SPC Diagnostic Procedures Exam 4 Unit 7
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| What is bronchoscopy? | show 🗑
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| show | respiratory tract including larynx, vocal chords, trachea, & lobes
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| show | Therapeutic & Diagnostic
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| What are rigid bronchoscopes? | show 🗑
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| show | Under general anesthesia in a surgical or operating room
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| show | Most commonly used for bedside procedures with a long flexible end with 3 channels
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| What are the 3 channels used for with a flexible bronchoscope? | show 🗑
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| show | 1. Removal of secretions
2. tissue sampling
3. O2 admin
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| Purpose of Bronchoscopy? | show 🗑
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| What is an airway stent? | show 🗑
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| What is therapeutic bronchoscopy? | show 🗑
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| Examples of therapeutic bronchoscopy? | show 🗑
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| show | When it is used to establish the cause of a problem
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| show | 1. Evaluate pulmonary inflammation, infections, or chronic pneumonia
2. Extent of chest trauma
3. Obtain tissue samples
4. Bronchoalveolar lavage
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| Indications for bronchoscopy? | show 🗑
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| show | 1. No consent unless emergency
2. No experienced bronchoscopist
3. Lack of facilities/equipment/personnel
4. Cant Oxygenate proper
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| Relative contraindications of bronchoscopy? | show 🗑
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| show | Hypoxemia, Irregular Heart rhythms, Bleeding, pneumo, fever, nausea, vomiting, pneumonia, airway edema, excessive lidocaine, respiratory arrest, vocal cord injury, death
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| show | Washing, Brushing, Needle Aspiration, Forceps Biopsy
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| show | 1. Mucomyst
2. Lidocaine jelly/atomized/solution
3. Sterile H2O
4. Epinephrine
5. Nasonephrin
6. Liquid Cocaine
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| Preparation for bronchoscopy? | show 🗑
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| Make sure bronchoscope is what before each use? | show 🗑
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| How to perform a leak test with bronchoscope? | show 🗑
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| Bronchoscope integrity? | show 🗑
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| show | 1. Valium
2. Versed
3. Diprivan
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| show | Increased to 100%
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| show | Before, during, & after procedure
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| show | 1. Vital signs
2. Cardiac Rhythm changes
3. SPO2 & FIO2
4. Pain/discomfort/dyspnea
5. Mech/vent settings
6. Types & amounts of lavages
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| show | 1. O2 therapy for up to 4hrs
2. SPO2 checked before discontinuing O2
3. Patient is NPO as long as airway remains numb to prevent aspirations
4. Routinely assessed for stridor & wheeze
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| show | Nebulized racemic epinephrine
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