Pulmonology Book

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Sputum Collection

Aka: Sputum Collection, Sputum Culture, Sputum
  1. See Also
    1. Sputum Gross Exam
    2. Sputum Microscopy
  2. Obtaining a Sputum sample
    1. Mouth should be free of foreign objects
      1. Remove food, gum, or Tobacco
      2. Remove dentures
    2. Early morning specimen is best
    3. Induce Sputum if necessary
      1. Nebulized hypertonic saline or distilled water
      2. Chest percussion
      3. Postural drainage
    4. Cough into sterile specimen cup
  3. Special Circumstances
    1. Tuberculosis suspected
      1. Sputum collected in negative pressure room
      2. Early morning gastric aspirate
      3. Bronchoscopy with Bronchial lavage
    2. Anaerobic culture specimen
      1. Transtracheal aspiration
      2. Thoracentesis
      3. Direct lung puncture
    3. Viral Culture Specimens
      1. Patient gargles and expectorates with nutrient broth
      2. Nasopharyngeal swab transported in viral medium
  4. Preparation of Sputum for Lab
    1. Fixation of Sputum for cytology (prevents air drying)
      1. Patient expectorates into jar of 70% Ethanol
      2. Spread fresh Sputum on slide and spray pap fixative
    2. Culture specimen transport to lab
      1. Sputum Gram Stain assesses sample for adequacy
      2. Anaerobic cultures transported in air tight container
        1. Transport to lab for immediate plating
      3. Aerobic culture specimen
        1. Bring to lab as quickly as possible
        2. Refrigerate specimen if transport delayed
        3. Consider washing specimen of oral flora
          1. Rinse several times with saline
          2. Discard supernatant (non-viscous Saliva)
      4. Tuberculosis culture
        1. May be stored at room temperature for up to 48 hour

Abnormal sputum (C0159054)

Concepts Finding (T033)
ICD9 786.4
ICD10 R09.3, R84
SnomedCT 207072005, 207077004, 158392003, 158388005, 145213001, 274708000, 167986000
English Abnormal Sputum, Abnormal sputum NOS, Abnormal sputum/phlegm, [D]Abnormal sputum (context-dependent category), [D]Abnormal sputum NOS (context-dependent category), [D]Abnormal sputum, [D]Abnormal sputum NOS, [D]Abnormal sputum NOS (situation), [D]Abnormal sputum (situation), Sputum examination: abnormal (situation), Sputum abnormal NOS, SPUTUM ABNORMAL, abnormal findings in sputum, Abnormal;sputum, Sputum abnormal, Abnormal sputum, Sputum examination: abnormal, Abnormal sputum (finding), Sputum examination: abnormal (finding), Sputum/phlegm abnormal, abnormal; sputum, abnormality; sputum, sputum; abnormal, abnormal sputum
Italian Espettorato anormale, Espettorato anormale NAS, Espettorazione anormale/catarro
Dutch sputum abnormaal NAO, abnormaal sputum, Abnormaal sputum/slijm, abnormaal; sputum, afwijking; sputum, sputum; abnormaal, Afwijkend sputum, sputum abnormaal
French Expectoration anormale SAI, Expectoration anormale
German anomales Sputum, Sputum anomal NNB, Abnormes Sputum, abnormes Sputum, Sputum anomal
Portuguese Expectoração anormal NE, Expectoracao anormal/fleuma, Expectoração anormal
Spanish Esputo anormal NEOM, [D]esputo anormal (categoría dependiente del contexto), [D]esputo anormal, SAI (categoría dependiente del contexto), [D]Abnormal sputum, [D]Abnormal sputum NOS, Sputum examination: abnormal, Esputos/flemas anormales, [D]esputo anormal, SAI, [D]esputo anormal, SAI (situación), [D]esputo anormal, [D]esputo anormal (situación), esputo anormal (hallazgo), esputo anormal, examen del esputo: anormal (hallazgo), examen del esputo: anormal, Esputo anormal
Japanese 喀痰異常, 喀痰異常ＮＯＳ, ｶｯﾀﾝｲｼﾞｮｳ, ｶｸﾀﾝｲｼﾞｮｳ, ｶｸﾀﾝｲｼﾞｮｳNOS, ｶｯﾀﾝｲｼﾞｮｳNOS
Swedish AVVIKANDE SALIV/UPPHOSTNING
Finnish EPANORMAALI YSKOS
Norwegian UVANLIG SPYTT/EKSPEKTORAT
Danish Usaedvanligt spyt/ekspektorat
Hungarian rendellenes kopet, Kóros köpet, Köpet kóros k.m.n., Köpet kóros
Czech Abnormální sputum, Sputum abnormální, Sputum abnormální NOS
Korean 가래 이상
Basque ESPEKTORAZIO ANORMALA
Hebrew hafrashat kiax
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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