DOS 04

Question 1

number one issue with needle aspiration?

Answer 1

pnuemothorax

Question 2

what labs to look at for bronch procedure

Answer 2

check platelets, and possible PTT or INR

Question 3

if you cant find the lab values for the pt recieving a broch, what do you do?

Answer 3

call the doctor

Question 4

if someone starts a bleed during a bronch, what are the three treatments in order?

Answer 4

lavage with iced saline
instill epi
Fogarty cath

Question 5

cytology fixitive spray

Answer 5

used to spray on slides when bronchial brushing are obtained

Question 6

when a biopsy is obtained, what is put in the specimen container and label?

Answer 6

Formalin helps preserve the smaple, and always put where the location was on the label

Question 7

what are the two names for the drug to treat benzo OD

Answer 7

Romazicon/flumazenil

Question 8

if you bronch a pt on the ventilator, what adapter do you need to have

Answer 8

Swivel adapter

**Protects PEEP by preventing loss of PEEP

Question 9

what is the purpose of atropine?

Answer 9

reduces vagal response and reduces secretions

Question 10

what is methemoglobin caused from?

Answer 10

too much lidocaine

Question 11

Nebulizing lidocaine goes ….. while instilling it goes….

Answer 11

Above the cords, instill is for below the cords or on the cords

Question 12

which procedure applies internal radiation pellets

Answer 12

brachytherapy

Question 13

what screening will produce a virtual roadmap of the lungs similar to a ‘live x-ray’

Answer 13

electromagnetic navigational bronchoscopy

Question 14

How does thermoplasty work?

Answer 14

it treats severe asthma by preventing tissue remodeling and hyper reactivity by applying heat to the smooth muscle tissue

Question 15

how far can a rigid bronch visualize?

Answer 15

limited only to the left and right mainstem bronchus

Question 16

which type of lavage is focal and can treat localized areas of the lung?

Answer 16

bronchoalveolar lavage (BAL)

Question 17

what will aid in lymph node samples?

Answer 17

EBUS endobronchial ultrasound

Question 18

In brachytherapy, where are the pellets administered?

Answer 18

Directly to to the tumor

Question 19

rigid bronchs are indicated mainly for what two things?

Answer 19

retreiving foreign bodies and treating severe bleeding

Question 20

What cleans the bronchoscopes vs sterilizing them

Answer 20

Cidex for cleaning, ETO gas sterilization

Question 21

during a bronch the BP decreases significantly, what do you do?

Answer 21

tell the physician…. YOU dont stop anything, they make that choice

Question 22

when do you not require a bite block or lidocaine?

Answer 22

When the patient has an ETT or trachostomy