UNIT 4: Pediatrics and Geriatrics Flashcards
(50 cards)
T or F: Getting down on pediatric patients level is important in gaining trust
True
Pediatrics range from
Premature infants to adolescents
Methods for pediatrics
-Behavioral cues
-Actively listen
-Understand parents and child
Pediatric- Premature/neonates (0-28 days old)
-Warming the room will help with comfort level
-Leaving the baby in the incubator until the last moment helps
-Warming lights being available could be helpful
-Always ensure oxygen and suction are available and working for all patients coming down to the department
-Newborns feel secure while swaddled
-Overstimulation and stress can be caused by bright lights, sudden movements and loud noises
-Never leave a baby unattended!
Pediatrics - Ages 3-5, what are some suggestions for getting good images for this age range?
Toys
Stickers
Rewards
Murals on the walls, music
Distraction of any kind
Pediatrics - Adolescents(12-18yrs)
What is the most important consideration when taking images on pre-adolescents and teenagers?
Privacy/Modesty and Sympathy
Patients with Special needs
-Difficulty with social interaction
-Problems communicating
-Repetitive behaviors/obsessive interests
How to handle:
-Get down on their level during introductions
-Ask parents for advice
-Keep them warm and protect modesty
-Avoid over-stimulation
-First or last appointment of the day
-Private waiting area if possible
-Be aware they may be very sensitive to touch
Pediatrics: RADIATION PROTECTION:
How can we reduce radiation exposure to these patients?
-Shielding
-Collimation
-NO repeats
-PA vs AP
-Pulsed fluoroscopy
B.E.R.T.
B: Background
E: Equivalent
R: Radiation
T: Time
Allows the amount of radiation received from a radiologic procedure to be expressed in terms of a certain number of days or years of background radiation (assumed to be 3 mSv/y).
Pediatrics - Image Gently
-The goal of this campaign is to change long-established practice by raising awareness about methods for lowering radiation dose during pediatric medical imaging examinations
When it comes to holding a pediatric patient, what is the proper order of individuals to choose from?
-Parent
-Rad technologist
-Personnel outside of radiology
-Rad student
Pediatrics chest x-ray
-PA: visualization of intervertebral disc spaces through heart shadow
-Midline check for rotation
-8-9 posterior ribs seen
Pediatrics - positioning aid
Pigg-o-stat:
-Helpful in holding child still
-Reduce repeat exams
Pediatrics - chest 2 view
Pediatrics - positioning errors
-First image is AP, which needs more of a downward angle on the tube
-Second image has artifacts on it (buttons from gown?)
Pediatrics - positioning errors
Chin should be lifted up and out of the way
Pediatrics - artifacts
-First image: wires
-Second image: swallowed button
Pediatrics - babygram
Abdomen x-ray for umbilical line placements
Pediatrics - mal positioned tubes
Pediatrics - babygram for foreign body
Pediatrics - specialty areas
-CT
-MRI
Geriatrics (65+ yrs old)
-Being patient and sometimes “loud” is important for cooperation
-Ageism is described as discrimination and stereotyping the elderly
-Nervous system issues is the most common disability over 65 years old
-Pneumonia is one of the leading cause of death in elderly
-No 2 people age the same way
Geriatrics definitions: Incontinence
inablity to control urine/bowel
Geriatrics definitions: Osteoarthritis
chronic deterioration of cartilage
Geriatrics definitions: Pneumonia
frequent type of lung infection
