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Sputum CollectionAka: Sputum Culture, Sputum
- See Also
- Sputum Gross Exam
- Sputum Microscopy
- Obtaining a sputum sample
- Mouth should be free of foreign objects
- Remove food, gum, or Tobacco
- Remove dentures
- Early morning specimen is best
- Induce sputum if necessary
- Nebulized hypertonic saline or distilled water
- Chest percussion
- Postural drainage
- Cough into sterile specimen cup
- Special Circumstances
- Tuberculosis suspected
- Sputum collected in negative pressure room
- Early morning gastric aspirate
- Bronchoscopy with bronchial lavage
- Anaerobic culture specimen
- Transtracheal aspiration
- Thoracentesis
- Direct lung puncture
- Viral Culture Specimens
- Patient gargles and expectorates with nutrient broth
- Nasopharyngeal swab transported in viral medium
- Preparation of Sputum for Lab
- Fixation of sputum for cytology (prevents air drying)
- Patient expectorates into jar of 70% Ethanol
- Spread fresh sputum on slide and spray pap fixative
- Culture specimen transport to lab
- Sputum Gram Stain assesses sample for adequacy
- Anaerobic cultures transported in air tight container
- Transport to lab for immediate plating
- Aerobic culture specimen
- Bring to lab as quickly as possible
- Refrigerate specimen if transport delayed
- Consider washing specimen of oral flora
- Rinse several times with saline
- Discard supernatant (non-viscous Saliva)
- Tuberculosis culture
- May be stored at room temperature for up to 48 hour
[D]Abnormal sputum NOS (C0159054)
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| Concepts | Finding (T033)
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| ICD9 | 786.4 |
| Basque | ESPEKTORAZIO ANORMALA |
| Danish | Usaedvanligt spyt/ekspektorat |
| Dutch | Abnormaal sputum/slijm |
| English | Abnormal sputum, Abnormal sputum/phlegm, Sputum examination: abnormal |
| Finnish | EPANORMAALI YSKOS |
| French | Expectoration anormale |
| German | abnormes Sputum |
| Hebrew | hafrashat kiax |
| Hungarian | rendellenes kopet |
| Italian | Espettorazione anormale/catarro |
| Norwegian | UVANLIG SPYTT/EKSPEKTORAT |
| Portuguese | Expectoracao anormal/fleuma |
| Spanish | esputo anormal, Esputos/flemas anormales, examen del esputo: anormal |
| Swedish | AVVIKANDE SALIV/UPPHOSTNING |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
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