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10 Cards in this Set

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Pulmonary Function Test
Used to evaluate lung function, gas exchnages, pulmonary blood flow, and scid-base balance.
PATIENT PREPARATIONAdvise patient not to smoke or eat a heavy meal for 4-6 hours before test. Patient should rest and void before test.
POSTPROCEDURE CARE
Resume meds and special care required
Fiberoptic Bronchoscopy
Used to visualize abnormalities, take biopsy samples of lesions or remove foreign bodies
PATIENT PREPERATION
Obtain signed consent. PAtient should be NPO 6-8 hours before test. Remove dentures, perform mouth care. *Document any loose teeth. No Smoking, give sedatives and anticholineergic as ordered.

POSTPROCEDURECARE
*Patient NPO until gag reflex returns
*In Semi Fowler position
*Monitor Vital signs
* Monitor for hemoptyosis, swelling of face and neck, stridor, decreased asymmetric chest movements, diminished lung sounds, and dyspnea.
Thoracentesis
Pleural fluid aspirated adn examined for pathogens and other abnormal components. Cells studied for Malignancy.
PATIENT PREPARATION
*Obtain signed consent. *Stress the importance not moving or coughing during test.
*Support him/her during thoracentesis and monitor his/her skin color, RR, and general response.
*Label any specimens and send to lab

POSTPROCEDURECARE
*Monitor Vital signs, lung sounds and chest movement.
* Report any dyspnea or chest asymmetricmovement
*check dressingfor bleeding note color and amount of blood or othe rfluid removed
*
Tuberculin Skin Test
Used to determine past or present exposure to tuberculosis.
PATIENT PREP
*Inform patient they will need to return in 48-72 hours to have it read.
*A reaction size of 5mm swelling and redness is a positive indication
*A patient who has ever had vaccine against TB will show up + regardless if they have been exposed or not.

POSTPROCEDURE CARE
*Follow depends on results, if positive patient will be treated for TB
Fluoroscopy
Used to provide motion radiographs of lungs
Chest Xray
Used to diagnose and screen some respiratory disorders.
Ventilation-Perfusion Scan
(Lung Scan)
Used to demostrate lung ventilation and perfusion. Detects pulmonary embolism (PE) and other obstructive conditions. Its CHEIF purpose is to detect PE.
PATIENT PREP
*Assure patient radiation dose is small. It is inhaled for to monitor ventilation, or given by IV for perfusion.
*NPO for 4 hours if sedation is needed.
*Procedure last 2 hours
*Monitior patient for 1 hour afterwards for anaphylaxis

POSTPROCEDURECARE
*Check venipuncture site, aplly pressure and bandage if needed.
*Radioactive solution is excreted, tell patient to wash hands after RR
Computed Tomography (CTScan )
Used to visualize lesions and tumors in layers, procedure is painless,
PREP
*radioactice dye is inserted by IV
*PATIENT needs to be still during test.
*NPO may be required

POSTCARE
*Watch for headache, nausea, vomiting
Magnetic Resonance Imaging
(MRI)
produces images of multiple body planes without radiation. Used to deatect abnormalities, lesions or tumors.
PREP
*Obtain signed consent
*Explain procedure to patient.
*Patient should remove any metal, if atient has metal inside they cant have MRI
POST
no special care needed

Arterial Blood Gas Analysis
Used to detect alkalosis or acidosis and alternations in oxygenation status.
Blood sample is drawn from artery, usually radial artery., prior to the ABGA a Allen test but be performed to make sure the arteries are patent.
POSTCARE
*Apply pressure - mins
* Send down to lab wthin mins in ice bath