Flashcards in Thoracentesis Deck (13)
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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
