Bronchoscopy
Purpose of Bronchoscopy
Direct inspection of larynx, trachea, and bronchi
2 purposes
Fluid and tissue obtained, treat pleural effusions and tumor staging
2 Purposes
-removal of fluid or air from pleural cavity
-pleural biopsy
2 Types
Flexible or rigid
Where is it performed
OR under anesthesia
2 Post-Op Nursing Interventions
-Monitor for complications
-Patient education regarding biopsy
4 Pre-Op nursing interventions
-informed consent
-NPO 4-8H
-Pt. removes dentures/oral prosthesis
-Administers preop meds
2 Pre op Nursing Interventions
- informed consent
-NPO prior
NPO also means
Stopping the tube feedings
4 Post-Op nursing interventions
-NPO until cough reflex returns
-Ice chips once reflex returns
-Assess cardio, neuro, and resp. status
-Fever and blood tinged sputum expected
5 Post op Nursing Interventions
-Control pain
-Assess VS
-Monitor Resp. status
-S/S Bleeding or infection
- IF chest tube - monitor drainage
5 Complications
-aspiration
-laryngeal spasms
-pneumothorax
-bleeding
What indicates bleeding with the chest tube?
100 ml or more in hour from chest tube