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Flashcards in Patient care Deck (72)
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0
Q

Please be very pre cautious, wash hands thoroughly and don PPE before entering my room. My tissues are very sensitive to the touch and to infection

A

Burn victim

1
Q

I am nauseous and thirsty, have extreme abdominal pain. I Gould be NPO. I may go into shock at any time. Take X-rays quickly w/o a lot o movent

A

Acute abdominal distress

2
Q

I am sweaty, clammy, irritable, intensely hungry, and confused. I need a glass of Oj, glucose tablets, or a candy bar

A

Hypoglycemic

3
Q

My heart cannot supply enough blood o all of my body parts. Maybe due to trauma, drugs, severe allergy or injury, inadequate oxygen. My eyes are dull and dilated. My face is pale and my skin is cold and clammy. All vitals have dropped except for my heart rate. I may collapse or vomit. Keep me laying down with feed elevated and a warm blanket. NPO

A

Shock

4
Q

Could be caused by a lot of things such as high fever, drug reaction, extreme stress. I may stare of into space or flail uncontrollably. Please protect me from injury

A

Seizure

5
Q

I am constantly going to urinate. My skin is dry and I am thirsty all the time. I can’t seem to get enough air and my breath smells fruity. I am very susceptible to infection

A

Ketoacidosis / hypergylcemia

6
Q

I’ve been jabbed by a knife in my forearm. My bandage is bright res and I feel faint. Please apply pressure with a sterile gauze for 10 or pressure to the brachial artery

A

Hemorrhage

7
Q

Just had a hip replacement surgery. My mid chest is hurting and my pulse is rapid but weak. I feel I may faint

A

Blood clot/ deep vein thrombosis/ pulmonary embolus

8
Q

I am wheezing very badly. Could be caused by anxiety or stress. I need a RT to sit me up and help me calm my breathing. My medication is in my coat pocket

A

Asthma

9
Q

All of a sudden I have a severe headache. My right side has become weak and my right eye deviates to the right

A

Stroke / CVA (cerebra vascular accident)

10
Q

I had abdominal surgery 2 days ago. I stood up for my crazy and experiences intense pain at my incision. My gown is all bloody and my intestines are spilling out

A

Dehiscence

11
Q

I am unconscious without a pulse or respiration. I had severe chest pain that radiated down my left arm

A

Cardiac arrest

12
Q

I have no pain but I cannot feel my ties or feet. There is a numbing feeling to my lower extremities. I’ve had an injury to what body part

A

Lower lumbar injury

13
Q

Trouble breathing and neck veins are descended. My lips are turning blue and my hands are around my neck

A

Choking

14
Q

My shoulders an arms are numb. I cannot feel my fingers or raise my arms. I have no hand grip. I can lift my head and my legs

A

Cervical vertebrae injury

15
Q

What is the rate of infusion rule for an IV

A

10-20 drops/min

16
Q

What must be the hight of the IV

A

18-24 in

17
Q

What is an IVAC system and what does is monitor

A

Monitors flow

18
Q

What are the common drugs PT will take before entering the rad dept

A

Insulin, nitroglycerin , Lasix, an glucagon

19
Q

What two drugs do RTs help administer

A

Contrast media and sodium bicarbonate (also glucagon)

20
Q

What are the common drugs RTs encounter in ER situations

A

Benadryl, adrenalin, atropine, inderal, and levophed

21
Q

Methods of administering drugs (parenterally and other forms)

A

Oral, sublingual, topical, buccal, rectal, subcutaneous injection, intramuscular injection , intravenous injection, drip infusion

22
Q

What are the 7 different drug forms

A

Tablet, capsule, inhalant, suppository, solution, suspension, transdermal patch

23
Q

What things can influence the effect a drug can have on an individual

A

Age, sex, time of day, weight

24
Q

What are the properties of good contrast media

A
Non toxic
Must interact with x rays (most important)
Must easily be eliminated from body
Must form a stable compound
Viscosity
Osmolarity (concentration)
Ionic strength
Ability to mix with blood (miscibility)
25
Q

Properties of Barium Sulfate

A
3 forms; powder, liquid, paste
Help in disease assessment
Administer orally and rectally
Non soluble in water
Should not be use on pt with bowel obstruction or perforated viscous
26
Q

Properties of iodinated contrast

A

Introduced in body orally or IV
Help in disease assessment
Readily absorbed and excreted by the kidneys
3 types aqueous, iodine a, iodized oils, and non aqueous iodine a

27
Q

Dislocation

A

Displacement of the bone from the joint or place of motion

Signs and symptoms
Loss of movement pain deformity and swelling

28
Q

Sprain

A
Stretching or tearing of ligaments at the joint
Signs and symptoms
Pain on movement
Swelling
Discoloration
29
Q

Strain

A
Over stretch of a muscle or tendon
Signs and symptoms
Intense pain (burning sensation )
Moderate swelling
Difficult or painful movement 
Discoloration
30
Q

