RFA
What is RFA?
The use of electrodes to generate heat and destroy abnormal tissue
What do we use to sedate a pediatric patient?
Ketamine
Intranasal Versed
Why would you do an EEG? Name 3
Brain tumor
Brain damage
Brain dysfunction
Brain inflammation
Stroke
Sleep disorders
Confirmation of brain death
What is the patient prep for an MRI stress test?
NPO 6 hours prior
Stop drinking caffeine for 24 hours prior
Stop taking theophylline for 48 hours
Name 3 reasons to preform a navi-bronch.
Minimally invasive compared to a lung biopsy
Less risk of pneumothorax
Ability to 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
Who is a candidate for RFA?
Patients with four or fewer tumors, measuring less than 2.5 inches
What should you know about Ketamine?
It may increase the effects of other sedatives
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
Name 3 side effects of a Lexiscan.
Dizziness
Risk of MI
Chest pain
Nausea
Shakiness
Headache
Flushing
SOB
Anxiety
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
Name 3 "cons" to RFA.
Fever lasting several days
Risk of infection
Risk of bleeding
May have to be repeated
Sedation 2-10x more than a cryoablation
Pain
Reoccurrence of tumors
What pediatric patients qualify for Ketamine?
3 months or older
T or F: Versed can interfere with EEG test results.
True
what will disqualify a patient for a MRI stress test? name 3
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
What is the nursing role during the procedure?
Assist anesthesia
Bring patient to the bronch lab
Take patient to recovery
Be prepared for possible chest tube patient
How hot do the electrodes need to become in order to destroy tissue?
Above 122 degrees and less than 230 degrees F
Onset and duration of Ketamine?
30 seconds IV, 3-4 mins IM
5-10 mins IV, 12-25 mins IM
What is an EEG?
A test that detects electrical activity in your brain using small electrodes attached to your scalp.
What are the nursing responsibilities during MRI Stress test?
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
Does Stacie check-in navi-bronch patients?
No, Ambulatory Surgery checks in the patient.
Name 3 "pros" of RFA.
Rapid recovery
Cheaper than surgery
Minimally invasive
Reversal medication for Ketamine?
None
How long does an EEG test last?
About an hour.
How is stress mimicked during the scan?
Lexiscan (Regadenoson) is administered to mimic an exercised heart.
How do the nurses charge for a navi-bronch?
Enter the charge for a standard bronch.