A 59-year-old retired roofer with mesothelioma is scheduled for a left pleurodesis for malignant pleural effusion and unresolved spontaneous pneumothorax.The perioperative nurse responsible for the thoracic surgery service has consulted with the surgeon and determined that talc will be used.What are the nursing implications related to the use of talc?

Question

Quizplus · Accepted Answer

The aim of pleurodesis is to produce fusion between the visceral and parietal pleural surfaces and so prevent the accumulation of air or fluid in the pleural space.In a chemical pleurodesis,this fusion is generally achieved by the instillation of agents that induce an inflammatory response on the pleural surfaces.These agents can be introduced into the pleural space through a chest tube at the bedside or during thoracoscopy/thoracotomy.Talc is currently the preferred agent for pleurodesis and may be administered as a poudrage,aerosol,or slurry.

A 59-Year-Old Retired Roofer with Mesothelioma Is Scheduled for a Left