Tech-Special Procedures (Thoracocentesis)

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Author:
heather.dundas
ID:
240633
Filename:
Tech-Special Procedures (Thoracocentesis)
Updated:
2013-10-14 20:31:53
Tags:
vti
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vti
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  1. Placing a needle or catheter into thoracic cavity in order to remove fluid or air
    thoracocentesis
  2. Indications for thoracocentesis:PPHPC
    • pleural effusion
    • pneumothrox
    • hemothorax
    • pyothorax
    • chylothorax
  3. Which indication can be from trauma or a bolla and is common in huskies?
    pneumothorax
  4. Is a thoracocentesis considered a surgical procedure?
    no
  5. Air on x-ray
    dark
  6. fluid on x-ray
    light
  7. What types of catheters are used in thorcocentesis?
    • OTN(2-5")
    • Butterfly(18-20g)
  8. IV _ _ is needed
    a # _ blade is used to create the initial hole
    • extention tubing
    • #15
  9. What is used as a local anesthetic?
    2% lidocaine
  10. What tubes and collection containers are needed?ECCS
    • EDTA tubes
    • clot tubes
    • culture tubes
    • sterile bowl to collect fluid
  11. Additional materials needed for the thoracocentesis include:S3SCAA
    • sterile gloves
    • 3 way stop cock
    • clippers
    • antiseptic scrub
    • antiseptic solution
  12. 3 considerations for catheter sizing:PVG
    • patient comfort
    • viscosity of fluid
    • gravity
  13. Procedure:SSLAP
    • shave
    • scrub
    • lidocaine
    • aseptic technique
    • poke
  14. Where to poke is you are looking to draw air
    lateral
  15. Where to poke if you are looking to draw fluids
    sternal
  16. The chest tab should be done cranially between what ribs?
    6 and 8
  17. Why is the needle pushed in along the cranial aspect of a rib as opposed to caudal?
    The caudal side has nerves and vessels
  18. A diagnostic tap is done is what patients?
    stable just to get enough fluid for a sample
  19. A therapeutic tap is done in what patients?
    unstable
  20. What is the thoracocentesis is nonproductive?
    redirect the needle or pull out
  21. What two situations do you stop pulling?
    • when negative pressure is reached
    • when patient condition has improved
  22. What determines the endpoint?
    ultrasound
  23. What are some possible complications?WSVHS
    • wrong organ puncture
    • secondary pnuemothorax
    • vessel puncture
    • hypvolemia
    • secondary hemothorax
  24. Post care:PAR
    • pulse ox check spo2 q 4hrs
    • auscultate lungs
    • resp rate and effort

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