Moblie Rad & Emergencies Flashcards

(46 cards)

1
Q

What are the general guidelines for mobile imaging?

A

-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

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2
Q

What would a mobile radiography exam be done for in the post anesthesia care unit (PACU)?

A

-line placement
-pneumothorax or atelectasis
-ortho. Hardware placement
-vessel patency

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3
Q

What are some precautions for mobile xray in the emergency trauma unit?

A

-minimal patient movement allowed
-protection against blood and bodily fluids (self and equipment)
-provide aprons for all essential ED personnel

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4
Q

What needs to be done before entering the neonatal intensive care unit (NICU)?

A

Clean equipment

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5
Q

What is the most common xray request for the intensive care unit/coronary care unit (ICU/CCU)

A

Chest

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6
Q

What must be done if a patient is on a moving bed?

A

Turn off bed before exam

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7
Q

What are common types of catheters?

A

Central vein (CVC), peripherally (PICC)

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8
Q

What type of imaging is often required during insertion of catheters?

A

C arm

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9
Q

Failure of circulation where blood pressure is inadequate to support oxygen supply to vital organs and to remove by-products of metabolism

A

Shock

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10
Q

What are the early signs (compensatory stage) of shock?

A

-increased heart rate
-increased respirations with SOB
-decreased BP

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11
Q

What are the symptoms of the progressive stage of shock?

A

-significantly decreased BP
-increasingly raised pulse (tachycardia >150bpm)
-increased resp. With shallow breathing
-chest pain
-mental status alterations
-systemic problems begin

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12
Q

What are the 5 main types of shock?

A

-hypovolemic
-neurogenic
-cardiogenic
-septic
-anaphylactic

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13
Q

A severe Lois of bodily fluids. May result from severe dehydration
Early signs:
-excessive thirst
-cold clammy skin
-cyanosis

A

Hypovelemic shock

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14
Q

Typically following nervous system trauma, a dysfunction of the nervous system resulting in loss of normal function

A

Neurogenic shock

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15
Q

Failure of the hearts left ventricle resulting in inability to effectively pump blood to the body
Symptoms:
-chest pain
-cyanosis
-rapid decline in consciousness

A

Cardiogenic shock

*usually leads to heart attack

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16
Q

Results from the immune systems reaction to bacteria into the body

A

Septic shock

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17
Q

The result of an extreme allergic reaction
Can be mild or severe

A

Anaphylactic shock

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18
Q

What are the MRTs roles in medical shock emergencies

A

-recognize change in patient status
-obtain help
-stop procedure
-assist patient to dorsal recumbent position
-assist with bp, oxygen admin, charting
-assist physician
-document

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19
Q

-Very mild form of shock
-occurs when patients is unable to cope due to fright, pain, stress, especially if NPO(nothing by mouth)

A

Syncope (fainting)

Symptoms:
-drop in bp
-heart rate slows
-less oxygen to brain
*elevate feet above head (trendelenburg)

20
Q

Metabolic disease from chronic disorder of carbohydrate metabolism. Caused by insufficient production of insulin or inadequate use of it
*insulin produced by pancreas

A

Diabetes mellitus DM

21
Q

Insulin dependent because body does not produce insulin therefore give insulin injections daily to control blood glucose levels

22
Q

Usually older, heavier patient because body now does not use insulin properly

23
Q

Gestational diabetes

24
Q

What are patient management considerations for diabetes patients?

A

Skin care and increased risk of infections

25
-too much insulin -not enough sugar -technologist may give sugar candies or orange juice
Hypoglycaemia
26
-insufficient insulin -lots of glucose -patient may have Polaris, nausea, vomiting, abdominal pain, ALOC
Hyperglycaemia Diabetic ketoacidosis
27
What are the clinical manifestations of diabetes?
-tachycardia -headache -vision issues -polydipsia -sweet breath -polyuria
28
What is the MRTs response to diabetes?
-recognize change in patient -stop procedure -notify physician -do not leave patient unattended -monitor vitals -prepare oxygen, meds, IV fluids
29
How long should a patient be monitored following an injection?
30 minutes following injection
30
What are the 4 types of contrast media reactions?
-mild -intermediate -vasovagal -anaphylaxis
31
-feeling of warmth, flush feeling -metallic taste -nausea, vomiting, coughing
Mild reaction
32
-erythema -urticaria -bronchospasm
Intermediate reaction
33
-increased vasodilation in arterioles causing hypotension, sinus bradycardia and diaphoresis. Hence decrease in bp -occurs when patient experiences high anxiety concerning procedure and results
Vasovagal reaction
34
-warm, tingly, itchy palms and soles -dysphagia -constriction of throat
Anaphylaxis
35
What are some expected side affects of contrast injection?
-feeling flush or warm -nausea or vomiting -headache -pain at injection site -altered taste, metallic
36
What is it called when contrast goes into surrounding tissue and not blood vessel?
Extravasation
37
-nausea and vomiting -cough -warmth -more severe headache -dizziness -shaking -itching -pallor -mild, scattered hives
Mild adverse reaction
38
What is the MRTs response for mild adverse reactions,
-stop infusion, notify nurse/rad -stay with patient -monitor patient -help doctor/nurse -document incident
39
-tachycardia/bradycardia -hypertension/hypotension -dyspnea -bronchoplasm or wheezing -throat closing (laryngeal edema) -urticaria (moderate/severe hives)
Moderate reaction
40
What position should the patients be placed in if in respiratory distress
Fowlers
41
T/F For moderate reaction, treatment often involves drug intervention to counter the effects of the reaction
True
42
-dyspnea related to laryngeal edema -severe hypotension -seizures -cardiac arrhythmia -lack of patient response -cardiac arrest
Severe reaction Anaphylactic
43
What is the MRTs response to severe reaction?
-call emergency response team (code blue) -prepare AED -prepare O2, suction, I -document
44
-pallor -cold sweats -rapid pulse -syncope -bradycardia -hypotension
Vasovagal reaction
45
What is the MRTs response for vasovagal reaction?
-stop infusion -trendelenburg -notify nurse/rad -remain with patient
46