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Created with Fabric.js 1.4.5 Denial & Isolation Diseases & Disorders To Be Diagnosed or Treated Equipment Anger The Procedure "1. The last time she saw her brother. 2. The last time she saw her mother" (Zusak 38). "She has stolen a book" (Zusak 129). The patient sits on the edge of the chair or exam table, leans forward, and rests arm on table.Ultrasound is employed to find right location to insert needle or tube. The area of skin where the needle or tube will be inserted is cleaned and a numbing anesthetic will be injected into the chest wall and a sting sensation may result. The needle or tube is inserted between the ribs and the pleural space which may cause some discomfort or pressure. Excessive fluid is drawn out of thelungs with the needle or tube. The patient may feel chest pain or the need to cough. The doctor maytake only the amount of fluid reqired to find the cause of the pleural effusion or they may take more if there is a large amount of fluid in the pleural sac. This allows the lungs to expand and take in more air to allow the patient to breathe easier.The liquid is transported to the small vacuum bag attached to the syringe or small tube. Following the removal of the needle, a bandage is placed on the area. . Thoracentesis is performed when pleural effusion (excess fluid buildup) is present in the pleural space, causing dyspenea. It tests for lung cancer, tuberculosis, pneumonia, tumors, lunginfection, pulmonary embolism, lung infection, heart failure, and reactions to drugs such as asbestos and sarcoidosis. "Rudy would have gone away to school.And just maybe, he would have lived" (Zusak 411). For preparation and anesthesia: skin antiseptic, fenestrated drape or sterile towels, 10 mL Luer-Lok syringe, 25 gauge or smaller needle, 1.5 to 2 inch, 22-gauge needle; Liplocaine 1 to 2% with Epinephrine For Insertion: Sterile glove, 50 mL Luer-Lok syringe, 3 way stopcock, 2.5 inch, 18 gauge needle for air, 2.5 inch, 15 gauge needle for fluid or 16 gauge catheter over needle; specimen funnel Optional: sterile plastic tubing, monitoring equipment, curved clamp: vacuum bottlesDressing: sterile gauze pad, adhesive tape or bandage with antibiotic ointment Pre-Patient Care Doctor may order chest x-ray and certainblood tests such as complete blood countand clotting factors. Patient must inform thedoctor of any medication they take, any allergies they have to medication such as anesthetics, if they are or might be pregnant, and of any bleeding issues they have or blood thinners they take. They will discuss concerns for risk, need for test, the process, and the significance of the results. Complications or Risks Rare liver or spleen injuries, pulmonaryedema if large amounts of fluid areremoved. There is pain, bleeding, bruising, or infection where the needle ortube is inserted, though it is rare, around the lungs, requiring surgery.
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