Diagnostic Tests Flashcards
BRONCHOSCOPY
Definition:
1. BRONCHOSCOPE
2. FLEXIBLE TUBE WITH CAMERA
3. EXAMINE AIRWAYS
Purpose:
1. ABNORMAL CHEST XRAY
2.DIAGNOSE:
LUNG DISEASE,
TUMOR,
INFECTION,
CHRONIC COUGH
Pre-Procedure:
1.NPO 6-12H
2. STOP MEDS SUCH AS ASPIRIN/ WARFAIN (BLOOD THINNERS),Ibuprofen
Procedure:
1.SECURE CONSENT
2.Local anesthesia applied to nose and throat
(Sedative maybe needed to help you relax-awake but drowsy, O2 maybe given) If so, arrange transpo
- COLLECT TISSUE ex biopsy (Doctor may also collect cells through bronchial washing by spraying saline soln over the surface of airways. Cells are washed off and collected and looked at under a microscope
- IMAGING TYPES
Advanced forms of imaging are sometimes used to conduct a bronchoscopy.
● Virtual bronchoscopy- CT scans to see your airways in more detail.
● Endobronchial ultrasound- an ultrasound probe attached to a bronchoscope to see your airways.
● Fluorescence bronchoscopy- fluorescent light attached to the bronchoscope to see the inside of your lungs.
- Procedure last 30 minutes
Post Procedure
1. REST 2 HOURS or more
2. NO EATING/ DRINKING until throat is no longer numb
3. V/S MONITORING (BP, RR and SPO2 if sedated)
4. NO DRIVING (If sedated)
5. SOMEONE TO ACCOMPANY HOME THE PT.
6. Sore throat is normal-couple of days
FYI: If your airways are blocked, you might need a stent to keep them open. Risk or complications:
● Bleeding (esp if with biopsy, coughing out blood)
● Infection (fever)
● DOB
*Very rare but potentially life-threatening risks of bronchoscopy include heart attack and lung collapse. A collapsed lung can be due to a pneumothorax, or increased pressure on your lung due to the escape of air into the lining of your lung. This results from a puncture of the lung during the procedure and is more common with a rigid bronchoscope than with a flexible fiber-optic scope. If air collects around your lung during the procedure, your doctor can use a chest tube to remove the collected air.
