Details Title: 000 Kettering G Special Procedures Description: Kettering G Total Flash Cards: 21 Created: 09/21/2009 14:41:33		New Users: To study from this flashcard set, or to create your own your own study flash cards, REGISTER HERE. Existing Users: CLICK HERE. Additional Health Care Flashcards
Cards in this set: Term Percutaneous Lung Biopsy Definition tissue sample through a small puncture in the chest wall as opposed to obtaining the sample through a surgical opening or from the airways during bronchoscopy Term What is a percutaneous lung biopsy helpful in investigating Definition recurrent infiltrates, lesions, or other abnormalities in peripheral lung fields Term basic principles of percutaneous lung biopsy Definition patient placed in comfortable semi-fowler's or decubitus position with healthy lung dependent; large bore needle inserted over top of a rib, needle advanced to the lung parenchyma Term What are potential hazards of percutaneous lung biopsy Definition infection, pneumothorax, bleeding Term thoracentesis Definition needle inserted into chest to remove air/fluid from pleural space Term what is the most common pleural disorder requiring thoracintesis Definition pleural effusion Term what would indicate that the patient had a pleural effusion Definition chest x-ray - lateral decubitus reveals meiscus; physical exam flatness to percussion and dimished breath sounds and tracheal deviation away from site; ultrasound Term thoracentesis patient position Definition sitting up and leaning forward Term thoracentesis basic procedure Definition 3 - 10 mL of 2% lidocaine with 25 gauge needle; longer and larger needle is used to anesthetize thicknes of chest wall, needle inserted 7th or 8th intercostal space, fluid withdrawn with 50 mL syringe Term Thoracentesis pleural fluid analysis Definition transudate (aka serous fluid) is clear and is associated with CHF, empyema would have opaque and is called exudate, infections would be yellow ro milky, bloody may suggest malignancy or cancer, purulent is pus filled, mucopurulent is mucus and pus, chyle contains lymphatic exudative, loculated is very thick Term what are 3 sleep disorders Definition central, obstructive, mixed Term what are the symptoms of sleep disorder Definition daytime sleepiness, insomnia at night, muscle twitching Term what is tx for sleep apnea Definition weight loss, surgery, respiratory stimulants, tracheostomy, nasal mask CPAP and BiPAP Term what 3 important things are noted in sleep study Definition chest motion, nasal flow, oximetry Term what is a special procedure involving inductive plethysmograph Definition elastic straps around the chest to meausre chest motion and abdominal movement to see if patient is attemtping to breathe Term who needs a chest tube Definition pneumothorax - air in pleural space; hemothorax-blood in pleural space or pleural effusion - unknown in pleural space Term positioning of chest tube Definition higher for air, lower (4th or 5th and mid-axillary for pleural effusion) Term emergency situation with pleural effusion or requiring chest tube Definition big needle, get the tube later Term chest drainage system, significance of the three bottle Definition bottle 1 is collection bottle, bottle two is water seal, bottle three is suction control - bubbling OK in third bottle. Third bottle bubbling, only once in a while if bubbling all the time it's a leak. Third bottle controls suction by the depth of the tube in the water. Term What happens if losing volume from the chest tube Definition hole somewhere in lungs and going from vent to lungs and to chest tube; change settings to jet ventilator or something Term removing chest tube Definition clamp off for 24 hours, no reactions and patient is stabalized then it is removed