Endoscopic Procedures

Bronchoscopy

100

Purpose of Bronchoscopy

Direct inspection of larynx, trachea, and bronchi

200

2 Types

Flexible or rigid 

300

4 Pre-Op nursing interventions 

-informed consent

-NPO 4-8H 

-Pt. removes dentures/oral prosthesis 

-Administers preop meds 

400

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 

500

5 Complications

-prolonged fever

-aspiration

-laryngeal spasms

-pneumothorax

-bleeding

Thoracoscopy

100

2 purposes

Fluid and tissue obtained, treat pleural effusions and tumor staging

200

Where is it performed

OR under anesthesia 

300

2 Pre op Nursing Interventions 

- informed consent

-NPO prior 

400

5 Post op Nursing Interventions 

-Control pain 

-Assess VS

-Monitor Resp. status

-S/S Bleeding or infection

- IF chest tube - monitor drainage

500

What indicates bleeding with the chest tube?

100 ml or more in hour from chest tube

Thoracentesis

100

2 Purposes 

-removal of fluid or air from pleural cavity 

-pleural biopsy

200

2 Post-Op Nursing Interventions 

-Monitor for complications 

-Patient education regarding biopsy

300

NPO also means 

Stopping the tube feedings