Drugs used in radiology emergencies Flashcards

(56 cards)

1
Q

What is the Look, Ask, Listen method in patient assessment?

A

Observe the patient’s appearance, breathing, skin color, and general distress level. Ask the patient about symptoms, concerns, and recent changes. Listen carefully to their words, tone, and breathing sounds.

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2
Q

What does low blood pressure indicate?

A

Low BP may indicate shock or dehydration.

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3
Q

What does high blood pressure signal?

A

High BP may signal hypertension or pain.

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4
Q

What does a fast heart rate indicate?

A

Fast HR may indicate infection, pain, or distress.

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5
Q

What does a slow heart rate indicate?

A

Slow HR may indicate heart conditions or medication effects.

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6
Q

What do low oxygen saturation levels suggest?

A

Low levels suggest respiratory distress, lung disease, or airway obstruction.

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7
Q

How is pain severity assessed?

A

Use numerical (0-10) or visual (faces) scales to assess pain severity.

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8
Q

What is the preferred position for patients with breathing difficulties?

A

Sitting is often preferred for breathing difficulties (e.g., COPD, heart failure) or eating/drinking.

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9
Q

When is lying down used for patients?

A

Used for rest, unconscious patients, spinal precautions, or post-surgical recovery.

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10
Q

What does continuous vital signs monitoring include?

A

Continuous BP, HR, SpO₂, and respiratory rate monitoring.

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11
Q

What is the purpose of an IV pump?

A

Delivers fluids, medications, or nutrition via an intravenous (IV) line.

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12
Q

What is the function of drains in patient care?

A

Remove excess fluid, air, or blood from surgical sites, pleural space, or wounds.

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13
Q

What does traction do?

A

Stabilizes fractures or spinal injuries to promote healing.

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14
Q

What is the purpose of oxygen therapy?

A

Administered via nasal cannula, mask, or ventilator for respiratory support.

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15
Q

What does the Look, Ask, Listen, Act method involve?

A

Look for physical and emotional distress. Ask the patient about their needs, comfort, and concerns. Listen actively to their responses. Act by addressing their immediate needs.

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16
Q

How should you reassure a patient?

A

Reassure the patient with a calm, soothing voice and provide simple explanations about procedures.

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17
Q

What is the purpose of hand holding in patient care?

A

Offers emotional support and comfort, especially for anxious or distressed patients.

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18
Q

How can you encourage a patient?

A

Motivate the patient to participate in their care and recovery.

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19
Q

What techniques can help reduce pain and anxiety?

A

Deep breathing exercises help reduce pain, stress, and anxiety. Guided relaxation can lower heart rate and improve comfort.

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20
Q

What is the principle of prevention in healthcare?

A

Managing pain, anxiety, infection, and side effects before they occur.

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21
Q

What is analgesia?

A

Pain relief.
Oral medications include Paracetamol, NSAIDs, and Codeine for mild to moderate pain; IV medications include Morphine, Fentanyl, and Ketorolac for severe pain.

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22
Q

What is sedation?

A

Inducing a state of calm or sleep. Oral medications include Midazolam and Lorazepam for mild sedation; IV medications include Propofol and Dexmedetomidine for moderate to deep sedation.

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23
Q

What is a local anaesthetic?

A

A substance that numbs a specific area.

Examples include Lidocaine and Bupivacaine.

24
Q

What are antibiotics used for?

A

Infection prevention and treatment.

Oral antibiotics include Amoxicillin, Doxycycline, and Ciprofloxacin for mild to moderate infections; IV antibiotics include Ceftriaxone, Vancomycin, and Meropenem for severe infections or surgical prophylaxis.

