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Respiratory System > Diagnostic Procedure > Flashcards

Diagnostic Procedure Flashcards

1
Q

A method of removing mucous from the lungs.

A

Suctioning

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2
Q

Recommended position for conscious patient during suctioning

A

Semi-fowler

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3
Q

Recommended position for unconscious patient during suctioning

A

Side lying

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4
Q

Why would the unconscious patient be in a side position during suctioning

A

To prevent aspiration

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5
Q

Recommend pressure of WALL suction for INFANT

A

50-95 mmHg

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6
Q

Recommend pressure of WALL suction for CHILD

A

95-110 mmHg

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7
Q

Recommend pressure of WALL suction for ADULT

A

100-120mmHg

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8
Q

Recommend pressure of a PORTABLE suction for INFANT

A

2-5 mmHg

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9
Q

Recommend pressure of a PORTABLE suction for CHILD

A

5-10mmHg

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10
Q

Recommend pressure of a PORTABLE suction for ADULT

A

10-15mmHg

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11
Q

Approximate size of sterile suction catheter for INFANT

A

5-8 cm

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12
Q

Approximate size of sterile suction catheter for CHILD

A

8-10 cm

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13
Q

Approximate size of sterile suction catheter for ADULT

A

12-18 cm or 15 inches

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14
Q

How to measure the length of catheter to be inserted

A

Measure from the TIP OF THE NOSE to the EARLOBE

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15
Q

Approximate length of catheter to be inserted for ADULT

A

13 cm or 5-6 inches

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16
Q

What lubricate are use in nasopharyngeal suction

A

Water soluble lubricant

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17
Q

What lubricate are use in orophyrngeal suction

A

Sterile water or PNSS

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18
Q

Is suctioning a sterile procedure

A

Yes

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19
Q

Do we need to don a glove during suctioning

A

Yes

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20
Q

Do we need to apply suction during insertion of the catheter

A

No

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21
Q

When do we apply suction pressure

A

During removal

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22
Q

Why is it necessary that we apply suction during removal of the catheter and not during insertion

A

To prevent trauma

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23
Q

How many seconds should we apply suction

A

5-10s

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24
Q

Maximum seconds for suctioning

A

15s

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25
Q

Over suctioning may cause?

A

Hypoxia
Vasovagal stimulation

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26
Q

Signs of vasovagal stimulation
(S,B)

A

Syncope
Bradycardia

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27
Q

Do we need to hyperventilate patient before and after suctioning

A

Yes

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28
Q

How many percent of oxygen should we give the patient before and after suctioning

A

100%

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29
Q

Why should we give 100% of oxygen before and after suctioning

A

To prevent hypoxia

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30
Q

How many seconds of interval between each suction

A

20-30s

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31
Q

Why do we need to provide 20-30 seconds of interval between each suction

A

To prevent hypoxia

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32
Q

Do we need to provide oral and nasal hygiene to a patient after suctioning

A

Yes

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33
Q

How do we asses the effectiveness of suctioning

A

Auscultate the breath sound for absence of crackles

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34
Q

Removal of fluid or air from the pleural cavity and aspiration of pleural for analysis

A

Thoracentisis

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35
Q

Do you need to secure consent for thoracentesis

A

Yes

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36
Q

Should you secure an xray BEFORE an thoracentesis

A

Yes

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37
Q

Should you take the vital sign BEFORE thoracentesis procedure

A

Yes

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38
Q

Why do you need to check vital signs for patient who undergoes thoracentesis

A

For signs of hypovolemic shock

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39
Q

Do you need to check allergies for local anesthesia before thoracentesis

A

Yes

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40
Q

Position during thoracentesis

A

Sitting upright leaning forward

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41
Q

How many second does the patient remain still and not coughing during insertion

A

15 seconds

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42
Q

What will the patient feel due to the infiltration of the local anesthesia

A

Pressure sensation

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43
Q

Normal amount of fluid remove in thoracentesis

A

60-1000 ml

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44
Q

Should you apply pressure over the puncture site after thoracentesis

A

Yes

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45
Q

Position after thoracentesis

A

Towards the unaffected site to promote lung explanation of the affected area

46
Q

Why should the patient be in bed rest until vital signs is stable

A

To prevent orthostatic hypotension

47
Q

Why do you need to check for expectoration of blood (fainthness, vertigo,tightness, blood tinged mucus)

A

It may indicate bleeding or damage to the mucus membranes

48
Q

Signs of hypoxemia
(R,S,W)

A

Restless
Shortness of breath
Weakness

49
Q

Direct inspection and examination of the larynx, trachea and bronchi through either a flexible fiberoptic bronchoscope or a rigid bronchoscope

A

Bronchoscopy

50
Q

Is written consent necessary before bronchoscopy

A

Yes

51
Q

How long does the patient have to be in NPO before bronchoscopy

A

6 Hours; for clearer visualization

52
Q

What is the pre operative medication before bronchoscopy

A

Atropine sulfate (anti-cholinergic); to prevent patient from swallowing

53
Q

Why do you need to remove denture and jewelry before bronchoscopy

A

Because it may cause aspiration

54
Q

Do you need to use local anesthesia or topical anesthesia to be spayed on the larynx, epiglottis, vocal cords and trachea

