resp system- diag

  1. ventilation- perfussion VQ scan
    • ventilation- inhale radioactive gas
    • perfusion- radiologic constrast injected IV
    • used to r/o PE
    • CXR- PA, AP and lateral
    • US
    • CT scan
    • MRI
  2. Bronchoscopy snake like instrument
    • remove deep lung secretions, obtain biopsies
    • NPO 6h before
    • nsg care after: close VS, monitor resp distress, hemoptysis, NPO until return gag reflex, check CXR results
    • swallowing may indicate bleeding
  3. Pulmonary angiograpgy
    • constrast injected IV to examine pulmonary vasculature
    • movement of the dye is tracked by a series of xrays
    • used to r/o PE more invasive than VQ scan
    • Nsg- same as with cardiac cath
  4. Sputum collection
    • before antibiotic if possible
    • brush teeth, clean mouth before
    • first thing in the AM, esp AFB acid fasting bacillus
    • may need NTS- nose throat swab (with order) to obtain
    • assess pt pre/post procedure
    • note color, consistency, odor, amoutn
  5. thoracentesis
    • drainage of fluid and air in pleural spaces
    • therapeutic or diagnostic
    • local anesthesia
    • manual or vacuum drainage
  6. thoracentesis
    • before, during
    • before- position pt- upright, over table
    • - if unstable, recumbent with arm over head
    • - sedation if needed
    • during:
    • - monitor VS
    • - observe, SOB, dyspnea, chest pain
    • - assist provider PRN
  7. thoracentesis
    • after
    • position on unaffected sided for 1h
    • frequent VS
    • frequent breath sounds
    • report diminished breath sounds, tachyapnea- immediatw
    • monitor for pneumothorax
    • - CXR- if +, possibly chest tube insertion
    • record amount of drainage, color
    • assess for subcuteneous, emphysema- crepitus
    • maintain DSD, dry x 3d
    • rate and depth will tell you about Co2
Card Set
resp system- diag