PROCEDURE

DATE

EXPLANATION

NURSING INTERVENTION BEFORE ECG You must remove jewelry and other metal objects. Patients should be nursed in a high observation area, ECG monitoring can cause anxiety for them or their relatives, especially if alarms sound. Alarms should be set approximately and explained to the patient and family, and the rationale for ECG monitoring should be discussed. Patient and relatives are likely to "monitor watch", so explaining acceptable values can reduce unnecessary panic.

NURSING INTERVENTION AFTER ECG

patient may resume activities as recommended by your doctor.

RESULT

ECG Electrocardiogram

02-15-13

Measures the electrical activity of the heart. ECG's can highlight changes in a patient's condition aid diagnosis. The conduction of the heart's electrical impulses is detected through the skin by electrodes placed at specific points and displayed as a graphic waveform on an ECG machine or cardiac monitor.

Sinus Tachycardia

PROCEDURE Bone Scintigraphy

DATE 01-18-13

EXPLANATION
Diagnose a bone tumor or cancer Determine if a cancer that began elsewhere in your body has spread to the bones; common cancers that spread to the bones include breast, lung, prostate, thyroid, and kidney. Diagnose a fracture, when it cannot be seen on a regular xray (most commonly hip fractures, stress fractures in the feet or legs, or spine fractures) Diagnose a bone infection (osteomyelitis) Diagnose or determine the cause of bone pain, when no other cause has been identified Evaluate metabolic disorders, such as osteomalacia, renal osteodystrophy, primary hyperparathyroidism, osteoporosis, complex regional pain syndrome, and Paget's disease

NURSING INTERVENTION BEFORE SCANTIGRAPHY

You must remove jewelry and other metal objects. You may be asked to wear a hospital gown.

NURSING INTERVENTION AFTER SCANTIGRAPHY

continue activities, eat, drink, and take the usual medicines as did before the test. Drink plenty of water and other fluids to help flush the tracer out of the body. Flush the toilet three times after going to the bathroom. This makes sure that the small amount of tracer that leaves your body does not stay in the toilet bowl.

RESULT Abnormal bone activity, left lower extremity, as described, suspicious for osseous metastases versus reflex sympathetic dystrophy. Increased right sternoclavicular joint uptake. Osseous metastases cannot be ruled out either. Soft tissue activity corresponding to left thigh mass with local inflammation.

PROCEDURE

DATE

EXPLANATION

NURSING INTERVENTION BEFORE BOIPSY

NURSING INTERVENTION BEFORE BOIPSY

RESULT

Biopsy

01-12-13

Biopsies are particularly M important in the diagnosis of cancer. This procedure will often be performed when there is a lump, tumour, cyst or swelling for which there is no apparent cause. In these cases, the doctor feels the only way to reach an accurate diagnosis is to take a piece of that lump and examine the cells directly.

medical history, Some pain around the including any biopsy site. This prescription drugs, should resolve, or at over-the-counter least ease over the drugs, herbs, vitamin next two or three or mineral days. supplements you may Your doctor will be taking. Some prescribe appropriate preparations can pain relieving interact with surgical medication. medications and need Nurses monitor your to be avoided. condition for some Other tests, such as hours and check for blood tests or bleeding from the ultrasound scans, biopsy site. may need to be done You may have a prior to the biopsy blood count test to (depending on the double-check that you nature of the condition are not bleeding under investigation). internally from the biopsy site. You may undergo other tests to make sure all is well, for example, a chest xray (or two) if you had a lung biopsy.

Malignant fibros histiocytoma