Biopsies Flashcards Preview

DMSO > Biopsies > Flashcards

Flashcards in Biopsies Deck (26):
1

Types of Ultrasound Guidance

Liver

Thorocentesis

paracentesis

breast core 

breast cyst aspiration

breast needle localizations

fine need thyroid aspirations

hip aspirations

PICC lines

perma cath insertions

2

Liver Biopsie

any type of treatment for hepatitis to know what form of treatment to follow

done as outpatient

patient stays for 2 hrs post 

radiology nurse monitors vitals

3

LIver biopsy procedure

patient NPO

informed consent

full assessment by nursing

labs prior PT,PTT,INR

supine position

sonographer locates and marks position, the depth is measured and image is saved for documentation

4

procedure Time Out

everyone present verification of paitne ID and all equipment and supplies are present and patient agrees

 

5

Thorocentesis

done for pleural effusions when patient becomes SOB or fluid needs testing for diagnoses

done on one side per day due to chance of pneumothorax development

 

6

Common Thorocentesis reasons

cancer

post op CABG

liver failure

congestive heart failure

7

Thorocentesis postion

sitting with legs over edge of cart

arms placed foward on bedside table

8

Paracentesis

doen for ascites to remove peritnial fluid

can be large volume up to 15 liters

offers great patient relief

therapeutic or diagnostic

9

paracentesis reasons

cancer

liver failure (cirrhosis

CHF

10

Breast core biopsy

 

outpatient procedure

check for solid mass (benign/malignant)

type of cancer

11

Breast cyst aspiration

done for patient relief or to make sure fluid is able to be aspirated and not solid mass

no fluid proceed to biopsy

12

Breast needle localization

done for patients going inot surgery

wire left in place for surgeon to locate mass

13

Thyroid fine needle aspiration

performed if solid nodule over 1.5cm

most nodules are benign

25g needle usually 5 passes 

cytology present to make slides for pathologist to ensure enough smaples are obtained

14

Thyroid needle aspiration position

patien is supine

pillow under shoulders to extend neck

15

PICC line

peripherally inserted central catheter

 

16

PICC line reasons

can be used for long periods of time

chemotherapy regiments

extended antibiotic therapy

parenteral nutrition

 

17

PICC procdures

inserted in peripheral vein

cephalic

basilic

brachial

then advanced to larger toward heart

tips rests in the distal superior vena cava

18

PICC line procedures

sterile suite

sonographer must glove and gown

machine wiped clean and covered 

vein located and needle inserted under ultrasound guidance

19

Perma Catheter

employed in dialysis patients who require ongoing nutrition via veins

placed in internal jugular

same procedure as PICC line

20

Sterile

free of bugs that can infect

applies to select surfaces, objects or substances that will be introduced to patients body

some opbjects can't be

21

Sterile technique

first and foremost about minimizing possible sources of infection

 

22

nosocomial infection

infection got while in hospital

23

Sterile field

sterile surfaces

 

24

scrubbed surgical personnel

hands washed iow OR protocol

donning sterile gown/gloves

sterile surface extends from chest to waist

elbows to tips of gloved fingers

rest is not sterile

25

Patient sterile field

only the prepared surface and sterile drape

edges of surfaces are not sterile

26

Sterile procedures

obtain scrubs

obtain surgical cap and shoe covers

wash hands/surgical hand scrub

put on gown

put on gloves