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Flashcards in Radiology & Laboratory Deck (15)
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1

What are some adverse effects of IV contrast?

*NV
*Hives (urticaria)
*Warmth with injection
*Pain at injection site

2

What are some severe/potentially life threatening IV contrast reactions?

*severe bronchospasm
*laryngeal edema
*LOC
*seizures
*cardiac arrest
*cardiotoxicity
*hypotension, dysrhythmias, precipitation of CHF

3

Contrast induced nephropathy: fairly common--w/in 48hours. What is defined as and what lab test rise and when does it return to baseline?

*serum creatinine and BUN levels rise in first 24 hours-- peak within 48-72 hours
*return to baseline 10-14 days
*defined as > 25% increase in serum creatinine w/in 5 days

4

How do you prevent contrast induced nephropathy?

*serum creatinine and BUN drawn w/in 1 week of procedure
*pt well hydrated
*encourage drinking several liters of fluid over 12-24 hours before and after IV contrast admin
*identify high risk pts to team
*discuss alternative studies (benefit v risk)

5

Discuss the importance in withholding metformin with patients receiving IV contrast, what it can cause, and what to check.

May precipitate FATAL lactic acidosis in prescence of renal impairment. Pts receiving iodinated contrast agents should WITHOLD metformin day of procedure and 48 hours after. Check serum creatinine and BUN after 48 hours to see if normal--resume metformin.

6

What do you give if pt at risk for allergic reaction?

*Premeditate with 50mg oral prednisone 13, 7, and 1 hour prior to contrast admin.
*Dihenydramine (Venedryl) 50mg orally, IV, or IM at 1 hour prior to contrast.
*Will NOT eliminate risk, but helps to decrease

7

Name types of GI contrast.

Barium sulfate, Gastrografin (water soluble oral contrast), air, CO2

8

Discuss barium, side affects, precautions, and pt instruction.

*leakage of barium out of GI perf into peritoneum acts as foreign body = peritonitis
*severe constipation, bowel obstruction, obstipation
*instruct pts to use laxatives

9

What is Gastrogafin, when is it used and what are complications and CI

*water soluble IODINATED contrast
*used when bowel obstruction is suspected
*complications = pneumonitis if aspirated, significant diarrhea due to osmotic loading
Risks: elderly, neonates

10

What is the order of increasing radiation out of radiology tests?

MRI, Ultrasound, CXR, Mammogram, XRabdomen, Upper GI, Chest CT, Bone scan

11

What is in a CMP?

Na, K, Cl, CO2, GLU, BUN, Creat, Ca, albumin AST, ALT, ALP, T. Billi, Total protein

12

What is in a BMP?

Na, K, Cl, CO2, Glu, BUN, Creat, Ca

13

What is in a LFT?

albumin, AST (SGOT), ALT (SPGT), ALP (alk phos), T. Billi, D. Billi

14

What is in a renal function panel?

Na, K, Cl, CO2, Glu, BUN, Creat, Ca, albumin, inorganic phosphate

15

What is in a lipid panel?

total cholesterol, HDL, LDL, triglycerides