Trauma and Venipunture Flashcards Preview

Radiographic Positioning > Trauma and Venipunture > Flashcards

Flashcards in Trauma and Venipunture Deck (157)
Loading flashcards...
91

Trimalleolar fx:

Fracture involving both the media and lateral malleoli and the posterior tip to the distal tibia.

92

Tuft fx:

Comminuted fx of the distal phalanx.

93

Realignment of fractures:

Closed reduction and open reduction.

94

Closed reduction:

Realigned by manipulation and immobilized by a cast or splint; non-surgical procedure.

95

Open reduction:

severe fractures with significant displacement or fragmentation; surgical procedure is required.

96

Most trauma pt's must be radiographed in the supine position. If it's necessary to see air-fluid levels, a _____ can be performed.

XTL (dorsal decubitus position)

97

Mobile chest: Check for signs of ______ or _______ during radiographic exams and report any changes to the attending physician immediately.

respiratory distress/changes in level of consciousness

98

Mobile chest: Use _______ if wounds and/or bleeding are present and protect IR with ________.

Universal precautions/plastic covering.

99

Mobile chest: Mark ___________ with radiopaque indicators if evaluating a penetrating injury.

entrance and/or exit wounds

100

Mobile chest: Use of a _____ improves image contrast.

Grid

101

Mobile chest: Internally rotate arms to prevent:

scapular superimposition in lung fields, if not contraindicated.

102

Mobile chest: CR is perpendicular to long axis of _____. This prevents clavicles from obscuring apices of lungs.

Sternum.

103

Mobile chest: R or L lateral decub: Pt placed in ______ poistion. Flexing pt's _____ provides stabilization.

lateral rebumbent. knee.

104

Mobile chest: R or L lateral decub: Firm support under pt to _______ and prevent pt from sinking into the mattress.

elevate body 2-3 inches.

105

Mobile chest: R or L lateral decub: Raise both of pt's arms up and away from chest region, preferably above the head. An arm lying on the pt's side can imitate:

a region of free air.

106

Mobile chest: R or L lateral decub: Position pt for the ____ projection whenever possible. It is much easier to position an ill pt (particularly the arms) for an ____.

AP

107

Mobile chest: R or L lateral decub: Place IR _____ the pt and below the _____ so the lower margin of the chest can be visualized.

behind/support

108

Mobile Abdomen: Place IR in ________ for easier placement under patient, if bedside.

pillowcase or cover

109

Mobile Abdomen: If a trauma case, ask _____ to assist in transferring pt to radiographic table if possible.

ER personel

110

Mobile Abdomen: If transfer is unadvisable, obtain assistance to:

carefully lift the pt to position the grid IR under the pt.

111

Mobile Abdomen: Position grid under pt to demonstrate the abdominal anatomy from _______ to _______.

the pubic symphysis/ the upper abdomen region.

112

Mobile Abdomen: Keep the grid from tipping by:

placing it in the center of the bed and stabilizing as necessary.

113

Mobile Abdomen: Use pt's draw sheet to ____; this makes it easier to shift the pt from side to side during positioning of the IR, and it provides a barrier between the pt's skin and the grid.

roll the pt.

114

Mobile Abdomen: Hypersthenic pt's may require:

two separate projections using a crosswise grid. One grid is positioned for the upper abdomen and the other for the lower abdomen.

115

Mobile Abdomen: Use of a radiographic table and a Bucky provides optimum image quality. Before moving the pt:

verify transfer to table with attending physician.

116

Mobile Abdomen: If transfer to radiographic table is not possible:

Use of a grid IR is required.

117

Mobile Abdomen: Determine the possibility of fluid accumulation within the abdominal cavity to:

determine appropriate exposure factors.

118

Mobile Abdomen: For pt's with blunt force or projectile injuries, check for signs of:

internal bleeding during radiographic examination and report any changes to the attending physician immediately.

119

Mobile Abdomen: R or L decubitus projection: Grid should be supported in position and not leaned against pt to prevent:

cutoff.

120

Mobile Abdomen: R or L decubitus projection: Grid is positioned so that its center is 1-2 inches above the iliac crests to ensure diaphragm is included. Pubic symphysis and lower abdomen:

do not have to be included.