⚠️ Diminisyon Risk · Leson 3 sou 6 · 8 min

Preparasyon Pwosedi ak Swen Apre: Kesyon Ou Pral Jwenn yo

Procedure Prep and Aftercare: The Questions You Will Get

🩻 Kouche plat apre lumbar puncture la. Kouche sou bò dwat apre liver biopsy a. Chita dwat epi panche devan pandan thoracentesis la. Egzamen an ap ba w yon pwosedi ak kat pozisyon.

🩻 Lie flat after the lumbar puncture. Lie on the right side after the liver biopsy. Sit up and lean forward during the thoracentesis. The exam will give you one procedure and four positions.

💡 Ide prensipal

Cath: batman, sit, janm dwat, likid. Bronchoscopy/EGD: NPO jiskaske gag la retounen. Thoracentesis: chita panche devan, rete trankil. Paracentesis: fè pipi anvan. LP: kouche plat. Liver biopsy: bò dwat.

Cath: pulses, site, straight leg, fluids. Bronchoscopy/EGD: NPO until the gag returns. Thoracentesis: sit forward, still. Paracentesis: void first. LP: lie flat. Liver biopsy: right side.

🧠 Poukisa sa enpòtan

CARDIAC CATHETERIZATION: mande sou nenpòt reyaksyon anvan ak iodinated contrast (yon alèji ak shellfish pou kont li pa yon rezon pou evite contrast) ak sou fonksyon ren yo, sispann metformin ozalantou pwosedi a, kenbe NPO jan yo te bay lòd la; apre sa tcheke sit ensèsyon an pou senyman oswa hematoma, konpare batman distal yo, koulè ak tanperati, kenbe ekstremite a dwat pandan kantite èdtan yo te bay lòd la, epi pouse likid pou elimine koloran an. BRONCHOSCOPY ak UPPER ENDOSCOPY (EGD): NPO anvan epi jiskaske gag reflex la retounen apre. THORACENTESIS: chita dwat epi panche devan sou yon tab ki pase sou kabann nan, pa touse oswa bouje pandan y ap mete zegwi a; apre sa veye pneumothorax (dyspnea toudenkou, breath sounds absan) epi atann yon chest X-ray. PARACENTESIS: fè pipi imedyatman anvan pou evite pèse vesi a, mezire pwa ak sikonferans vant, veye hypovolemia apre yo retire yon gwo volim. LUMBAR PUNCTURE: kouche sou bò ak jenou yo rale monte; apre sa kouche plat jan yo te bay lòd la, ankouraje likid, epi rapòte gwo doulè tèt oswa koule. LIVER BIOPSY: tcheke coagulation studies anvan, fè pasyan an rann souf epi kenbe l pandan ensèsyon an, apre sa kouche sou bò DWAT la pandan anviwon 2 èdtan pou konprese sit la epi veye senyman. EEG: lave cheve a, pa gen caffeine, pa gen sedatif, epi pa sote repa yo. MRI: tcheke pou metal, implants ak pacemakers. COLONOSCOPY: bowel prep ak likid klè jou anvan an; apre sa atann cramping ak flatus, epi rapòte gwo doulè, lafyèv oswa senyman, ki sijere perforation oswa hemorrhage. Anvan yon RADIAL arterial blood gas, fè Allen test la pou konfime koule kolateral ulnar la; apre sa aplike yon presyon fèm pandan omwen 5 minit (anviwon 10 minit oswa plis si pasyan an pran antikoagilan oswa li gen yon coagulopathy).

CARDIAC CATHETERIZATION: ask about any prior reaction to iodinated contrast (a shellfish allergy alone is not a reason to avoid contrast) and about kidney function, hold metformin around the procedure, keep NPO as ordered; afterward check the insertion site for bleeding or hematoma, compare distal pulses, color and temperature, keep the extremity straight for the ordered hours, and push fluids to clear the dye. BRONCHOSCOPY and UPPER ENDOSCOPY (EGD): NPO before and until the gag reflex returns afterward. THORACENTESIS: sit upright leaning forward on an overbed table, do not cough or move during needle insertion; afterward watch for pneumothorax (sudden dyspnea, absent breath sounds) and expect a chest X-ray. PARACENTESIS: void immediately before to avoid bladder puncture, measure weight and abdominal girth, watch for hypovolemia after large-volume removal. LUMBAR PUNCTURE: side-lying with knees drawn up; afterward lie flat as ordered, encourage fluids, and report severe headache or leakage. LIVER BIOPSY: check coagulation studies first, have the client exhale and hold during insertion, then lie on the RIGHT side for about 2 hours to compress the site and watch for bleeding. EEG: wash the hair, no caffeine, no sedatives, and do not skip meals. MRI: screen for metal, implants and pacemakers. COLONOSCOPY: bowel prep and clear liquids the day before; afterward expect cramping and flatus, and report severe pain, fever or bleeding, which suggest perforation or hemorrhage. Before a RADIAL arterial blood gas, perform the Allen test to confirm ulnar collateral flow; afterward apply firm pressure for at least 5 minutes (about 10 minutes or longer if the client takes anticoagulants or has a coagulopathy).

