Orders Flashcards
1
Q
when to order as UNIT (at UMC)
A
limited patient availability (procedure or imaging scheduled)
2
Q
transfusions to remember
A
need to consent pts
3
Q
if home med is NF
A
give home med
4
Q
to always remember when ordering imaging
A
INCLUDE PERTINENT CLINICAL INFORMATION
5
Q
how to order CXR’s
A
PA and lateral, not portable
6
Q
CT ordering….
A
- don’t order w/ and w/o contrast
7
Q
MR ordering
A
need to fill out metal screen form
8
Q
why do you need contrast?
A
- important to evaluate vascular or vascularized structure. Find lesions, infection, or inflammation.
- lack of contrast decreases sensitivity and specificity of exam.
- GI contrast is important to define bowel lumen and differentiate bowel from other tissues, especially in the pelvis.
9
Q
contrast types that can hurt kidney
A
CT contrast (iodinated), not MR contrast (gadolinium)
10
Q
managing contrast
A
- contact rads or nephrology if GFR is less than 60.
- if allergy to iodinated contrast, need to premedicate with pred 50 mg PO at 13, 7, and 1 hour prior to exam + diphenhydramine 50mg PO on way to scanner.
11
Q
what to use to replete calcium
A
calcium carbonate (Tums)
12
Q
how to replete iron
A
- PO before repleting IV (a lot of hypersensitivity/immunologic reactions to IV iron)
- QOD (better absorption if done every other day).
13
Q
how to treat nausea from uremia
A
ondansetron
14
Q
imaging for any joint
A
always get 3 view
15
Q
first line for pseudogout flares
A
intraarticular pred
