chapter 12 contrast agents Flashcards

1
Q

to distinguish adjacent tissues on a CT image the tissues must have different

A

densities (attenuation)

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2
Q

CT has 2 main contrast enhancements

A

intravscular and gastrointestinal

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3
Q

when the contrast agent is of higher density it is refereed to as

A

positive agent

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4
Q

when the contrast agent is of a lower density

A

negative agent

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5
Q

contrast has an atomic number of

A

53

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6
Q

2 tissues must differ by at least ___Hounsfield units to be visibly iffernt on a Ct scan

A

10

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7
Q

most intravascular drugs are nearly

A

isotonic

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8
Q

isotonic

A

have nearly the same number of particles in a solution per unit liquid of blood

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9
Q

osmolaity

A

refers to the number of particles in solution ,per unit liquid, as compared to blood

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10
Q

high osmolaity

A

have seven times the osmolaity of blood

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11
Q

low osmolaity

A

have 2 times the osmolaity of blood

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12
Q

the osmolaity of blood plasma is

A

290 mOsm/kg water

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13
Q

viscosity

A

is a physical property that may be described as the thickness or friction of the fluid

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14
Q

half life on contrast

A

2 hours

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15
Q

contrast does not metabolize and is excreted by the body nearly exclusively by the kidneys through

A

glomerular filtration

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16
Q

the most common formula for calculating the dose og contrast for peds

A

2mL/kg

17
Q

less than ___ of the dose of contrast agent given to the mother is excreted into breast milk

A

1%

18
Q

contrast reactions can be broadly categorized as

A

chemotoxic or idoiosyncratic

19
Q

when steroid premedication is used it must be given _____before contrast

A

6 hours

20
Q

chemotoxic

A

reactions that stem from the contrast pharamacologic properties

21
Q

the overall kidney function is described as

A

clearance

22
Q

clearance

A

the volume of plasma that is cleared of a specific substance in a given time

23
Q

normal adult GFR

A

120 mL/ min

24
Q

normal ERPF

A

500 ml/min

25
Q

creatinine

A

by product of muscle protein metabolism generated by the body at a fairly steady rate and excreted entirely by urine

26
Q

renal failure

A

the inability of the kidneys to filter waste from the blood

27
Q

renal insufficiency

A

when renal function is abnormal but capable of sustaining essential bodily function

28
Q

nephropathy

A

any condition or disease affecting the kidneys

29
Q

anuric ( absence of urine formation)

A

urine output is less than 50 mL for 24 hours

30
Q

oliguric (diminished urine formation)

A

urine output is less than 500 ml for 24 hours

31
Q

nonoliguric ( normal output of urine )

A

500 to 6,000 ml for 24 hours

32
Q

polyuric

A

urine output in greater than 6,000 mL