Bronchoscopy Flashcards
Bronchoscopy visualizes what?
Visualizes larynx, trachea, and bronchi.
How a bronchoscopy is performed?
Outpatient, under general anesthesia, or at bedside under local anesthesia.
Can a bronchoscopy be performed on clients who are receiving mechanical ventilation?
If so, how?
Yes, by inserting scope through the client’s endotracheal tube.
Potential diagnoses for Bronchoscopy
Visualizes what growths/aspirates what fluids?
Visualizes tumors, inflammation and strictures.
Visualizes lung cancer, aspirates deep sputum or lung abscesses for C/S or cytology (pneumonia).
R/F for a bronchoscopy with biopsy
Bleeding/perforation
Therapeutic reasons for a Bronchoscopy procedure:
Treating postoperative atelectasis and destroy lesions.
Preprocedure for Bronchoscopy:
Assess patient for what?
Make sure patient isn’t on what med’s?
Assess patient for allergies to anesthetic agents
makes sure patient isn’t on anticoagulants
Pre-procedure for Bronchoscopy:
Make sure client’s diet status is what before surgery?
This reduces the risk of what/when what is blocked by anesthesia?
Client must be NPO
Reduces risk of aspiration when the cough reflex is blocked by anesthesia.
Administer what med’s before procedure?
Lidocaine, local anesthetic throat sprays.
Intraprocedure: Bronchoscopy
Pt Position
Administer what calming med’s?
Monitor which V.S.?
Postion: sitting
Calming Med’s: Sedatives, antianxiety agents, atropine to reduce oral secretions.
Monitor resp. pattern, O2 status.
Post Procedure: Bronchoscopy
Monitor which V.S.?
Assess what reflex and ability to what?
V.S.: resp, b/p, loc, fever, productive cough
Assess gag reflex and ability to swallow (takes 2 hrs).
What’s normally expected post-procedure?
Blood-tinged sputum.
Document what responses after procedure?
Return of gag reflex and stable vital signs.
For older clients, encourage what to decrease risk of respiratory infection and pneumonia? How Often?
Coughing and deep breathing Q2H.
Complications from procedure
Larygnospasm & aspiration
