CONTRAST MEDIA/SENSITIVITY TESTING/BARIUM SULFATE Flashcards
What is a special procedure?
Radiographic exam that uses contrast media
Substances that have a high/low anatomic number. They also fill out hollow organs and make them appear during a rad. exam
Contrast Media
2 types of contrast media
Positive & negative contrast media
2 types of contrast media
Positive & negative contrast media
Difference bet. positive & negative contrast media
POSITIVE
- have high anatomic no
-appear white
-radiopaque
NEGATIVE
-have low anatomic number
- appear black
-radiolucent
What are the common substances in Contrast Media?
Air & Gases
Heavy Metallic Salts
Inorganic Iodide
Organic Iodide
Iodized Oil (non-absorbable)
Iodized Oil (absorbable)
Describe air & gases
examples are C02 and Oxygen and is used in pneumoventriculography
Describe heavy metallic salts
example is barium sulfate w/c is used in barium enema, swallow, follow through
Uses sodium iodide & is used in intravenous pyelography
Inorganic iodide
Uses iohexol & iodixanol. Is also used in cerebral angio.
Organic iodide
Uses liopodol & iodlochrol & usually used in sialography
Iodized oil (non-absorbable)
When is iodized oil (absorbable) used and what are the examples
Used in bronchography and examples are dionoxil & pantopaque
What are the different forms of contrast media?
tablet, solution, powder
What are the good qualities of Contrast Media
- Toxicity
- Iodine Content
- Viscosity
- Persistence
- Miscibility
- Type of Ionic Salt
- Osmolality
What are the 3 routes used in Contrast Media
Enteral
Intubation
Parenteral Injection
What are the different types of the enteral route?
oral & rectal
What are the different intubation routes?
Nasogastric tube & t-tube catheter
What are the different parenteral injections
Intra-aterial
Intravenous
Intrathecal
It is the injection that needs percutaneous access to the arteries
Intra-anteral injection
Injection to the veins
intravenous injection
Injection using a spinal needle into the subarachnoid space
Intrathecal injection
What are the rights of contrast media
right drug
amount
time
patient
route
Process of introducing 1cc/ml of pure contrast media to patient
sensitivity testing
what are the methods of sensitivity testing
sclera, sublingual, intradermal & intravenous
Describe the sclera method of sensitivity testing
it is introducing 1 drop of sclera to the eye. common side effects include redness, swelling & irritation of the eye
Describe the sublingual method of sensitivity testing
1 drop of contrast media to the inferior base of the tongue. Side effects could include swelling, irritation & salivation
Describe the intradermal method of sensitivity testing
1 cc injected to patient. Side effects are skin irritation, vomiting & swelling
Describe the intravenous method of sensitivity testing
1cc injected to the vein of patient. side effects are nausea, dizziness and vomitting
What are the different reactions to contrast media
Side effects
mild reaction
moderate reaction
severe reaction