Today our topic of discussion is Nursing Care Cautions.
Nursing Care Cautions
Nursing Care Cautions
- Prior to the procedure, the blood may be tested to determine how well the kidneys are functioning and whether your blood clots normally
- The client may be instructed not eat or drink for eight hours before your biopsy.
- However, you may take your routine medications with sips of water. If you are diabetic and take insulin, you should talk to your doctor as your usual insulin dose may need to be adjusted
- Prior to a bone biopsy, you should report to your doctor all medications that you are taking, including herbal supplements, and if you have any allergies, especially to anesthesia.
- Your physician may advise you to stop taking aspirin or a blood thinner three days before your procedure .
- Also, inform your doctor about recent illnesses and other medical conditions
- The client may be asked to wear a gown during the procedure .
- Women should always inform their physician if there is any possibility that they are pregnant.
- Some procedures using image-guidance are typically not performed during pregnancy because radiation can be harmful to the fetus
- The client may be asked to remove some or all of your clothes and to wear a gown during the exam.
- You may also be asked to remove jewelry, eye glasses and any metal objects or clothing that might interfere with the X-ray images
- The client may want to have a relative or friend accompany you and drive you home afterward.
- This is necessary if you have been sedated (Fig. 29.123).
Environment and Equipment
- A special drill needle is used for a closed bone biopsy.
- This needle is generally several inches long with a hollow core to capture the bone specimen
- The CT scanner is typically a large, box-like machine with a hole, or short tunnel, in the center.
- You will lie on a narrow examination table that slides into and out of this tunnel.
- Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry.
- The computer workstation that processes the imaging information is located in a separate control room, where the technologist operates the scanner and monitors your examination in direct visual contact and usually with the ability to hear and talk to you with the use of a speaker and microphone
- Other equipment that may be used during the procedure includes an intravenous line (IV), ultrasound machine and devices that monitor your heart beat and blood pressure.
Mechanism
The physician inserts a needle through the skin and advances it into the bone. A second needle, inserted through the first needle, removes a sample of the bone. The needles are then removed. The procedure is usually image-guided.
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