IR - Pleural Aspiration

Question 1

It is a fluid-filled space that surrounds the lungs, found in the thorax and separates the lungs from its surrounding structures such as the thoracic cage and intercostal spaces

Answer 1

Pleural Cavity

Question 2

The lung’s intercostal spaces include the _____ and ______

Answer 2

Mediastinum and Diaphragm

Question 3

This pathology occurs in the pleural space.

Answer 3

Pleural Disease

Question 4

Enumerate the Pleural Diseases that may occur in the Pleural Space (5):

Answer 4

1. Pleural Effusion
2. Pneumothorax
3. Pleural Thickening
4. Pleural Tumors
5. Empyema

Question 5

In Pleural Effusion, fluid collects in the pleural space which eventually leads to effects such as (3):

Answer 5

1. Restricting Expansion
2. Causing Pain
3. Making Breathing Difficult

Question 6

What are the two classifications of Pleural Effusion ?

Answer 6

1. Transudative Pleural Effusion
2. Exudative Pleural Effusion

Question 7

This pertains to the buildup of fluid in the area between the lungs and the chest wall.

Answer 7

Transudative Pleural Effusion

Question 8

It is excess fluid collection that builds up between the tissue linings of the lungs and chest cavity

Answer 8

Exudative Pleural Effusion

Question 9

Pleural Effusion is mainly/typically treated with _______

Answer 9

Thoracentesis

Question 10

It is a procedure where a small needle or tube is inserted into the space between the lung and chest wall to remove fluid that has accumulated around the lung

Answer 10

Pleural Aspiration

Question 11

Pleural Aspiration may be a ______ to improve symptom determination and _________ to relieve fluid around the lung that may cause cough, shortness of breath, or chest pain/

Answer 11

1. Diagnostic Procedure
2. Therapeutic Procedure

Question 12

Patient preparation prior to Pleural Aspiration is mainly composed of (6):

Answer 12

1. Medical Review
2. Stop Certain Medications (If needed)
3. Blood Tests
4. Imaging
5. Fasting
6. Bring a Companion

Question 12

The Purposes for Execution of Pleural Aspiration is to (3):

Answer 12

1. Diagnostic Purposes
2. Therapeutic Purposes
3. To Guide Further Treatment

Question 13

The patient is _______ on the ______ during pleural aspiration

Answer 13

1. Sitting Upright
2. Side of a Bed

Question 14

TRUE OR FALSE

The patient will be usually a provided with a place to rest to the arms so they can lean over comfortably.

Answer 14

TRUE

Question 15

The ________ is washed with antiseptic and a very fine needle is used to administer local aesthetic

Answer 15

Skin of the Chest

Question 15

The local anaesthetic stings for a _______ before numbing the area

Answer 15

Few Seconds

Question 16

What is the typical pain reliever that may be used for painful areas in sites of pleural aspiration ?

Answer 16

Paracetamol (Panadol)

Question 17

How long does a pleural aspiration take ?

Answer 17

Depending on how much fluid needs to be removed

Question 18

Typically, pleural aspiration may take _______ or ______

Answer 18

Less than an Hour or Several Hours

Question 19

The RISKS of Pleural Aspiration include (6):

Answer 19

1. Pain or Discomfort
2. Bleeding
3. Pneumothorax
4. Infection
5. Re-expansion Pulmonary Edema
6. Coughing

Question 19

A Chest X-ray is usually carried out ______ after the procedure and patient will require medical supervision until this occurs.

Answer 19

2-4 Hours

Question 20

Pleural aspiration can mainly make a patient feel symptoms such as (3):

Answer 20

1. Shortness of Breath
2. Cough
3. Chest Pain

(S-C-C)

Question 20

It is a specialist doctor trained in analyzing fluid

Answer 20

Pathologist

Question 21

Pleural aspiration is commonly carried out by ________ particularly if ultrasound guidance is used

Answer 21

Radiologist

Question 22

A pleural aspiration is usually carried out in a hospital or a _____ medical center

Answer 22

Large

Question 22

It is the buildup of pus within the pleural cavity

Answer 22

Empyema

Question 23

It pertains to abnormal growths in the pleural cavity that may be benign or malignant

Answer 23

Pleural Tumors

Question 23

During Pleural Aspiration, a small needle or tube is inserted into the space between the ____ and ____

Answer 23

Lung and Chest Wall

Question 24

The area where the needle or tube has been inserted during pleural aspiration may feel a little _____ for several days

Answer 24

Tender

Question 25

TRUE OR FALSE The Pleura is a single-layered membrane.

Answer 25

FALSE The Pleura is a DOUBLE-LAYERED membrane.

Question 26

It is pleura attached DIRECTLY TO THE LUNG SURFACE.

Answer 26

Visceral Pleura

Question 27

It is pleura located INSIDE THE CHEST WALL AND DIAPHRAGM

Answer 27

Parietal Pleura

Question 28

What are the Causes of Pleural Effusion (5):

Answer 28

1. Heart Failure 2. Pneumonia 3. Cancer 4. Tuberculosis 5. Liver or Kidney Disease

Question 29

Which underlying cause must be treated first before undertaking pleural aspiration ?

Answer 29

Pneumonia

Question 30

The results from fluid analysis help doctors decide the next steps

Answer 30

To Guide Further Treatment

Question 30

Fasting is usually not required, unless _______ is planned which is very rare

Answer 30

Sedation

Question 31

This pertains to the accumulation of air in the pleural cavity, leading to the collapse of the lungs.

Answer 31

Pneumothorax

Question 32

Consequential re-expansion of the lungs can lead to which pathology ?

Answer 32

Pulmonary Edema

Question 33

It is the scarring and fibrosis in the pleura, which may restrict the expansion of the lungs

Answer 33

Pleural Thickening