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Venipuncture > Final > Flashcards

Final Flashcards

0
Q

When should the sharps box be emptied

A

•when 2/3 full

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1
Q

Hand washing how long & when should you wash

A
  • 10-15 sec

* before eating

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2
Q

Painful site for IV

A

•radial wrist

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3
Q

3 main veins frequently used

A
  • cephalic
  • basilic
  • median cubital
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4
Q

Common site for extravasation

A

•joint flexion area

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5
Q

The 5 R’s

A
  • right pt
  • right amount
  • right route
  • right time
  • right drug
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6
Q

Two most significant blood born pathogens

A
  • HBV

* HIV

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7
Q

Since there is no way you can know if a person is infected you should always use

A

•universal precautions

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8
Q

BUN/Creatinine

A
  • indicates function of kidneys
  • disease/dehydration kidney failure
  • diabetic
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9
Q

Creatinine

A
  • 0.6-1.5 normal range

* creatinine tells if kidney is filtering waste

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10
Q

BUN

A
  • Blood Urea Nitrogen
  • the amount of nitrogen in the blood that comes from the waste product urea
  • normal range 8-25
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11
Q

Anaphylactic

A

•u have been exposed to the reaction before

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12
Q

Isolations

A
  • contact;MRSA, Hep A, varicella
  • droplet; rubella, mumps, flu
  • airborne; tb, chickenpox, measles
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13
Q

PPE

A
  • personal protective equipment
  • gloves
  • mask
  • gown
  • eyewear
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14
Q

Senators bill 1334

A

•allows techs to complete the injection of CM which was started by authorizing personnel (does not apply for students)

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15
Q

Side effects vs reactions

A
  • side effect expected outcome

* reaction unexpected outcome

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16
Q

Incase of known allergies

A

•pre-medicate

17
Q

High risk pt. To administer contrast

A
  • allergic towards iodine contrast
  • diabetes
  • asthma
18
Q

Preparation for possible allergic contrast reaction

A
  • crash cart
  • epinephrine
  • resuscitation equipment
  • oxygen/suction
19
Q

What type of pt makes venipuncture easy

A

•a relaxed pt

20
Q

Senate bill 571

A

•authorizes techs under supervision can perform venipuncture on a upper extremity to administer contrast with a certificate

21
Q

Iodine

A
  • water soluble

* used for vessels, arteries, veins, & functions of internal organs

22
Q

Iodine ionic/non-ionic

A

Ionic;
•high osmolarity (higher risk of complications)
•less expensive
Non-ionic;
•lower osmolarity (lower risk of complications)
•more expensive

23
Q

Adverse reaction caused by

A
  • osmolarity in the contrast media

* osmolarity=the number of particles in solution

24
Q

Drug routes

A
  • Sublingual-under tongue
  • Topical-on skin
  • Oral
  • Parenteral-injection
25
Q

Contrast injection method

A
  • Drip infusion
  • IV push
  • Power injector
  • Piggy back
26
Q

California law does not allow techs to perform

A

•arterial puncture

27
Q

Anaphylactoid reactions

A
  • uticardia-(Benadryl/IV)
  • bronchospasm(epinephrine)
  • facial/neck edema(epinephrine)
  • itching-(Benadryl/IV)
28
Q

If pt is going to have reactions to CM it will happen with in ______. If pt is going to have a life threatening reaction it will happen______.

A
  • 1-5min

* immediately

29
Q

Finger nails no longer then

A

•1/4”

30
Q

Anaphylactoid

A

•first time experiencing reaction

31
Q

Arteries vs veins

A

Arteries;
•oxygenated, flows away from the heart
Veins;
•deoxygenated, flows to the heart

32
Q

Nosocomial

A

•infection originating from the hospital

33
Q

GFR

A

•60 and above

34
Q

Steps of infection

A
  • encounter
  • entry
  • spread
  • multiplication
  • damage
  • outcome
35
Q

Chain of infection

A
  • host
  • infectious microorganism
  • mode of transportation (vector/formite)
  • reservoir
36
Q

Contrast reaction

A
  • difficult breathing
  • feeling itchy
  • feeling faint
  • feeling nauseous
  • arm starts to burn
37
Q

Max contrast in a 24 hour period adult/ped’s

A
  • adult; 200mL

* ped’s; 2.0mL per kg

38
Q

Isovue 200 or 300

A
  • not go veins
  • intrathecal
  • myelography
39
Q

Barium kVp

A

90-129

40
Q

Iodine kVp

A
  • below 90

* 70-80

Venipuncture (1 decks)

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