Quiz Wed 9/25 Flashcards
(22 cards)
Barium sulfate AKA
- BASO4
- heavy metallic salt
- not absorbed by body
- mainly used for GI tract
- don’t inject
Contrast media
- substance that increases or decreases radiographic density of structure
- will not change subject density
What should we look for during patient history
- allergies to medication or shell fish
- prior reactions
- general condition - heart, BP, creatinine levels norm: 0.6-1.3
Ionic contrast
- chemically bond iodines
- 5X the osmolarity of blood
- combination of anions & cations
Non-ionics
- organically bond iodines
* 2X the osmolarity
Radiolucent
- low atomic number
* shows dark on film
Radiopaque
•high atomic number
Vasomotor effect symptoms & treatment
symptoms: •warmth,nausea,vomiting
Treatment:
•reassurance, O2, Emesis basin
Iodized oils
- non-absorbable or slowly absorbed
- can’t be used for injections or IV
- used for CNS, branchial, GI
What contrast is best used for GI tract
•Barium
What contrast is used for gallbladder
•iodized capsules
Contrast media taste
- does not taste great
- chalky
- but palatable
Complications & solutions for contrast injection
complication: •extravasation •phlebitis solution •warm compress & monitor •a worst case scenario amputation
administration of medication
- oral-absorbed through GI tract
- sublingual-dissolves immediately under tongue (nitroglycerin)
- rectal-used when drug can’t be taken orally such as patient vomiting
- parenteral-injection
Intrathecal (intraspinal)
•administrating drug through subarachnoid, subdural, lumbar injection
Intravenous IV administration
- rapid absorption
* hazardous route
Type of administration for rapid response
- sublingual
- pulmonary-rapid absorption
- parenteral
Iodines
- compatible with blood
- excreted through GU
- GU, CNS, circulatory, biliary
High osmolarity
•causes a toxic effect in the body
Vagal reaction symptoms & treatment
Symptoms: •hypotension •bradycardia Treatment: •fluid IV •trendelenburg •ephedrine
Nephrotoxicity symptoms & treatment
Symptoms: •acute renal failure Treatment: •avoid other tests •hydration •diuretics
Rout of administration
Enteral: GI tract •oral, sublingual, rectal Parenteral: •rapid drug response Pulmonary: •inhaled rapid absorption Topical: •local response