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chap 18 cont 6
Lavage
Question | Answer |
---|---|
If the abdominocentesis is negative | a diagnostic peritoneal lavage may be indicated |
diagnostic peritoneal lavage consists of | infusion of fluid into the abdomen followed by retrieval of the fluid for lab analysis |
contraindications are | the same as indicated by abdominocentisis |
caution should be taken with patients with | respiratory distress, as added pressure from fluid will cause pressure on the diaphragm |
materials used for DPL are | OTN catheter, IV set, isotonic crystalloid, sterile gloves, surgical set, collection tubes, lidocaine, scrub |
procedure for DPL is | after clipping and cleaning the area, an incision is made caudal to the umbilicus. |
once a catheter is inserted and the abdominosentesis is negative | 20ml/kg of crystalloid solution is infused and the patient is rocked side to side. fluid either flows freely or is aspirated. catheter is removed or sutured in |
what procedure provides a means of obtaining material that is uncontaminated by the oral cavity for culture and cytologic exam. | transtracheal wash |
what two types of catheters can be used for TTW | OTN and TTN |
what is the benefit of a TTW | it can identify abnormal cells, inflammation cells, parasites, bacteria and fungi |