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Advanced Search March 2005 - Volume 35 - Issue 3
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Related ArticlesBronchoscopy is an invasive procedure that allows the direct examination of the larynx, trachea and bronchi using either a flexible fibreoptic bronchoscope or a rigid metal bronchoscope.1,2 Nurses perform an important role supporting patients undergoing bronchoscopy. In this article, we review the role of the bronchoscopy nurse in 3 surgical stages.
Ahead of the bronchoscopy procedure, the nurse’s role involves providing information on what to expect and what to avoid, helping relieve anxiety. The patient must be given a full explanation of the procedure, including risks, benefits and alternatives, as well as the preparation required.2 Other important tasks for nurses before the procedure include the following:1
During the bronchoscopy, intravenous sedation is given in incremental doses until the patient is adequately sedated. The patient must remain purposefully responding to the nurse, able to follow instructions and take deep breaths.2 The nurse must monitor the patient’s pulse, respirations and oxygen saturation levels using a pulse oximeter. Electrocardiography is not monitored routinely, unless the patient has a known history of severe cardiac disease. Any fall in oxygen saturation is treated with supplemental oxygen via a nasal cannula. The nurse must also look for any changes in breathing pattern, chest pain or any other signs of discomfort.2 Other responsibilities of the bronchoscopy nurse include:1
contact us For an hour after the procedure, the patient’s vital signs must be monitored regularly according to their general condition. Changes in breathing pattern, chest pain or oxygen saturation levels should be reported.2 Other important tasks include:1
In conclusion, bronchoscopy is an invasive procedure that requires adequate patient preparation and cooperation. Nurse bronchoscopists play an important role before, during and after procedures to ensure patient safety. About the authorMy name is Andreia Trigo RN BSc MSc, I am a nurse consultant with over a decade of experience in anaesthesia, sedation and pain management. This involves patient care, as well as lecturing at post grad level on these topics, presenting at conferences and co-developing a very successful sedation course at SedateUK. My passion for creating safer environments for patients and professionals led me to collaborate with Medtronic and share my knowledge and expertise with our professional community. The content of this article is written by a blogger with whom Medtronic has a relationship. However, the contents represent the personal objective views, comments and techniques of the blogger and are not statements from Medtronic. To the extent this material might contain images of patients or any material where a copyright is held by a third party, all necessary written permissions from the patient or copyright holder, as applicable, with respect to use, distribution or copying of such images or copyrighted materials has been obtained by the blogger. Which nursing action is the priority for a patient immediately following a bronchoscopy?The nurse should be aware of these post-procedure nursing interventions after bronchoscopy: Assess bleeding episodes. Observe the patient's sputum and report for any excessive bleeding. Explain that a minimal amount of blood streak is expected and normal for few hours after the procedure.
Which actions will the nurse take to prepare a patient for pulmonary function test?To prepare for your pulmonary function test, follow these instructions:. No bronchodilator medication for four hours.. No smoking for four hours before the test.. No heavy meals.. Do not wear any tight clothing.. The complete pulmonary function test takes around one and a half hours.. What are the 3 things you are assessing for during the breathing check?Objective Assessment. A focused respiratory objective assessment includes interpretation of vital signs; inspection of the patient's breathing pattern, skin color, and respiratory status; palpation to identify abnormalities; and auscultation of lung sounds using a stethoscope.
Which of the following are classified as reasons for performing a bronchoscopy select all that apply?Reasons for doing bronchoscopy include:. Diagnosis of a lung problem.. Identification of a lung infection.. Biopsy of tissue from the lung.. Removal of mucus, a foreign body, or other obstruction in the airways or lungs, such as a tumor.. Placement of a small tube to hold open an airway (stent). |
Which nursing action is priority for a patient immediately following a bronchoscopy?
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