Lindsey Jones 3C3 - Therapeutics- Bronchoscopy
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| show | 1. Diagnostic and 2. Therapeutic.
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| show | Allows cisualization of the trachea nad upper portions of the bronchial tree.
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| show | Consist of a multi-lumen tube inserted into a trachea. One lumen is used to collect tissue samples for analysis. Other lumen is to inject medications and saline.
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| show | Diagnosis: 1. Foreign body obstructions(common w/pediatrics). 2. Active bleeding (Hemoptysis)3. Pathogenic involvement(identify infectious organisms). 4. Identify cancerous/malignant processess/areas.
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| What is a Therapeutic value in a Bronchoscopy? | show 🗑
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| What are the some of the consideration in Bronchoscopy? | show 🗑
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| show | 1. Bleeding in the bronchial tree. 2. Epistaxis (nasal bleeding) 3. Larngospasm/bronchospasm.
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| What is the treatment for bleeding in the Bronchial Tree in a Bronchoscopy? | show 🗑
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| What is the treatment for epistaxis in a Bronchoscopy? | show 🗑
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| show | 1. deliver bronchodilators. 2. Use topical anesthetics (lidocaine etc,)
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| show | 1. Pt. on significant anticoagulant therapy (blood thinners). 2. Status asthmaticus. 3. Severe resp. acidosis. 4. Refractory hypoxemia. 5. Unstable hemodynamics.
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| show | A procedure in which fluids are extracted from the pleural space through a large-bore needle inserted directly through the chest wall.
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| What are the 2 special procedures in a Thoracentesis? | show 🗑
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| What color is extracted fluids in Diagnostic Thoracentesis? | show 🗑
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| Cloudy or opaque causes what in Diagnostic Thoracentesis? | show 🗑
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| loculated causes what in Diagnostic Thoracentesis? | show 🗑
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| Bloody causes what in Diagnostic Thoracentesis? | show 🗑
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| show | contains pus
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| Yellow indicates what in Diagnostic Thoracentesis? | show 🗑
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| Mucopurulent contains what in Diagnostic Thoracentesis? | show 🗑
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| show | called as an exudate.
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| show | Fluid can be tested for pH. Exudate present if pH < 7.30
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| show | 1. Relieves fluid/air from the pleural space. 2. Resolved pleural effusions. 3. Helps prevent complete lung collapse. 4. May Immediately benefit ventilation/perfusion status - ease breathing. 5. Signigicantly help a hemothorax.
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| show | 1. Pt. sits up&leans forward 2.Lidocaine is used. 3.Needle is inserted7site should be of greatest fluid.A slight vaccum is maintained by subtle aspiration w/the syringe.Insertion depth correct when air can be aspirated.When needle removed site is sutured.
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Created by:
johnfaar
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