special procedures

  1. thorancentesis is a diagnostic/therapeutic procedure in which a needle is inserted into the chest to remove air/fluid from the ____
    pleural space
  2. most common pleural disorder that requires a thoracentesis is a ___
    plueral effusion
  3. cxr findings of pl effusion
    lateral decubitus film shoes CONCAVE upper border or a continual line from the diaphragm to apices
  4. most common position for thoracentesis is to have the pt
    sitting up and leaning fwd
  5. the needle is inserted through the __ or __ intercostal space at the site of ____ dullness
    • 7 or 8
    • maximal
  6. a transudate (clear) fluid is also called
    serous fluid
  7. serous fluid is associated with
    congestive heart failure
  8. empyema/pyothorax has an opaque appearance and is called an
    exudate fluid
  9. bloody effusions (hemothorax, serosanguineous) may suggest ____
    malignancy or cancer
  10. purulent fluid
    pus filled exudate
  11. a condition in which the pt has apnea during sleep for periods of 10 seconds or longer
    sleep apnea
  12. apnea due to loss of ventilation effort
  13. apnea due to blockage of the upper airway
  14. history and presentation of sleep apnea
    • daytime sleepiness/insomnia at night
    • muscle twitching
    • snoring
    • obesity
  15. sleep studies include
    • chest motion
    • nasal flow
    • oximetry
  16. if nasal flow DECREASES and respiratory effort DECREASES then it is a result of a
  17. if nasal flow DECREASES but respirator effort INCREASES then it is a result of a
  18. tx for sleep apnea
    • weight loss
    • surgery
    • resp stimulants
    • tracheostomy
    • nasa/mask cpap/ nippv therapy
  19. series of elastic bands are placed around the chest to measure chest movement and breathing freq
    inductive plethysmography
  20. start pressure for CPAP should be ____ for pediatric and adult pts
  21. air enters the plueral space with little or no fluid
  22. fluid enters the plural cavity with no air
    • hemothorax
    • pleural effusion
  23. 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)
  24. 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
  25. chest drainage bottle sys must be __ below the pt
    3 ft
  26. cont bubbling on the middle bottle/ water seal bottle indicates
    air leak
  27. disposable drainage unit consists of three parts and resemble the tree bottle system
    disposable drainage unit
  28. 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
  29. indications for ETT or Stress testing
    chief complaint of dyspnea on exertion
  30. formula to calculate the pts maximum heart rate
    220 - age of years
Card Set
special procedures
special procedures