Moblie Rad & Emergencies Flashcards
(46 cards)
What are the general guidelines for mobile imaging?
-call nurses station (unless STAT)
-ask nurse patient condition
-confirm order in patients chart
-greet patient (AIDET)
-check patient ID on wrist band
-inspect and prepare room before bringing equipment in
What would a mobile radiography exam be done for in the post anesthesia care unit (PACU)?
-line placement
-pneumothorax or atelectasis
-ortho. Hardware placement
-vessel patency
What are some precautions for mobile xray in the emergency trauma unit?
-minimal patient movement allowed
-protection against blood and bodily fluids (self and equipment)
-provide aprons for all essential ED personnel
What needs to be done before entering the neonatal intensive care unit (NICU)?
Clean equipment
What is the most common xray request for the intensive care unit/coronary care unit (ICU/CCU)
Chest
What must be done if a patient is on a moving bed?
Turn off bed before exam
What are common types of catheters?
Central vein (CVC), peripherally (PICC)
What type of imaging is often required during insertion of catheters?
C arm
Failure of circulation where blood pressure is inadequate to support oxygen supply to vital organs and to remove by-products of metabolism
Shock
What are the early signs (compensatory stage) of shock?
-increased heart rate
-increased respirations with SOB
-decreased BP
What are the symptoms of the progressive stage of shock?
-significantly decreased BP
-increasingly raised pulse (tachycardia >150bpm)
-increased resp. With shallow breathing
-chest pain
-mental status alterations
-systemic problems begin
What are the 5 main types of shock?
-hypovolemic
-neurogenic
-cardiogenic
-septic
-anaphylactic
A severe Lois of bodily fluids. May result from severe dehydration
Early signs:
-excessive thirst
-cold clammy skin
-cyanosis
Hypovelemic shock
Typically following nervous system trauma, a dysfunction of the nervous system resulting in loss of normal function
Neurogenic shock
Failure of the hearts left ventricle resulting in inability to effectively pump blood to the body
Symptoms:
-chest pain
-cyanosis
-rapid decline in consciousness
Cardiogenic shock
*usually leads to heart attack
Results from the immune systems reaction to bacteria into the body
Septic shock
The result of an extreme allergic reaction
Can be mild or severe
Anaphylactic shock
What are the MRTs roles in medical shock emergencies
-recognize change in patient status
-obtain help
-stop procedure
-assist patient to dorsal recumbent position
-assist with bp, oxygen admin, charting
-assist physician
-document
-Very mild form of shock
-occurs when patients is unable to cope due to fright, pain, stress, especially if NPO(nothing by mouth)
Syncope (fainting)
Symptoms:
-drop in bp
-heart rate slows
-less oxygen to brain
*elevate feet above head (trendelenburg)
Metabolic disease from chronic disorder of carbohydrate metabolism. Caused by insufficient production of insulin or inadequate use of it
*insulin produced by pancreas
Diabetes mellitus DM
Insulin dependent because body does not produce insulin therefore give insulin injections daily to control blood glucose levels
Type 1
Usually older, heavier patient because body now does not use insulin properly
Type 2
Gestational diabetes
Type 3
What are patient management considerations for diabetes patients?
Skin care and increased risk of infections