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Patient Care (Capstone) > Day 3 > Flashcards

Day 3 Flashcards

(50 cards)

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1
Q

True or False

Medication reconciliation is the process of comparing a patient’s medication orders to all of the medications that the patient has been taking to avoid errors such as omissions, duplications, dosing errors, or drug interactions.

A

True

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2
Q

Although most reactions occur almost immediately, delayed responses may be seen and should be anticipated for about _ minutes after the injection.

10
15
20

A

20

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3
Q

Diabetes- Metformin products (ex. Glucophage, Glucovance) must be withheld on the day the contrast medium is administered and for at least _ hours afterward.

12
24
48
72

A

48

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4
Q

When a there is a suspected rupture in the GI tract, _ should be used.

Barium sulfate
Low-osmolar contrast
Water-soluable iodinated contrast

A

Water-soluable iodinated contrast

  1. Negative- Air
  2. Positive
    A. Insoluable- Barium
    B. Soluable
    a. Ionic- Gastrografin
    b. Nonionic- Visipaque
    - High Osmality
    - Low Osmality- Isovue, Omnipaque
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5
Q

The total cumulative contrast dose for multiple procedures is _ mL in a 24-36 hour timeframe.

75
120
200
250

A

250

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6
Q

What is the order of Sequencing Exams when contrast will be given?

BE
Biliary
No Contrast
UGI
Urinary

A
  1. No Contrast
  2. Urinary (Water-soluble Noniodinated)
  3. Biliary (Water-soluble Iodinated)
  4. BE (Barium)
  5. UGI (Barium)

-Barium studies are always imaged last because barium from a previus exam can cause complications in other radiographic exams.
-Contrast used for Urinary and Biliary exams exits the body quicker.

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7
Q

Indicates administration via oral, rectal, or via nasogastric (NG).

Enteral
Inhalation
Topical route
Sublingual
Buccal

A

Enteral

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8
Q

Lung conditions can be treated this way.

Enteral
Inhalation
Topical route
Sublingual
Buccal

A

Inhalation

Ex: Nebulizer, Inhaler

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9
Q

Application to the surface of the skin.

Enteral
Inhalation
Topical route
Sublingual
Buccal

A

Topical route

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10
Q

Under the tongue.

Enteral
Inhalation
Topical route
Sublingual
Buccal

A

Sublingual

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11
Q

Inside the cheek.

Enteral
Inhalation
Topical route
Sublingual
Buccal

A

Buccal

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12
Q

Injected directly into the body bypassing the GI tract.

Parenteral
Intradermal
Subcutaneous
Intramuscular
Intra-arterial
Intravenous (IV)
Intrathecal

A

Parenteral

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13
Q

Between the layers of the skin:

Parenteral
Intradermal
Subcutaneous
Intramuscular
Intra-arterial
Intravenous (IV)
Intrathecal

A

Intradermal

Intradermal- Between the layers of the skin
Subcutaneous- Fatty tissue beneath the skin

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14
Q

Fatty tissue beneath the skin:

Parenteral
Intradermal
Subcutaneous
Intramuscular
Intra-arterial
Intravenous (IV)
Intrathecal

A

Subcutaneous

Intradermal- Between the layers of the skin
Subcutaneous- Fatty tissue beneath the skin

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15
Q

Deltoid muscle of upper arm, gluteal muscles in the hip area, vastus lateralis muscle of lateral thigh:

Parenteral
Intradermal
Subcutaneous
Intramuscular
Intra-arterial
Intravenous (IV)
Intrathecal

A

Intramuscular

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16
Q

Into an artery:

Parenteral
Intradermal
Subcutaneous
Intramuscular
Intra-arterial
Intravenous (IV)
Intrathecal

A

Intra-arterial

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17
Q

Into a vein

Parenteral
Intradermal
Subcutaneous
Intramuscular
Intra-arterial
Intravenous (IV)
Intrathecal

A

Intravenous (IV)

Fastest Route- Forearm Antecubital/ Basilic

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18
Q

Into the subarachnoid space; route for a myelogram:

Parenteral
Intradermal
Subcutaneous
Intramuscular
Intra-arterial
Intravenous (IV)
Intrathecal

A

Intrathecal

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19
Q

Barium is an _ compound and does not react chemically with the body.

