DOS 04 Flashcards
number one issue with needle aspiration?
pnuemothorax
what labs to look at for bronch procedure
check platelets, and possible PTT or INR
if you cant find the lab values for the pt recieving a broch, what do you do?
call the doctor
if someone starts a bleed during a bronch, what are the three treatments in order?
lavage with iced saline
instill epi
Fogarty cath
cytology fixitive spray
used to spray on slides when bronchial brushing are obtained
when a biopsy is obtained, what is put in the specimen container and label?
Formalin helps preserve the smaple, and always put where the location was on the label
what are the two names for the drug to treat benzo OD
Romazicon/flumazenil
if you bronch a pt on the ventilator, what adapter do you need to have
Swivel adapter
**Protects PEEP by preventing loss of PEEP
what is the purpose of atropine?
reduces vagal response and reduces secretions
what is methemoglobin caused from?
too much lidocaine
Nebulizing lidocaine goes ….. while instilling it goes….
Above the cords, instill is for below the cords or on the cords
which procedure applies internal radiation pellets
brachytherapy
what screening will produce a virtual roadmap of the lungs similar to a ‘live x-ray’
electromagnetic navigational bronchoscopy
How does thermoplasty work?
it treats severe asthma by preventing tissue remodeling and hyper reactivity by applying heat to the smooth muscle tissue
how far can a rigid bronch visualize?
limited only to the left and right mainstem bronchus
which type of lavage is focal and can treat localized areas of the lung?
bronchoalveolar lavage (BAL)
what will aid in lymph node samples?
EBUS endobronchial ultrasound
In brachytherapy, where are the pellets administered?
Directly to to the tumor
rigid bronchs are indicated mainly for what two things?
retreiving foreign bodies and treating severe bleeding
What cleans the bronchoscopes vs sterilizing them
Cidex for cleaning, ETO gas sterilization
during a bronch the BP decreases significantly, what do you do?
tell the physician…. YOU dont stop anything, they make that choice
when do you not require a bite block or lidocaine?
When the patient has an ETT or trachostomy
