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15 Cards in this Set
- Front
- Back
right lung segments
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1)Upper lobe
-apical -posterior -anterior 2)Middle Lobe -lateral -medial 3)Lower lobe -superior -medial basal -posterior basal -lateral basal -anterior basal |
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left lung segments
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1)Upper lobe
-apical posterior -anterior -superior lingular -inferior lingular 2)Lower lobe -superior -posterior basal -lateral basal -anterior medial basal |
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Sympathetic Nervous System
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1)vasoconstriction
2)bronchodilation 3)suppress glandular secretions |
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Parasympathetic nervous system
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1) vasodilation
2)Bronchoconstriction 3)increase in glandular secretions |
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Indications for Bronchoscopy
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1)Indeterminate lung lesion
2)assessment of airway patency 3)hemoptysis 4)Foreign body presence 5)nasopharyngeal or laryngeal lesions 6)endotracheal intubations 7)atalectasis 8)postresectional surgery |
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Contraindications for bronchoscopy
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1)Asthma
2)uremia 3)hemoptysis 4)lack of patient cooperation 5)uncorrected bleeding 6)arrythmia 7)recent MI 8)untreated TB 9)head trauma |
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Complications
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1)death
2)fever 3)pneumonia 4)laryngospasm or bronchospasm 5)arrythmias 6)pneumothorax 7)anesthesia 8)aphonia |
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Indications for rigid bronchoscopy
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1)massive hemoptysis
2)laser therapy 3)foreign body retrival 4)placement of airway stents |
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Duties of the Respiratory Therapist
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1)Check chart
2)resus. equipment 3)set up equipment 4)assist during intubation,bronchoscopy, and biopsy 5)clean, sterilize, and store equipment 6) Order and maintain routine and special supplies as needed |
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Patient Preparation
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1) Premedication-avoid respiratory depressants
2) --cocaine 200 mg duration of action 55 min --tetracaine 80 mg duration of action 55 min --lidocaine 1-4 percent max dose 600 mg duration 20 min |
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Lidocaine hazards
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1)muscle fasiculation
2)tremor 3)shivering 4)twitching 5)visual disturbance 6)weakness |
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Doses for lidocaine administration
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1)Lidocaine 4 percent spray
2)cotton balls with 4 percent pyriform sinus x min(blocks the internal branch of the supp laryngeal nerve) 3)lidocaine 2 percent vocal cords 4)lidocaine 1 percent 4 t0 5 ml in upper lobes 5)small additional doses to suppress cough |
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Epinephrine
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1)local vasoconstriction
2)bronchodilation 3)reduce hemorrhage 4)Asthmatic patient or patient with irritable airways |
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Routes of insertion
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1)trans nasal
2)trans oral 3)tracheostomy tube or stoma |
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Diagnostic procedure
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1)Bursh biopsy
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