Inert
Iodinated
Nonionic
Ionic

A

Inert

Barium tends to absorb water (hygroscopic), which can lead to an obstruction. Patients should increase fluids.

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20
Q

The number of particles in solution per kilogram of water:

Osmolality
Ionization (Ionic)
Nonionic
Toxicity

A

Osmolality

Because osmolality is largely responsible for the adverse effects of contrast media, the risk is reduced when the osmolality is lowered.

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21
Q

Contrast media molecules dissociate into two charged particles when placed in a solution:

Osmolality
Ionization (Ionic)
Nonionic
Toxicity

Study These Flashcards
A

Ionization (Ionic)

Ionization (Ionic)- Contrast media molecules dissociate into two charged particles when placed in a solution
Nonionic- Media whose molecules remain whole in solution

22
Q

Media whose molecules remain whole in solution:

Osmolality
Ionization (Ionic)
Nonionic
Toxicity

Study These Flashcards
A

Nonionic

Ionization (Ionic)- Contrast media molecules dissociate into two charged particles when placed in a solution
Nonionic- Media whose molecules remain whole in solution

23
Q

Normal BUN range:

6-20
0.6-1.5
90-120

Study These Flashcards
A

6-20 mg/dL

Azotemia- above 20mg/dL, may indicate impaired renal function.

24
Q

Normal Creatinine range:

