2.3 Postural Drainage, Bronchoscopy, Thoracentesis, Pleurodesis Flashcards
postural drainage removal sputum by
Gravity
Purpose for bronchoscopy
Therapeutic: remove blockage, stop bleeding
Diagnostic: obtain sputum, assess
Complication of bronchoscopy
Pneumothorax
Bleeding from airway
Thoracentesis (pleural tapping) primary indicaton
Pleural effusion
Purpose of pleural tapping
Diagnostic purpose: collect specimen
Therapeutic purpose: symptom relief
Type of pleural effusion
Transudative: increase hydrostatic pressure in blood vessel/ decrease protein in blood, fluid leaks to pleural space
Exudative: increase capillary protein permeability, protein in pleural fluid
Position for thoracentesis
Sitting upright
With affected site facing foot of the bed
What is the goals for nursing management
Maintain aseptic technique
Pleurodesis
癡肺
induce inflammation to adhere visceral and parietal pleura