Flashcards in Trauma and Venipunture Deck (157)
Fracture involving both the media and lateral malleoli and the posterior tip to the distal tibia.
Comminuted fx of the distal phalanx.
Realignment of fractures:
Closed reduction and open reduction.
Realigned by manipulation and immobilized by a cast or splint; non-surgical procedure.
severe fractures with significant displacement or fragmentation; surgical procedure is required.
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)
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
Mobile chest: Use _______ if wounds and/or bleeding are present and protect IR with ________.
Universal precautions/plastic covering.
Mobile chest: Mark ___________ with radiopaque indicators if evaluating a penetrating injury.
entrance and/or exit wounds
Mobile chest: Use of a _____ improves image contrast.
Mobile chest: Internally rotate arms to prevent:
scapular superimposition in lung fields, if not contraindicated.
Mobile chest: CR is perpendicular to long axis of _____. This prevents clavicles from obscuring apices of lungs.
Mobile chest: R or L lateral decub: Pt placed in ______ poistion. Flexing pt's _____ provides stabilization.
lateral rebumbent. knee.
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.
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.
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 ____.
Mobile chest: R or L lateral decub: Place IR _____ the pt and below the _____ so the lower margin of the chest can be visualized.
Mobile Abdomen: Place IR in ________ for easier placement under patient, if bedside.
pillowcase or cover
Mobile Abdomen: If a trauma case, ask _____ to assist in transferring pt to radiographic table if possible.
Mobile Abdomen: If transfer is unadvisable, obtain assistance to:
carefully lift the pt to position the grid IR under the pt.
Mobile Abdomen: Position grid under pt to demonstrate the abdominal anatomy from _______ to _______.
the pubic symphysis/ the upper abdomen region.
Mobile Abdomen: Keep the grid from tipping by:
placing it in the center of the bed and stabilizing as necessary.
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.
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.
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.
Mobile Abdomen: If transfer to radiographic table is not possible:
Use of a grid IR is required.
Mobile Abdomen: Determine the possibility of fluid accumulation within the abdominal cavity to:
determine appropriate exposure factors.
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.
Mobile Abdomen: R or L decubitus projection: Grid should be supported in position and not leaned against pt to prevent: