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thorancentesis is a diagnostic/therapeutic procedure in which a needle is inserted into the chest to remove air/fluid from the ____
pleural space
most common pleural disorder that requires a thoracentesis is a ___
plueral effusion
cxr findings of pl effusion
lateral decubitus film shoes CONCAVE upper border or a continual line from the diaphragm to apices
most common position for thoracentesis is to have the pt
sitting up and leaning fwd
the needle is inserted through the __ or __ intercostal space at the site of ____ dullness
7 or 8
maximal
a transudate (clear) fluid is also called
serous fluid
serous fluid is associated with
congestive heart failure
empyema/pyothorax has an opaque appearance and is called an
exudate fluid
bloody effusions (hemothorax, serosanguineous) may suggest ____
malignancy or cancer
purulent fluid
pus filled exudate
a condition in which the pt has apnea during sleep for periods of 10 seconds or longer
sleep apnea
apnea due to loss of ventilation effort
central
apnea due to blockage of the upper airway
obstructive
history and presentation of sleep apnea
daytime sleepiness/insomnia at night
muscle twitching
snoring
obesity
sleep studies include
chest motion
nasal flow
oximetry
if nasal flow DECREASES and respiratory effort DECREASES then it is a result of a
central
if nasal flow DECREASES but respirator effort INCREASES then it is a result of a
obstructive
tx for sleep apnea
weight loss
surgery
resp stimulants
tracheostomy
nasa/mask cpap/ nippv therapy
series of elastic bands are placed around the chest to measure chest movement and breathing freq
inductive plethysmography
start pressure for CPAP should be ____ for pediatric and adult pts
3-5
air enters the plueral space with little or no fluid
pneumothorax
fluid enters the plural cavity with no air
hemothorax
pleural effusion
if the tube is to drain AIR from the plural space, it is placed in the
anterior chest (2 -3rd intercostal space in the midclavicular line)
if the tube is to drain FLUID from the pleural space, it is placed in the
4th and 5th intercostal space in the midaxillary line
chest drainage bottle sys must be __ below the pt
3 ft
cont bubbling on the middle bottle/ water seal bottle indicates
air leak
disposable drainage unit consists of three parts and resemble the tree bottle system
disposable drainage unit
diagnostic exam used to evaluate the ability of the heart and lungs to provide oxygen and remove carbon dioxide from the bloodstream
exercise tolerance testing ETT or Stress testing
indications for ETT or Stress testing
chief complaint of dyspnea on exertion
formula to calculate the pts maximum heart rate
220 - age of years
Author
Anonymous
ID
91224
Card Set
special procedures
Description
special procedures
Updated
2011-06-19T11:43:43Z
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