Biopsies

Question 1

Types of Ultrasound Guidance

Answer 1

Liver

Thorocentesis

paracentesis

breast core

breast cyst aspiration

breast needle localizations

fine need thyroid aspirations

hip aspirations

PICC lines

perma cath insertions

Question 2

Liver Biopsie

Answer 2

any type of treatment for hepatitis to know what form of treatment to follow

done as outpatient

patient stays for 2 hrs post

radiology nurse monitors vitals

Question 3

LIver biopsy procedure

Answer 3

patient NPO

informed consent

full assessment by nursing

labs prior PT,PTT,INR

supine position

sonographer locates and marks position, the depth is measured and image is saved for documentation

Question 4

procedure Time Out

Answer 4

everyone present verification of paitne ID and all equipment and supplies are present and patient agrees

Question 5

Thorocentesis

Answer 5

done for pleural effusions when patient becomes SOB or fluid needs testing for diagnoses

done on one side per day due to chance of pneumothorax development

Question 6

Common Thorocentesis reasons

Answer 6

cancer

post op CABG

liver failure

congestive heart failure

Question 7

Thorocentesis postion

Answer 7

sitting with legs over edge of cart

arms placed foward on bedside table

Question 8

Paracentesis

Answer 8

doen for ascites to remove peritnial fluid

can be large volume up to 15 liters

offers great patient relief

therapeutic or diagnostic

Question 9

paracentesis reasons

Answer 9

cancer

liver failure (cirrhosis

CHF

Question 10

Breast core biopsy

Answer 10

outpatient procedure

check for solid mass (benign/malignant)

type of cancer

Question 11

Breast cyst aspiration

Answer 11

done for patient relief or to make sure fluid is able to be aspirated and not solid mass

no fluid proceed to biopsy

Question 12

Breast needle localization

Answer 12

done for patients going inot surgery

wire left in place for surgeon to locate mass

Question 13

Thyroid fine needle aspiration

Answer 13

performed if solid nodule over 1.5cm

most nodules are benign

25g needle usually 5 passes

cytology present to make slides for pathologist to ensure enough smaples are obtained

Question 14

Thyroid needle aspiration position

Answer 14

patien is supine

pillow under shoulders to extend neck

Question 15

PICC line

Answer 15

peripherally inserted central catheter

Question 16

PICC line reasons

Answer 16

can be used for long periods of time

chemotherapy regiments

extended antibiotic therapy

parenteral nutrition

Question 17

PICC procdures

Answer 17

inserted in peripheral vein

cephalic

basilic

brachial

then advanced to larger toward heart

tips rests in the distal superior vena cava

Question 18

PICC line procedures

Answer 18

sterile suite

sonographer must glove and gown

machine wiped clean and covered

vein located and needle inserted under ultrasound guidance

Question 19

Perma Catheter

Answer 19

employed in dialysis patients who require ongoing nutrition via veins

placed in internal jugular

same procedure as PICC line

Question 20

Sterile

Answer 20

free of bugs that can infect

applies to select surfaces, objects or substances that will be introduced to patients body

some opbjects can’t be

Question 21

Sterile technique

Answer 21

first and foremost about minimizing possible sources of infection

Question 22

nosocomial infection

Answer 22

infection got while in hospital

Question 23

Sterile field

Answer 23

sterile surfaces

Question 24

scrubbed surgical personnel

Answer 24

hands washed iow OR protocol

donning sterile gown/gloves

sterile surface extends from chest to waist

elbows to tips of gloved fingers

rest is not sterile

Question 25

Patient sterile field

Answer 25

only the prepared surface and sterile drape

edges of surfaces are not sterile

Question 26

Sterile procedures

Answer 26

obtain scrubs

obtain surgical cap and shoe covers

wash hands/surgical hand scrub

put on gown

put on gloves