Diagnostic Procedure Flashcards
1
Q
A method of removing mucous from the lungs.
A
Suctioning
2
Q
Recommended position for conscious patient during suctioning
A
Semi-fowler
3
Q
Recommended position for unconscious patient during suctioning
A
Side lying
4
Q
Why would the unconscious patient be in a side position during suctioning
A
To prevent aspiration
5
Q
Recommend pressure of WALL suction for INFANT
A
50-95 mmHg
6
Q
Recommend pressure of WALL suction for CHILD
A
95-110 mmHg
7
Q
Recommend pressure of WALL suction for ADULT
A
100-120mmHg
8
Q
Recommend pressure of a PORTABLE suction for INFANT
A
2-5 mmHg
9
Q
Recommend pressure of a PORTABLE suction for CHILD
A
5-10mmHg
10
Q
Recommend pressure of a PORTABLE suction for ADULT
A
10-15mmHg
11
Q
Approximate size of sterile suction catheter for INFANT
A
5-8 cm
12
Q
Approximate size of sterile suction catheter for CHILD
A
8-10 cm
13
Q
Approximate size of sterile suction catheter for ADULT
A
12-18 cm or 15 inches
14
Q
How to measure the length of catheter to be inserted
A
Measure from the TIP OF THE NOSE to the EARLOBE
15
Q
Approximate length of catheter to be inserted for ADULT
A
13 cm or 5-6 inches
16
Q
What lubricate are use in nasopharyngeal suction
A
Water soluble lubricant
17
Q
What lubricate are use in orophyrngeal suction
A
Sterile water or PNSS
18
Q
Is suctioning a sterile procedure
A
Yes
19
Q
Do we need to don a glove during suctioning
A
Yes
20
Q
Do we need to apply suction during insertion of the catheter
A
No
21
Q
When do we apply suction pressure
A
During removal
22
Q
Why is it necessary that we apply suction during removal of the catheter and not during insertion
A
To prevent trauma
23
Q
How many seconds should we apply suction
A
5-10s
24
Q
Maximum seconds for suctioning
A
15s
25
Over suctioning may cause?
Hypoxia
Vasovagal stimulation
26
Signs of vasovagal stimulation
(S,B)
Syncope
Bradycardia
27
Do we need to hyperventilate patient before and after suctioning
Yes
28
How many percent of oxygen should we give the patient before and after suctioning
100%
29
Why should we give 100% of oxygen before and after suctioning
To prevent hypoxia
30
How many seconds of interval between each suction
20-30s
31
Why do we need to provide 20-30 seconds of interval between each suction
To prevent hypoxia
32
Do we need to provide oral and nasal hygiene to a patient after suctioning
Yes
33
How do we asses the effectiveness of suctioning
Auscultate the breath sound for absence of crackles
34
Removal of fluid or air from the pleural cavity and aspiration of pleural for analysis
Thoracentisis
35
Do you need to secure consent for thoracentesis
Yes
36
Should you secure an xray BEFORE an thoracentesis
Yes
37
Should you take the vital sign BEFORE thoracentesis procedure
Yes
38
Why do you need to check vital signs for patient who undergoes thoracentesis
For signs of hypovolemic shock
39
Do you need to check allergies for local anesthesia before thoracentesis
Yes
40
Position during thoracentesis
Sitting upright leaning forward
41
How many second does the patient remain still and not coughing during insertion
15 seconds
42
What will the patient feel due to the infiltration of the local anesthesia
Pressure sensation
43
Normal amount of fluid remove in thoracentesis
60-1000 ml
44
Should you apply pressure over the puncture site after thoracentesis
Yes
45
Position after thoracentesis
Towards the unaffected site to promote lung explanation of the affected area
46
Why should the patient be in bed rest until vital signs is stable
To prevent orthostatic hypotension
47
Why do you need to check for expectoration of blood (fainthness, vertigo,tightness, blood tinged mucus)
It may indicate bleeding or damage to the mucus membranes
48
Signs of hypoxemia
(R,S,W)
Restless
Shortness of breath
Weakness
49
Direct inspection and examination of the larynx, trachea and bronchi through either a flexible fiberoptic bronchoscope or a rigid bronchoscope
Bronchoscopy
50
Is written consent necessary before bronchoscopy
Yes
51
How long does the patient have to be in NPO before bronchoscopy
6 Hours; for clearer visualization
52
What is the pre operative medication before bronchoscopy
Atropine sulfate (anti-cholinergic); to prevent patient from swallowing
53
Why do you need to remove denture and jewelry before bronchoscopy
Because it may cause aspiration
54
Do you need to use local anesthesia or topical anesthesia to be spayed on the larynx, epiglottis, vocal cords and trachea
Yes
55
What kind of spray anesthesia is use to numb the area before bronchoscopy
Lidocaine
56
What medication is use to relax the patient before bronchoscopy
Diazepam and valium
57
Position of patient before bronchoscopy
Sitting or supine
58
Position after bronchoscopy
Side-lying
59
Why does the patient have to be in a side-lying position after bronchoscopy
To prevent aspiration
To promote drainage of secretion
60
Do you need to offer the patient ice chips and fluid when the gag reflex return after bronchoscopy
Yes
61
What do you need to watch out after bronchoscopy
(H,H,T,D,H,D)
Hypoxia
Hypotension
Tachycardia
Dysrhythmia
Hemoptysis
Dyspnea
62
A radiological technique which involves xraying the respiratory tree after coating aurways with contrast agent
Bronchography
63
Do you need to secure written consent before bronchography
Yes
64
Do you need to check for allergies before bronchography
Yes; because of the use of contrast agent
65
How may hours doe the patient be put in NPO before bronchography
6-8 hours
66
What anti-cholinergic drug is use for bronchography
Atropine sulfate and valium
67
What is needed in the bedside of the patient before and after bronchography
Oxygen tank or any device for oxygenation
68
Position after bronchography
Side lying; due to the use of atropine to prevent aspiration
69
Why is cough and deep breathing exercise necessary after bronchography
- to promote airway clearance
- to promote lung expansion
-to cough out pod of secretion to improve breathing
70
Is low grade fever common after bronchography
Yes, because it may be due to irritation
71
It measure the amount of arterial gases such as oxygen and carbon dioxide
Arterial blood gas
72
Other term for arterial blood gas
Arterial blood gas analysis
73
What is ABG use for?
