CPSS Paracentesis, Thoracentesis, Chest Tube Questions with 100% Verified Answers

CPSS Paracentesis, Thoracentesis, Chest Tube Questions with 100% Verified Answers _______ needles are designed specifically for paracentesis and thoracentesis. They have plastic catheters over a metal needle and multiple side holes. - Centesis needles ________ containers and or __________ cannisters are needed in paracentesis. - evacuated suction _________ may be distended especially if patient is taking lactulose - Cecum **THORACENTESIS starts here** - *There are NO absolute contraindications to chest tubes*. Relative contraindications include the following: multiple _______ _______ scarring coagulopathy - pleural adhesions blebs 2 Standard sites for chest tube insertion - 1) 2nd intercostal space, midclavicular line 2) 4th or 5th intercostal space midaxillary line 2 types of paracentesis kits - 1) quick-tap 2) Saf-T centesis catheter 3 types of pneumothorax - 1) spontaneous 2) traumatic-open or close 3) tension A *patient air leak* must be monitored at frequent intervals-every ________. Disconnect suction and observe. Assess and document degree of air leak using a Pleur-evac Air Leak Meter ________ is low and ______ is high - 4 hours 1 7 Absence of peripheral lung marking Distinct line indicating edge of collaped lung Produces significant dyspnea in those with lung disease like COPD - pneumothorax Adult chest tube sizes - 8-42 french smaller tubes for small pneumo, larger for hemothorax, empyema Advantages of midclavicular approach - air rises to anterior chest protects lung easy reach from head of bed easily monitored An open traumatic pneumothorax may develop into _________ - tension pneumo Anesthesia is first performed over the rib at the _______. Then advance needle slowly _______ of that rib while intermittently infiltrating and aspirating until pleura is breeched. - incision site over the top Appearance of ascitic fluid: Translucent or clear yellow: ________ Cloudy/turbid: _______ Pink/blood tinged: __________ *Grossly bloody: ___________* Milky chylous: ___________- Brown: _________ - normal sterile