🏥 Nan lavi reyèl

🦵 Apre yon femoral cardiac catheterization pye dwat yon pasyan vin pal ak frèt ak yon pedal pulse fèb konpare ak bò gòch la. Enfimyè a tcheke sit la (pa gen senyman) epi li rele founisè a imedyatman: yon kayo oswa yon spasm ap bloke atè yo te itilize pou catheter la. Verifikasyon batman distal yo apre pwosedi sa a se pa papye woutin; yo kenbe ischemia ki menase manm nan.

🦵 After a femoral cardiac catheterization a client's right foot becomes pale and cool with a weak pedal pulse compared with the left. The nurse checks the site (no bleeding) and calls the provider immediately: a clot or spasm is blocking the artery used for the catheter. Distal pulse checks after this procedure are not routine paperwork; they catch limb-threatening ischemia.

📌 Sa pou retni

Apre cardiac cath: sit, batman, janm dwat, likid; metformin sispannAfter cardiac cath: site, pulses, leg straight, fluids; metformin held
Pa gen manje oswa likid jiskaske gag reflex la retounen apre bronchoscopy oswa upper endoscopyNo food or fluids until the gag reflex returns after bronchoscopy or upper endoscopy
Thoracentesis: chita panche devan; paracentesis: fè pipi; LP: plat; liver biopsy: bò dwatThoracentesis: sit forward; paracentesis: void; LP: flat; liver biopsy: right side

✅ Teste tèt ou

Yon pasyan retounen soti nan yon bronchoscopy epi li mande yon bwason dlo. Kisa enfimyè a ta dwe fè anvan?A client returns from a bronchoscopy and asks for a drink of water. What should the nurse do first?

Tcheke si gag reflex la retounenCheck for the return of the gag reflex
Bay dlo aProvide the water
Ofri moso glas pitoOffer ice chips instead
Leve tèt kabann nan epi bay yon chalimoRaise the head of the bed and provide a straw

Repons: A · Tcheke si gag reflex la retounen

Anestezi lokal siprime gag reflex la; yo pa bay anyen nan bouch jiskaske li retounen.

Local anesthesia suppresses the gag reflex; nothing is given by mouth until it returns.

Kijan enfimyè a ta dwe pozisyone yon pasyan apre yon percutaneous liver biopsy?How should the nurse position a client after a percutaneous liver biopsy?

High Fowler's
Sou vant ak yon zòrye anba vant lanProne with a pillow under the abdomen
Sou bò dwat la pandan anviwon 2 èdtanOn the right side for about 2 hours
Sou bò gòch la ak tèt la leveOn the left side with the head elevated

Repons: C · Sou bò dwat la pandan anviwon 2 èdtan

Kouche sou bò dwat la konprese fwa a kont miray pwatrin nan pou diminye senyman nan sit biopsy a. Kouche sou bò gòch la retire presyon sou sit biopsy a, kontrè sa yo bezwen pou kontwole senyman.

Lying on the right side compresses the liver against the chest wall to reduce bleeding at the biopsy site. Lying on the left side takes pressure off the biopsy site, the opposite of what is needed to control bleeding.

Ki evalyasyon ki priyorite nan premye èdtan yo apre yon femoral cardiac catheterization?Which assessment is the priority in the first hours after a femoral cardiac catheterization?

Deep tendon reflexes
Batman distal nan janm ki afekte aDistal pulses in the affected leg
Repons pupil yo ak limyèPupil response to light
Bowel sounds nan kat kadran yoBowel sounds in all four quadrants

Repons: B · Batman distal nan janm ki afekte a

Aksè atèryèl ka mennen nan senyman, hematoma oswa occlusion; verifikasyon neurovascular ekstremite a detekte yo bonè. Repons pupil se yon verifikasyon newolojik; li pa di anyen sou janm nan, kote piksyon atèryèl la ka senyen oswa kaye.

Arterial access can lead to bleeding, hematoma or occlusion; neurovascular checks of the extremity detect them early. Pupil response is a neurologic check; it says nothing about the leg, where the arterial puncture can bleed or clot.

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