Thoracentesis Flashcards Preview

Respiratory Med. Surg. 2013 > Thoracentesis > Flashcards

Flashcards in Thoracentesis Deck (13)
Loading flashcards...
1

Thoracentesis: What's the 2 reasons for the procedure?

1)To instill medication into pleural space
2) Remove fluid (effusion) or air for therapeutic relief of pleural pressure.

2

1) What kind of anesthetic is used?
2) Use of what diagnostic procedure decreases chance of complications?

1) Local Anesthesia
2) Ultrasound

3

Potential Diagnoses for Thoracentesis

Transudates (heart failure, cirrhosis, nephritic syndrome)
Exudates (inflammatory, infectious, neoplastic)
Empyema
Pneumonia
Chest injuries

4

Empyema Definition

Collection of pus in pleural space

5

Client S/S for Procedure

s.o.b, cough, decreased breath sounds, dull percussions, decreased chest wall expansion

6

Aspirated fluid from Thoracentesis measures what labs?

Protein & glucose content, enzymes (LDH) and amylase.

7

Obtain what diagnostic test prior to procedure?

Chest X-Ray

8

Client education: during procedure, instruct client not to do what?

Don't talk/cough

9

How much fluid can be removed at a time? Why is this?

1 L, prevents cardiovascular collapse.

10

Post procedure
How to position client?
Monitor V.S. how often?
Obtain what diagnostic test? Rules out what?


Position client on unaffected side for 1 hour
hourly for first several hours
Obtain Chest X-Ray to rule out pneumothorax

11

Complications of procedure
1) pneumothorax: S/S
2) Bleeding
3) Infection

1) S/S: diminished breath sounds
2) Coughing/blood tinged sputum, hypotension, reduced Hgb level.
3) Temp

12

Hypotension from procedure indicates what?

Intrathoracic bleeding

13

What finding should a nurse report to the primary care provider following a bronchoscopy?

Bronchospasms