6-20
0.6-1.5
90-120

Study These Flashcards
A

0.6-1.5 mg/dL

25
Normal GFR range: 6-20 0.6-1.5 90-120
90-120 mL/min
26
Fluid is outside the vessel: Extravasation Infiltration
Extravasation ## Footnote Extravasation/Infiltration- Cold pack Phlebitis- Warm compress
27
Fluid has diffused into the surrounding tissue: Extravasation Infiltration
Infiltration ## Footnote Extravasation/Infiltration- Cold pack Phlebitis- Warm compress
28
Elevation of waste products in the body: Azotemia Diaphoresis Dysphagia Dyspnea Edema Erythema Phlebitis Urticaria
Azotemia ## Footnote Azotemia- above 20mg/dL, may indicate impaired renal function BUN normal range- 6-20mg/dL
29
Inflammation of a vein: Azotemia Diaphoresis Dysphagia Dyspnea Edema Erythema Phlebitis Urticaria
Phlebitis ## Footnote Extravasation/Infiltration- Cold pack Phlebitis- Warm compress
30
Sweating: Azotemia Diaphoresis Dysphagia Dyspnea Edema Erythema Phlebitis Urticaria
Diaphoresis
31
Difficulty swallowing: Azotemia Diaphoresis Dysphagia Dyspnea Edema Erythema Phlebitis Urticaria
Dysphagia
32
Redness: Azotemia Diaphoresis Dysphagia Dyspnea Edema Erythema Phlebitis Urticaria
Erythema
33
Hives: Azotemia Diaphoresis Dysphagia Dyspnea Edema Erythema Phlebitis Urticaria
Urticaria
34
Difficulty breathing: Azotemia Diaphoresis Dysphagia Dyspnea Edema Erythema Phlebitis Urticaria
Dyspnea
35
Swelling: Azotemia Diaphoresis Dysphagia Dyspnea Edema Erythema Phlebitis Urticaria
Edema
36
Contrast Reactions- Warmth, flushing, metallic taste, coughing, nausea: Mild Moderate or intermediate Vasovagal Severe (anaphylaxis)
Mild
37
Contrast Reactions- Erythema (redness), urticaria (hives), bronchospasm Mild Moderate or intermediate Vasovagal Severe (anaphylaxis)
Moderate or intermediate
38
IV Reaction: Diaphoresis, hypotension, bradycardia Mild Moderate or intermediate Vasovagal Severe (anaphylaxis)
Vasovagal
39
Contrast Reactions- Warmth, tingling, itching of palms and soles, dysphagia, and throat constriction: Mild Moderate or intermediate Vasovagal Severe (anaphylaxis)
Severe (anaphylaxis) ## Footnote Administering epinephrine through an IV, maintaining the airway, and calling a code may be implemented
40
Vasoconstrictor, increases cardiac output, raises blood pressure, aids respiration by relaxing the bronchioles. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Adrenalin (Epinephrine) ## Footnote Adrenalin (Epinephrine)- Vasoconstrictor, increases cardiac output, raises blood pressure, aids respiration by relaxing the bronchioles. Vasopressin- Vasoconstrictor
41
Respiratory/circulatory stimulant; dries up secretions. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Atropine ## Footnote Atropine- Respiratory/circulatory stimulant; dries up secretions. Heparin- Inhibits blood coagulation. Solu-Medrol (Methylprednisolone)- Anti-inflammatory. Valium (Diazepam)- Tranquilizer, antiseizure agent. Xylocaine (Lidocaine)- Anesthetic (reduce pain), cardiac antidysrhythmic medication.
42
Antihistamine - Relieves the symptoms of allergic reactions. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Benadryl (Diphenhydramine)
43
Reverses hypoglycemia. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Glucagon
44
Inhibits blood coagulation. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Heparin ## Footnote Atropine- Respiratory/circulatory stimulant; dries up secretions. Heparin- Inhibits blood coagulation. Solu-Medrol (Methylprednisolone)- Anti-inflammatory. Valium (Diazepam)- Tranquilizer, antiseizure agent. Xylocaine (Lidocaine)- Anesthetic (reduce pain), cardiac antidysrhythmic medication.
45
Anti-inflammatory. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Solu-Medrol (Methylprednisolone) ## Footnote Atropine- Respiratory/circulatory stimulant; dries up secretions. Heparin- Inhibits blood coagulation. Solu-Medrol (Methylprednisolone)- Anti-inflammatory. Valium (Diazepam)- Tranquilizer, antiseizure agent. Xylocaine (Lidocaine)- Anesthetic (reduce pain), cardiac antidysrhythmic medication.
46
Opioid antagonist. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Narcan (Naloxone)
47
Tranquilizer, antiseizure agent. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Valium (Diazepam) ## Footnote Atropine- Respiratory/circulatory stimulant; dries up secretions. Heparin- Inhibits blood coagulation. Solu-Medrol (Methylprednisolone)- Anti-inflammatory. Valium (Diazepam)- Tranquilizer, antiseizure agent. Xylocaine (Lidocaine)- Anesthetic (reduce pain), cardiac antidysrhythmic medication.
48
Vasoconstrictor. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Vasopressin ## Footnote Adrenalin (Epinephrine)- Vasoconstrictor, increases cardiac output, raises blood pressure, aids respiration by relaxing the bronchioles. Vasopressin- Vasoconstrictor
49
Anesthetic (reduce pain), cardiac antidysrhythmic medication. Adrenalin (Epinephrine) Atropine Benadryl (Diphenhydramine) Glucagon Heparin Solu-Medrol (Methylprednisolone) Narcan (Naloxone) Valium (Diazepam) Vasopressin Xylocaine (Lidocaine)
Xylocaine (Lidocaine) ## Footnote Atropine- Respiratory/circulatory stimulant; dries up secretions. Heparin- Inhibits blood coagulation. Solu-Medrol (Methylprednisolone)- Anti-inflammatory. Valium (Diazepam)- Tranquilizer, antiseizure agent. Xylocaine (Lidocaine)- Anesthetic (reduce pain), cardiac antidysrhythmic medication.
50
True or False Radiographers have a responsibility to follow the Six Rights of Medication Administration: 1. The right dose 2. Of the right medication 3. To the right patient 4. At the right time 5. By the right route 6. With the right documentation
True

Patient Care (Capstone) (3 decks)

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