Fractures

A
Signs and symptoms
Deformity
Pop sound
Pain or tenderness
Ends rubbing
Swelling and discoloration
Loss of use
Exposed bone ends
31
Q

How do you care for a pt with a fracture

A

Immobilization

Keep injured bone ends and adjacent joints quiet

32
Q

Signs an symptoms of skull/brain injury

A

Skull deformity
Blood or clear water like fluid in ears and nose
Discoloration of soft tissue under eyes
Unequal pupils

33
Q

Compression/ventilation ratio for adult CPR

A

30:2 (1 1/2 - 2 in deep)

34
Q

Collies fx

A

Fracture of the distal end of the radius w/ posterior dislocation

35
Q

Blow out fx

A

Occurring at the floor of the orbit cause by a blow to the eye

36
Q

Comminuted fx

A

Bone is splintered into several pieces

37
Q

Compound fx

A

Bone protruding out of skin

38
Q

Potts fx

A

Fracture of the lower part o the fibula with dislocation of the ankle joint

39
Q

Rem and Sv

A

Dose equivalent

40
Q

Rad and gray

A

Absorbed dose

41
Q

Roentgen and c/k

A

Exposure in air

42
Q

Curie and becquerl

A

Activity

43
Q

When an RT reviews the exam request in relation to a students achievements, evaluates the patient condition in relation to the students knowledge, is present during the exam and reviews And approves the procedure and the images is acting in which of the following roles of supervision

A

Direct supervision

44
Q

Symptoms of a spinal injury

A

Tingling and numbness
Inability to move toes or fingers
Pain on movement or no pain

45
Q

Where should the heel of your hand be placed when doing chest compressions during CPR on an adult

A

One finger width above where the ribs and sternum meet

46
Q

Obstructed airway technique

A

Used on choking victim to remove the obstruction from trachea
Reach around with one fist thumb side in above umbilical and below xiphoid process and with other hand over the first hand give quick and upward thrusts
For an unconscious victim the rescuer properly places hands and gives CPR chest thrust to increase intrathorAsic pressure

47
Q

Cardinal principles of radiation protection

A

Use the maximum shielding w/o obscuring anatomy of interest
Use the shortest exposure time possible
not true*
Use the shortest distance possible from the primary beam

48
Q

Order of exams that are to be performed on the same patient in the same day

A

Hand (w/o contrast)
Urography IVU (nuclear medicine/ Iodine)
Colon exam (barium sulfate)
UGI (oil based)

49
Q

5 rights of drug administration

A
Right drug
Right patient
Right time
Right dose
Right route
50
Q

What can be given to about who is highly allergic and is to receive a water soluble iodinated contrast media

A

Steroids and antihistime

51
Q

Positive contrast agents are

A

White on radiograph and are radiopaque

52
Q

What gland regulates body metabolism

A

Thyroid

53
Q

Generally accepted customs, principals, or habits of right living and conduct in a society and an individual’s practice in relation to the these are….

A

Morals

54
Q

Chain of command for an RT

A

RT, supervisor, assistant manager, administrative director of radiography, chief radiologist, medical director

55
Q

The elements that the patient must prove in order to show proof of negligence are

A

A duty to the patient by the health care practitioners (standard of care)
Breech of duty by an act or by failing to preform some act
An injury
A relationship between injury and breech of duty

56
Q

Special protection should be taken to prevent excessive exposure to

A

Ionizing radiation

57
Q

The best ways to reduce stress are by

A

Controlling time
Thinking positively
Buffering stressors

58
Q

When managing time practice self management which includes

A

Prioritizing
Setting limits
Providing for self care

59
Q

The difference between right and wrong in regards to human conduct and character as known by natural reason

A

Ethics

60
Q

T/F an RT X-rays a pts right hand when the request form asks for an X-ray of the right wrist. This is an example of breech of duty

A

True

61
Q

T/F Hospitals and health care institutions in the United States are accredited by the American medical association

A

False

62
Q

Ethnocentrism

A

Perception that ones own way is superior when viewing the world

63
Q

Radiology and ___________ both mean the study of X-rays

A

Roentgenology

64
Q

Maslows hierarchy of basic needs

A
Self actualization
                 Aesthetics
               Need to know and                          
               Understanding
             Belonging ness and love
           Saftey
         Physiological
65
Q

Fomite

A

Any object that can possibly transmit or carry diseases

66
Q

Most common types of nasogastric tubes is

A

Levin

67
Q

The 15% rule helps explain the effect of ___________ on exposure

A

KVP

68
Q

Adult avg pulse rate

A

60-100

69
Q

The hemovac Jackson Pratt, and the penrose are all examples of

A

Tissue drainage tubes

70
Q

Urine should flow in a male patient when the catheter has been inserted approx

A

8 in

71
Q

Types of central venous or intravenous catheters

A

Broviac, Hickman, and groshong (tunneled catheters)
PICC line
implanted access ports (port-a-cath, infusa port, and mediport)
Swan-ganz catheter