Pulm Disease Exam 3 Word Scramble
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| Question | Answer |
| Diagnostic indications for bronchoscopy? | Aspiration, Bronchiectasis, Foreign Body, Hemoptysis, Lung Abscess |
| Therapeutic indications for bronchoscopy? | Endotracheal Intubation, Retained secretions or mucus plugs, foreign body aspiration, bronchial strictures, placement of stents |
| Contraindications of bronchoscopy? | Myocardial infarction, Uncontrolled asthma, Coagulopathy |
| Diagnostic procedures performed in fiber optic bronchoscopy? | Brushings, Cytology, Biopsy, Bronchoalveolar Lavage, Mycobacterial Cultures |
| Transbronchial needle aspirations are performed with? | Needle catheters, which come in various sizes and styles |
| Bronchoscopes after use are soaked in what for how long? | Glutaraldehyde for 45min |
| How long after cleaning is the bronchoscope ready to be used? | 1hr |
| What is tracheostomy? | Provides access to the airway in patients with upper airway obstruction |
| Surgical complications of Tracheostomy? | Postoperative hemorrhage, injury to laryngeal nerves, pneumothorax, cardiac arrest |
| Complications during and after decannulation? | Granuloma, Tracheal stenosis, Tracheomalacia |
| What is percutaneous tracheostomy? | An alternative to the conventional open surgical technique |
| Why is percutaneous tracheostomy becoming more widely used? | Performance at bedside, decreased operative time, decreased COST |
| Complications of transtracheal oxygen catheters? | Subcutaneous emphysema, infection cellulitus, hemoptysis |
| What are transtracheal oxygen catheters? | Thought to reduce the O2 flow requirement by reducing waste through dilution of inspired O2 and using the large airways as a reservoir during the expiratory phase |
| Why have transtracheal catheters been advocated? | Improved Compliance, Cosmetic Appearance, decreased nasal irritation, reduced cost of O2 due to long duration of portable O2, improved patient function |
| Advantages of Transtracheal O2? | 1. Technically Simple 2. 50%-75% reduction in O2 flow 3. Higher PaO2/SaO2 at same flow 4. Modest FIO2 increase over standard cannula |
| Disadvantages of Transtracheal O2? | 1. Performance varies with VT & f 2. Some may be obtrusive 3. Difficult to determine FIO2 4. May interfere with purse lip breathing |
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