A

Yes

55
Q

What kind of spray anesthesia is use to numb the area before bronchoscopy

A

Lidocaine

56
Q

What medication is use to relax the patient before bronchoscopy

A

Diazepam and valium

57
Q

Position of patient before bronchoscopy

A

Sitting or supine

58
Q

Position after bronchoscopy

A

Side-lying

59
Q

Why does the patient have to be in a side-lying position after bronchoscopy

A

To prevent aspiration
To promote drainage of secretion

60
Q

Do you need to offer the patient ice chips and fluid when the gag reflex return after bronchoscopy

A

Yes

61
Q

What do you need to watch out after bronchoscopy
(H,H,T,D,H,D)

A

Hypoxia
Hypotension
Tachycardia
Dysrhythmia
Hemoptysis
Dyspnea

62
Q

A radiological technique which involves xraying the respiratory tree after coating aurways with contrast agent

A

Bronchography

63
Q

Do you need to secure written consent before bronchography

A

Yes

64
Q

Do you need to check for allergies before bronchography

A

Yes; because of the use of contrast agent

65
Q

How may hours doe the patient be put in NPO before bronchography

A

6-8 hours

66
Q

What anti-cholinergic drug is use for bronchography

A

Atropine sulfate and valium

67
Q

What is needed in the bedside of the patient before and after bronchography

A

Oxygen tank or any device for oxygenation

68
Q

Position after bronchography

A

Side lying; due to the use of atropine to prevent aspiration

69
Q

Why is cough and deep breathing exercise necessary after bronchography

A
  • to promote airway clearance
  • to promote lung expansion
    -to cough out pod of secretion to improve breathing
70
Q

Is low grade fever common after bronchography

A

Yes, because it may be due to irritation

71
Q

It measure the amount of arterial gases such as oxygen and carbon dioxide

A

Arterial blood gas

72
Q

Other term for arterial blood gas

A

Arterial blood gas analysis

73
Q

What is ABG use for?

A

To determine if the patient has hypoxia
To check acid base balance

74
Q

Common site for ABG

A

Radial artery

75
Q

Do you need to perform the Allen’s test first

A

Yes

76
Q

How do you perform the Allen’s test

A

-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
Q

Amount of the arterial blood to be collected

A

2 ML

78
Q

Why do you need to put the blood in an ice container while delivering it to the laboratory

A

To prevent RBC breakdown

79
Q

Why do you need to withdraw blood in an heparinized syringe

A

To prevent blood clot

80
Q

Duration of the specimen to be deliver at the laboratory

A

2 hours

81
Q

Why do you need to apply pressure over the arterial site/ direct pressure

A

To prevent bleeding

82
Q

Is an airway clearance technique to drain the lung and may include percussion, vibration, deep breathing and huffing or coughing

A

Chest physiotherapy

83
Q

Main goal of CPT

A

Remove tracheal secretion

84
Q

Best time for CPT
(U,B,3,A)

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
Q

Does it requires doctors order before performing CPT

A

Yes

86
Q

CPT should not be done to patient with?

A

Airborne infection

87
Q

Why does patient have to remove tight clothing, jewelry buttons and zippers around the neck, chest and waist

A

-It any cause discomfort
-it may interfere
-it may hurt the patient

88
Q

What should the patient worn during CPT

A

Light soft clothing like T-shirt

89
Q

Why not perform CPT with bare skin?

A

Because the procedure might cause bruises due to the impact

90
Q

Why do you need to remove ring and other bulky jewelry

A

To protect the patients skin

91
Q

What supplies to do need at the patient’s bedside

A

Tissues

92
Q

Why do you need supplies of tissues at the patient’s bedside

A

Because at anytime the patient may cough out secretion

93
Q

Length of CPT

A

20-40 minutes

94
Q

Average Length of CPT

A

30 minutes

95
Q

Classifications of CPT
(P, P,V)

A

-Postural drainage
-Percussion
-vibration

96
Q

It involves positioning of a person with the assistance of gravity to aid the normal airway clearance mechanism

A

Postural drainage

97
Q

Length of time to hold position during postural drainage

A

3-5 minutes per position

98
Q

Positions for postural drainage
(S,T,P,S)

A

Sitting position
Trungelenburge position
Prone
Sidelying

99
Q

Put 2 or 3 pillows over stomach for support; Breathe in through nose and out through mouth.

A

Sitting position

100
Q

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.

A

Trengelenburge position

101
Q

Put 2 or 3 pillows under stomach so that chest is lower than hips. Breathe in through nose. Breathe out through mouth

A

Prone

102
Q

Place a small pillow under head and 2 or 3 pillows under hips. Breathe in through nose. Breathe out through mouth.

A

Sidelying

103
Q

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

A

Percussion

104
Q

Percussion is also referred to as?
(C,C,T)

A

cupping, clapping, and tapotement.

105
Q

Length of percussion

A

3-5 minutes

106
Q

Maximum Length of percussion

A

5 minutes

107
Q

Minimum Length of percussion

A

3 minutes

108
Q

Special attention must be taken to not clap over the
(S,B,S,L)

A

-Spine
-Breastbone; may cause damage
-Stomach
-Lower ribs or back; may damage the spleen and liver

109
Q

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

A

Vibration

110
Q

Length of vibration

A

15 second

Respiratory System (2 decks)

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