Endoscopy, Drains and Exotics Practical Flashcards

1
Q

What equipment do you need for thoracocentesis?

A
  • I/V catheter or needle (~21ga 1”)
  • Sterile 10-20 ml syringe
  • Extension tubing and three way tap
  • Lab sample pots
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2
Q

What tests can be carried out on pleural fluid?

A
  • Direct smears for cytology
  • Aerobic and anaerobic culture and sensitivity
  • SG, protein, clotting characteristics
  • Presence of chylomicrons, TG’s
  • Total cell counts
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3
Q

What are the indications for using a chest drain?

A
  • Management of dyspnoea due to pleural fluid or air
  • Following thoracotomy
  • Delivery of treatment (lavage, antibiotics etc)
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