Atropine and valium pre-procedure
; topical anesthesia sprayedfollowed by local anesthesia injected into the larynx
Instruct on NPO for 6-8 hours
Remove dentures, prostheses and contact lenses
The patient is placed supine with hyperextended neck during theprocedure
Put the patient on
Side lying position
Tell patient that the throat may feel sore with some initial swallowingdifficulty
Maintain on NPO. Check for the return of cough and gag reflexbefore giving fluid per Orem.
Watch for cyanosis, hypotension, tachycardia, arrythmias,hemoptysis, and dyspnea. These signs and symptoms indicateperforation of bronchial tree. Refer the patient immediately!
6. Lung scan
Following injection of a radioisotope, scans are taken with ascintillation camera. Measure blood perfusion through the lungs.Confirm pulmonary embolism or other blood- flow abnormalities
Instruct the patient to Remain still during the procedure
7. Sputum examination
Indicated fro examination of the sputum: Gross appearance, SputumC&S, AFB staining, and for Cytologic examination/ Papanicolaouexamination
Early morning sputum specimen is to be collected
Rinse mouth with plain water
Use sterile container.
Sputum specimen for C&S is collected before the first dose of anti-microbial therapy.