| show | for an infant who may be at risk for periods of significant apnea (>20sec)
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| show | One or more Apperent Life Threating Episodes. the infant has apnea,cyanosis,choking,or lifelessness that require stimulation or CPR, Sibling of a SIDS baby, Preterm infant, Snoring in infant
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| List the criteria for discontinuing an Apnea monitor. | show 🗑
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