Bronchoscopy, Assisting

Bronchoscopy, Assisting

Bronchoscopy is an invasive procedure that’s used to diagnose bronchogenic carcinoma, tuberculosis, interstitial pulmonary disease, and fungal or parasitic pulmonary infections. It can also be used to evaluate, manage, and treat numerous pulmonary processes. The procedure involves using a flexible fiber-optic scope connected to a light source to visualize the upper and lower airways. (See Features of the bronchoscope.) During the procedure, specimens can be collected from the tracheobronchial tree, foreign objects can be removed, and massive hemoptysis can be controlled.

The nurse who assists the doctor during a bronchoscopy must have knowledge of the technique, understand the complications associated with the procedure, and function according to the facility’s policy. Responsibilities may include patient preparation and monitoring, handling specimens, and postprocedure care and monitoring.

Preparation of Equipment

Prepare intubation equipment if endotracheal intubation is necessary. Apply lidocaine to the gauze sponges for lubricating the bronchoscope. Fill five 30-mL syringes with normal saline solution, one 5-mL syringe with viscous lidocaine for local anesthesia, one 5-mL syringe with 1% lidocaine with epinephrine, and three 10-mL syringes with 1% lidocaine. Label all medications appropriately to prevent medication errors.1 Set up suction equipment and make sure it’s functioning properly. Fill specimen containers with normal saline solution. Make sure other emergency equipment, such as a defibrillator and crash cart with cardiac medications, are readily available in case complications arise.

Jul 21, 2016 | Posted by in NURSING | Comments Off on Bronchoscopy, Assisting

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