biopsies reverse Flashcards
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Liver
Thorocentesis
paracentesis
breast core
breast cyst aspiration
breast needle localizations
fine need thyroid aspirations
hip aspirations
PICC lines
perma cath insertions
Types of Ultrasound Guidance
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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
Liver Biopsie
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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
LIver biopsy procedure
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everyone present verification of paitne ID and all equipment and supplies are present and patient agrees
procedure Time Out
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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
Thorocentesis
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cancer
post op CABG
liver failure
congestive heart failure
Common Thorocentesis reasons
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sitting with legs over edge of cart
arms placed foward on bedside table
Thorocentesis postion
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doen for ascites to remove peritnial fluid
can be large volume up to 15 liters
offers great patient relief
therapeutic or diagnostic
Paracentesis
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cancer
liver failure (cirrhosis
CHF
paracentesis reasons
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outpatient procedure
check for solid mass (benign/malignant)
type of cancer
Breast core biopsy
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done for patient relief or to make sure fluid is able to be aspirated and not solid mass
no fluid proceed to biopsy
Breast cyst aspiration
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done for patients going inot surgery
wire left in place for surgeon to locate mass
Breast needle localization
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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
Thyroid fine needle aspiration
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patien is supine
pillow under shoulders to extend neck
Thyroid needle aspiration position
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peripherally inserted central catheter
PICC line