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Author Question: Pleural effusions that occur secondarily to _____ are most often treated with pleurodesis. a. ... (Read 18 times)

pragya sharda

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on: Jul 16, 2018
Pleural effusions that occur secondarily to _____ are most often treated with pleurodesis.
 
  a. ascites
  b. congestive heart failure
  c. malignancy
  d. nephrotic syndrome

Question 2

What method of chest tube removal has been associated with the lowest level of pneumothorax recurrence?
 
  a. Clamp the chest tube for 4 hr; if chest ra-diograph is good, remove the tube.
  b. Clamp chest tube for 24 hr; if clinically stable, remove the tube.
  c. Remove the chest tube as soon as the air leak resolves.
  d. Remove the chest tube 48 hr after the air leak resolves.


fraziera112

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Reply #1 on: Jul 16, 2018
Answer to Question 1

ANS: C
Although pleurodesis of benign effusions, such as those occurring with CHF, nephrotic syn-drome, and idiopathic chylothorax, have been performed successfully, the procedure is discour-aged for pleural effusions that are not malignant.

Answer to Question 2

ANS: D
The recurrence rate is near zero when chest tubes are removed 48 hr after the air leak no longer is seen in the water-seal chamber.


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