fluid drainage procedures

Question 1

what is thoracentesis?

Answer 1

• procedure to remove excess fluid from pleural space
• most easily done from the back where the pleural gutter is deepest and nerovascular bundle is closer to the inferior edge of the rib

Question 2

pre scan?

Answer 2

• look for adjacent organs that can be mistaken for the collection by u/s during drainage procedure
• focally dialated small bowel loop
• GB
• UB
• distended stomach
• ovaries, fallopian tubes, uterus

Question 3

Pre-procedure lab values?

• INR
• PTT
• PLT

Answer 3

INR- 0.8-1.3
PTT- 150 000- 450 000
PLT- 25-35 sec

Question 4

drainage procedure management of pain?

Answer 4

• typically not an issue

- nonnarcotic medication usually enough to control pain

Question 5

sepsis from drainage procedure?

Answer 5

• operators should not over distent the fluid collection
• rigors only without fever can respond to medication
• fever

sepsis requires fluid resucitation and even vasopressors with ICU asmission

Question 6

2 types of drainages?

Answer 6

1. diagnostic

2. therapeutic

Question 7

what is medical biochemistry/ chemical pathology/ clinical biochemistry?

Answer 7

• concerned with analysis of bodily fluid

- usually check for cell count and different electrolytes, total protein, minerals within fluid