RFA
Ped Sed
EEG
MRI Stress
Navi Bronch
100

What is a RFA?

What is the use of electrodes to generate heat and destroy abnormal tissue

100

What do we use to sedate a pediatric patient?

Ketamine

Intranasal Versed

100

Why would you do an EEG? name 3

brain tumor

brain damage

brain dysfunction

brain inflammation

stroke

sleep disorders

confirmation of brain death

100

patient prep for an MRI stress test

NPO 6 hours prior

Stop drinking caffeine for 24 hours prior

stop taking theophylline for 48 hours

100

Name 3 reasons to preform a navi bronch

minimally invasive compared to a lung biopsy

less risk of pneumothorax

biopsy harder to reach lesions 

stage lymph nodes

insert markers to guide radiotherapy

reinforced guide catheter extends beyond that of a standard bronchoscope, making it easier to access regions deep within the lung without any additional risks

200

Who is a candidate for RFA?

Who are patients with four or fewer tumors, measuring less than 2.5 inches

200
What should you know about Ketamine?

it may increase the effects of other sedatives

200

Name 3 patient preparations that need to take place prior to an EEG

avoid caffeine

NPO 8 hours if requiring sedation

Sleep deprivation if your doctor would like you to be asleep during the test

Wash hair the night before, and no conditioning products

200

Name 3 side effects of a Lexiscan

dizziness

risk of MI

chest pain

nausea

shakiness

headache

flushing

SOB

anxiety

200

how will the pulmonologist hit their mark?

a thin cut CT scan is preformed in order to be able to construct a 3D rendering of the airway tree. the CT images are then transferred to a laptop computer containing specific proprietary software and the procedure is planned creating a virtual map

300

Name 3 Cons to RFA

Fever lasting several days

infection

bleeding

may have to be repeated

sedation 2-10x more than a cryoablation

pain

reoccurrence of tumors

300

What pediatric patients qualify for Ketamine?

3 months or older
300

T or F: Versed can interfere with EEG test results

T

300

what will disqualify a patient for a MRI stress test? name 3

pacemaker

cardiac defibrillator 

neurostimulator 

ear implants

cerebral aneurysm clips

recent MI, < 3 days

COPD

severe heart failure

claustrophobia

metal fragments in eyes

allergy to adenosine

asthma

300
What is the nurses role during the procedure?

assist anesthesia

bring patient to the bronch lab

take patient to recovery 

be prepared for possible chest tube patient

400
how hot do the electrodes need to become in order to destroy tissue?

above 122 degrees Fahrenheit, and less than 230 degrees

400

Onset and duration of Ketamine

30 seconds IV, 3-4 mins IM

5-10 mins IV, 12-25 mins IM


400

what is an EEG?

a test that detects electrical activity in your brain using small electrodes attached to your scalp
400

What are the nursing responsibilities during the scan?

monitor B/P

monitor HR

nurse must be aware of rhythm before and after lexiscan is given

patient must be monitored closely for signs of acute MI

400

does Stacie check-in navi bronch patients?

no, patients check-in down in ambulatory surgery

500

Name 3 pros of an RFA

Rapid recovery

cheaper than surgery

minimally invasive

500
Reversal medication for Ketamine

none

500

how long does an EEG test last?

about an hour

500
How is stress mimicked during the scan?

Lexiscan (Regadenoson) is administered to mimic an exercised heart

500

how do the nurses charge for a navi bronch?

nurses enter the charge for a standard bronch

M
e
n
u