To determine if the patient has hypoxia
To check acid base balance
74
Common site for ABG
Radial artery
75
Do you need to perform the Allen’s test first
Yes
76
How do you perform the Allen’s test
-occlude the radial and ulnar artery
-close and open the fist until pale
- release the ulnar artery first
- if the pinkish color return after 6 second it indicate good blood flow
-but if it does it may indicate disfunction regarding the blood circulation
77
Amount of the arterial blood to be collected
2 ML
78
Why do you need to put the blood in an ice container while delivering it to the laboratory
To prevent RBC breakdown
79
Why do you need to withdraw blood in an heparinized syringe
To prevent blood clot
80
Duration of the specimen to be deliver at the laboratory
2 hours
81
Why do you need to apply pressure over the arterial site/ direct pressure
To prevent bleeding
82
Is an airway clearance technique to drain the lung and may include percussion, vibration, deep breathing and huffing or coughing
Chest physiotherapy
83
Main goal of CPT
Remove tracheal secretion
84
Best time for CPT
(U,B,3,A)
-Upon awakening in the morning
-Before meals; it may cause aspiration or food may enter the lungs.
-30-2 hours after meal; to prevent aspiration
-at bed time; for the patient to sleep comfortably without disturbance
85
Does it requires doctors order before performing CPT
Yes
86
CPT should not be done to patient with?
Airborne infection
87
Why does patient have to remove tight clothing, jewelry buttons and zippers around the neck, chest and waist
-It any cause discomfort
-it may interfere
-it may hurt the patient
88
What should the patient worn during CPT
Light soft clothing like T-shirt
89
Why not perform CPT with bare skin?
Because the procedure might cause bruises due to the impact
90
Why do you need to remove ring and other bulky jewelry
To protect the patients skin
91
What supplies to do need at the patient’s bedside
Tissues
92
Why do you need supplies of tissues at the patient’s bedside
Because at anytime the patient may cough out secretion
93
Length of CPT
20-40 minutes
94
Average Length of CPT
30 minutes
95
Classifications of CPT
(P, P,V)
-Postural drainage
-Percussion
-vibration
96
It involves positioning of a person with the assistance of gravity to aid the normal airway clearance mechanism
Postural drainage
97
Length of time to hold position during postural drainage
3-5 minutes per position
98
Positions for postural drainage
(S,T,P,S)
Sitting position
Trungelenburge position
Prone
Sidelying
99
Put 2 or 3 pillows over stomach for support; Breathe in through nose and out through mouth.
Sitting position
100
Place a small pillow under head. Put 2 pillows under bent knees. Breathe in through nose and out through mouth. Remember: Always breathe out for longer than breathe in. This allows lungs to empty as much as possible.
Trengelenburge position
101
Put 2 or 3 pillows under stomach so that chest is lower than hips. Breathe in through nose. Breathe out through mouth
Prone
102
Place a small pillow under head and 2 or 3 pillows under hips. Breathe in through nose. Breathe out through mouth.
Sidelying
103
This is accomplished by rhythmically striking the thorax/chest wall with a cupped hand or mechanical device directly over the lung segment(s) being drained
Percussion
104
Percussion is also referred to as?
(C,C,T)
cupping, clapping, and tapotement.
105
Length of percussion
3-5 minutes
106
Maximum Length of percussion
5 minutes
107
Minimum Length of percussion
3 minutes
108
Special attention must be taken to not clap over the
(S,B,S,L)
-Spine
-Breastbone; may cause damage
-Stomach
-Lower ribs or back; may damage the spleen and liver
109
involves the application of a fine tremorous action/ rapid vibratory impulse is transmitted through the chest wall from the flattened hands to loosen and dislodge the airway secretions
Vibration
110
Length of vibration
15 second
