special procedures

Question 1

placing a needle/catheter into thoracic cavity in order to remove air or fluid from the chest cavity for diagnostics or therapeutics

Answer 1

thoracocentesis

Question 2

5 indications of thoracocentesis

Answer 2

pleural effusion, pneumothorax, hemothorax, infxn/pus, chylothorax.

Question 3

how will you know if its fluid or air in thorax?

Answer 3

radiograph

Question 4

thoracocentesis procedure is done with an

Answer 4

ultrasound

Question 5

what if thoracocentesis is nonproductive?

Answer 5

redirect needle, or remove and start over

Question 6

thoracocentesis - when to stop aspirating

Answer 6

aspirate until slight negative pressure

Question 7

why to determine endpoint for ultrasound

Answer 7

to make sure theres no air or fluid remaining

Question 8

complications of thoracocentesis

Answer 8

pneumothorax, lung lacerations or intercostal vessel lacerations

Question 9

how to prevent lung lacerations

Answer 9

use over the needle catheter

Question 10

post-thoracocentesis nursing care?

Answer 10

RR- auscultation of lungs, measure o2 saturation. watch breathing.

Question 11

samples to be submitted to lab for thoracocentesis

Answer 11

TP, cell count, cytology, culture & sensitivity, biochemical analysis

Question 12

when to do a thoracostomy tube placement

Answer 12

large amount of pleural effusion, pneumothorax is present.

Question 13

how is animal placed during thoracostomy tube placement

Answer 13

sternal or lateral recumbency

Question 14

measure tube for thoracocentesis

Answer 14

point of insertion to thoracic inlet.

Question 15

What knot to anchor? What to seal?

Answer 15

Chinese finger knot to anchor. Purse string suture to seal

Question 16

Chest tubes require what to ensure proper placement

Answer 16

Continuous monitoring

Question 17

Purpose of chest tube

Answer 17

Reestablish negative pressure gradient by continuous suction or manual aspiration

Question 18

Pericardiocentesis- indications

Answer 18

Pericardial effusion, cardiac tamponade.

Question 19

This may be performed for therapeutic purposes, diagnostic purposes

Answer 19

Pericardiocentesis

Question 20

Pericardial effusions c.s

Answer 20

Lethargy, dyspnea, anorexia, collapse, abdominal distension, cough, death

Question 21

Diagnostic imaging for pericardial effusion

Answer 21

Echocardiogram

Question 22

The most common causes of pericardial effusions

Answer 22

Neoplasia and pericarditis

Question 23

What is done throughout entire pericardial effusion procedure

Answer 23

ECG monitoring

Question 24

Aspiration of fluid from the abdominal cavity.

Answer 24

Abdominocentesis

Question 25

Diagnose a abdominocentesis

Answer 25

Hemoabdomen, uroabdomen, peritonitis, ascites

Question 26

Don’t do abdominocentesis when

Answer 26

Pyometra or abdominal wounds