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Flashcards in biopsies reverse Deck (25)
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1
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Liver

Thorocentesis

paracentesis

breast core 

breast cyst aspiration

breast needle localizations

fine need thyroid aspirations

hip aspirations

PICC lines

perma cath insertions

Types of Ultrasound Guidance

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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

Liver Biopsie

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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

LIver biopsy procedure

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

 

procedure Time Out

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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

 

Thorocentesis

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cancer

post op CABG

liver failure

congestive heart failure

Common Thorocentesis reasons

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sitting with legs over edge of cart

arms placed foward on bedside table

Thorocentesis postion

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doen for ascites to remove peritnial fluid

can be large volume up to 15 liters

offers great patient relief

therapeutic or diagnostic

Paracentesis

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cancer

liver failure (cirrhosis

CHF

paracentesis reasons

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outpatient procedure

check for solid mass (benign/malignant)

type of cancer

Breast core biopsy

 

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

no fluid proceed to biopsy

Breast cyst aspiration

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done for patients going inot surgery

wire left in place for surgeon to locate mass

Breast needle localization

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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

Thyroid fine needle aspiration

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patien is supine

pillow under shoulders to extend neck

Thyroid needle aspiration position

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peripherally inserted central catheter

 

PICC line

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can be used for long periods of time

chemotherapy regiments

extended antibiotic therapy

parenteral nutrition

 

PICC line reasons

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inserted in peripheral vein

cephalic

basilic

brachial

then advanced to larger toward heart

tips rests in the distal superior vena cava

PICC procdures

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sterile suite

sonographer must glove and gown

machine wiped clean and covered 

vein located and needle inserted under ultrasound guidance

PICC line procedures

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employed in dialysis patients who require ongoing nutrition via veins

placed in internal jugular

same procedure as PICC line

Perma Catheter

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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

Sterile

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infection got while in hospital

nosocomial infection

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sterile surfaces

 

Sterile field

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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

scrubbed surgical personnel

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only the prepared surface and sterile drape

edges of surfaces are not sterile

Patient sterile field

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obtain scrubs

obtain surgical cap and shoe covers

wash hands/surgical hand scrub

put on gown

put on gloves

Sterile procedures