Cheatography
https://cheatography.com
NONINVASIVE PROCEDURES
Pulse oximetry |
Pulmonary function tests |
Sputum culture |
Computed tomography (CT) |
MRI |
Chest x-ray: use lead shield for adults of childbearing age |
ARTERIAL BLOOD GAS (ABGs)
ABGs via arterial puncture or arterial line: Allows the most accurate method of assessing respiratory function |
Perform Allen test if no arterial line |
Sample is drawn into heparinized syringe |
Keep on ice and transport to lab immediately |
Document amount and method of oxygen delivered for accurate results |
Apply direct pressure to puncture site at least 5 min |
Monitor for hematoma |
BRONCHOSCOPY
Bronchoscopy: |
Nursing Interventions: |
Observe postprocedure: |
Visualize larynx, trachea, bronchi |
Maintain NPO 8 to 12 hr |
Gag reflex |
Obtain tissue biopsy |
Provide local anesthetic throat spray |
Bleeding |
Foreign body removal |
Obtain informed consent |
Respiratory status |
| |
Position pt upright |
Vital signs |
| |
Administer meds as prescribed (atropine - to reduce oral secretions, sedation, antianxiety |
Level of consciousness |
| |
Label specimens |
|
|
MANTOUX TEST
Positive test indicates exposure to TB |
Diagnosis must be confirmed w/ sputum culture for presence of acid-fast bacillus (AFB) |
Administer 0.1 mL purified protein derivative intradermal to upper half inner surface of forearm (insert needle bevel up) |
Monitor for reaction in 48 to 72 hr following injection |
Induration (hardening) of 10 mm or greater is considered a positive test |
5 mm can be considered significant if immunocompromised |
QuantiFERON-TB Gold test (QFT-FT) & T-SPOT.TB
Identify the presence of Mycobacterium tuberculosis infection by measuring the immune response to the TB bacteria in whole blood |
THORACENTESIS
Thoracentesis: Surgical perforation of the pleural space to obtain specimen, to remove fluid or air, or to instill medication |
Obtain informed consent |
Reinforce pt education (remaining still, feeling of pressure, positioning) |
Position the pt upright |
Monitor respiratory status & vital signs |
Label specimens |
Document pt response, and amount, color, and viscosity of fluid |
Maximum amount of fluid to be removed at one time is 1 L |
Chest tube at bedside |
Obtain CXR before & after procedure |
|
Created By
Metadata
Comments
No comments yet. Add yours below!
Add a Comment
Related Cheat Sheets
More Cheat Sheets by harpieee