Chapter 5 Flashcards
Special resp. care procedures (39 cards)
List 5 indications for bronchoscopy?
- Removal of foreign bodies
- Removal of mucous plugs
- Atelectasis that affects a lobe or entire
lung - Pulmonary hemorrhage
- When tracheal intubation is difficult as a
result of upper airway trauma, obesity,
tumors, or spinal deformity.
List 8 complications of bronchoscopy
- Hypoxemia
- Laryngospasm
- Brochospasm
- Arrythmias
- Hemorrhage
- Respiratory depression
- Hypotension
- Pneumothorax
Name 1 medication that is used to achieve
conscious sedation before surgery?
Versed
What is the purpose of administering atropine
before a bronchoscopy?
To dry out the airway to aid in visualization
during the procedure.
How should the bronchoscope be cleaned after
the procedure?
Sterilized in Cidex for 3-10 hours
What is the purpose of inserting a chest tube?
To drain substances that accumulate in the
pleural space.
If the water in the water seal bottle is not
fluctuating, what should be suspected?
Obstruction of the tube
If a chest tube becomes obstructed what may
occur?
Tension pneumothorax
If an air leak from a chest tube is suspected,
what should be done first?
Chest tube should be clamped to identify the
source of the leak.
How much negative pressure is generally
required to help evacuate fluid from the pleural
space?
-20 cmH2O
Which of the following diagnostic techniques is
utilized to obtain biopsies for peripheral lung
lesions.
Electromagnetic navigational bronchoscopy
(ENB)
Which of the diagnostic technique is often used
to detect a DVT?
Ultrasound
What size needle is used to perform a
thoracentesis?
25-27 (for lidocaine)
16-20 (for procedure)
What is another medication used for a
conscious sedation?
Valium
Lidocaine can be used as what 2 things?
Lubricant & anesthetic
What are some complications of bronchoscopy?
- Hypoxemia
- Laryngospasm
- Arrhythmias
- Hemorrhage
- Respiratory depression
- Hypotension
- Pneumothorax
What are the responsibilities of the therapist
before bronchoscopy?
- Prepare patient and explain procedure
- Administer aerosolized local anesthetic to
patients upper airway - Conduct patient monitoring throughout
procedure - Collect sputum sample and tissue samples
that the physician has obtained and
prepare them for laboratory analysis - Clean the bronchoscope properly after the
procedure
ENB can successfully diagnose of
peripheral lesions
75-77%
A pneumothorax is a complication in
approximately of patients?
3.5%
EBUS is a technique that is much more accurate
for the diagnosis of ?
Lung tumors (approximately 98%)
Complications of EBUS include?
pneumothorax
pneumomediastinum
bacteremia
What is BAL?
Approximately 100mL of normal saline through
the bronchscope’s suction channel to the
affected area.
The tip of the bronchoscope is positioned into a
and the saline instilled in five
separate times.
Fourth generation bronchus; 20mL increments
BAL is contradicted in?
Hypoxemic patients
patients with reduced pulmonary function
patients with cardiovascular disease
patients with serious electrolyte abnormalities