RESPIRATORY
PATIENT WITH PREVIOUS LUNG SURGERY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Consent was taken at least 8 hours before the procedure.
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No need to NBM patient by midnight before the procedure to be done.
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Do a skin test 1 day before procedure by using intradermal injection lignocaine 2 % (0.1 ml).
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All investigation such as FBC, PT/APTT, LFT and renal profile and chest x-ray took before bronchoscopy.
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Detailed explanation-1: -Patients are generally asked not to eat or drink for at least six hours prior to the procedure and for patients who are intubated, feeding is discontinued for the same period of time. However, an emergent bronchoscopy can be performed when the patient is fasting for less than six hours depending on the indication.
Detailed explanation-2: -The patient and the patient’s caregiver must wear a surgical mask when they enter the bronchoscopy theatre. Bronchoscopy should be done in an adequately ventilated room with air flow of at least 160 L/s per patient or in a negative pressure room with at least 12 air changes per hour.
Detailed explanation-3: -Do not eat or drink for 6 hours before the procedure. Bronchoscopy involves visualization of the trachea and bronchial tree. To prevent aspiration of stomach contents into the lungs, the nurse should instruct the client not to eat or drink anything for approximately 6 hours before the procedure.
Detailed explanation-4: -Assess bleeding episodes. Assess respiratory status. Monitor vital signs. Position the patient. Reinforce diet. Prevent aspiration. More items •22-Jan-2019