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15 Cards in this Set

  • Front
  • Back
right lung segments
1)Upper lobe
-apical
-posterior
-anterior
2)Middle Lobe
-lateral
-medial
3)Lower lobe
-superior
-medial basal
-posterior basal
-lateral basal
-anterior basal
left lung segments
1)Upper lobe
-apical posterior
-anterior
-superior lingular
-inferior lingular
2)Lower lobe
-superior
-posterior basal
-lateral basal
-anterior medial basal
Sympathetic Nervous System
1)vasoconstriction
2)bronchodilation
3)suppress glandular secretions
Parasympathetic nervous system
1) vasodilation
2)Bronchoconstriction
3)increase in glandular secretions
Indications for Bronchoscopy
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
Contraindications for bronchoscopy
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
Complications
1)death
2)fever
3)pneumonia
4)laryngospasm or bronchospasm
5)arrythmias
6)pneumothorax
7)anesthesia
8)aphonia
Indications for rigid bronchoscopy
1)massive hemoptysis
2)laser therapy
3)foreign body retrival
4)placement of airway stents
Duties of the Respiratory Therapist
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
Patient Preparation
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
Lidocaine hazards
1)muscle fasiculation
2)tremor
3)shivering
4)twitching
5)visual disturbance
6)weakness
Doses for lidocaine administration
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
Epinephrine
1)local vasoconstriction
2)bronchodilation
3)reduce hemorrhage
4)Asthmatic patient or patient with irritable airways
Routes of insertion
1)trans nasal
2)trans oral
3)tracheostomy tube or stoma
Diagnostic procedure
1)Bursh biopsy