25
What is steroid pre-medication?
Used to prevent allergic reactions or reduce inflammation. ## Footnote Oral steroids include Prednisone; IV steroids include Dexamethasone and Hydrocortisone for severe reactions.
26
What is an anti-emetic?
A medication that prevents nausea and vomiting. ## Footnote Oral anti-emetics include Ondansetron, Metoclopramide, and Domperidone for mild nausea; IV anti-emetics include Ondansetron, Granisetron, and Prochlorperazine for severe nausea or post-op sickness.
27
What is analgesia?
Analgesia refers to the absence of pain or pain relief without loss of consciousness.
28
How is analgesia achieved?
It is achieved using analgesic drugs, which work by reducing or blocking pain signals in the nervous system.
29
What is PCA?
PCA stands for Patient Controlled Analgesia.
30
Who operates the PCA pump?
Only the patient is to operate the pump to ensure a too higher dose has not been administered.
31
How is the PCA pump secured?
The pump will be in a locked plastic case so the dose and rate of administration cannot be changed.
32
What does the PCA pump do?
The pump will only administer a set number of doses within a time frame.
33
What is Fentanyl used for?
Strong opioid for severe pain, anesthesia, and cancer pain.
34
What is Morphine used for?
Strong opioid used for post-surgical pain, severe injury, and cancer pain.
35
What is Paracetamol (Acetaminophen) used for?
Non-opioid used for mild to moderate pain and fever.
36
What is Ibuprofen used for?
NSAID used for mild to moderate pain, inflammation, and fever.
37
What is Midazolam used for?
Benzodiazepine used for conscious sedation, pre-anesthesia, seizures, and ICU sedation.
38
What is Naloxone?
Opioid antagonist that reverses opioid overdose (e.g., Fentanyl, Morphine).
39
What is Anexate (Flumazenil)?
Benzodiazepine antagonist that reverses sedation from Midazolam, Diazepam, and Lorazepam.
40
What is a local anaesthetic?
Used in Radiology procedures to numb a specific area before intervention. Administered by the proceduralist. Prescription can be individual or based on a standing order for a specific procedure.
41
What are the forms of local anaesthesia?
Subcutaneous – Injected under the skin. Infiltration – Injected into deeper tissues for pain relief. Nasal / Throat Spray – Used for airway procedures. Topical – Applied directly to the skin or mucosa.
42
When is local anaesthetic commonly used?
Commonly used in Interventional Radiology before procedures.
43
What are antibiotics?
Can be given orally or intravenously. Used to prevent or treat infections. Possible side effects: Nausea, allergic reactions.
44
What is an anti-emetic?
Drugs that prevent or treat nausea & vomiting. Used for motion sickness and side effects of opioids, general anaesthesia, and chemotherapy.
45
How should anti-emetics be administered for rapid effect?
Best given intravenously for rapid effect.
46
What are muscle relaxants used for?
Used to relax smooth muscles, often in the GI tract.
47
What are common examples of muscle relaxants?
Buscopan 20mg Injection – Relieves spasms in the GI tract. Glucagon Injection – Relaxes smooth muscles, often used in radiology for GI imaging.
48
Purpose of Steroid Pre-Medication
Prevents allergic reactions in patients with known contrast media allergy.
49
Prednisone Dosing
20mg (2 tablets) 12 hours before the appointment. 20mg (1 tablet) 2 hours before the appointment.
50
Loratadine Dosing
10mg (2 tablets) 2 hours before the appointment.
51
Emergency Cases – What to Do?
If the scan must be done immediately, the Radiologist & Clinical Team will decide on the best course of action. ## Footnote Must be documented in the patient’s clinical record and Radiology RIS.
52
Where should emergency medications be kept?
In high-use areas of contrast media, sedation, or analgesia: CT scanning rooms Interventional Radiology rooms Interventional Ultrasound room Daystay area
53
Medications to keep in emergency areas
Steroids & Antihistamines – For contrast reactions Reversal agents – For sedation and analgesia Stored in the emergency trolley.
54
Emergency trolley – what should it contain?
Clearly explained layout Medications with clear labels and usage guidance Includes: Amiodarone GTN (Glyceryl Trinitrate) Atropine Adrenaline.
55
What to do in an emergency
Stay calm Get help Stay with the patient Ensure other patients / whānau nearby are safe.
56
What NOT to do in an emergency
Don’t panic Don’t run away.