lesson 1 Flashcards
- Substances administered in the
body to demonstrate a visible image
of hollow organs in the body. - High or low atomic number of chemicals or substances compared
to adjacent structures. - Improves demonstration of different
densities in the human body.
CONTRAST MEDIA
PURPOSE OF CONTRAST MEDIA
- Contrast Study
- Opacification
- Visualization
TYPES OF CONTRAST MEDIA
- POSITIVE C.M. (Radiopaque, Absorb more x-rays, High Atomic Number (Z), Bright/White, Radionuclide: C.M. used in nuclear medicine)
- NEGATIVE C.M. (Radiolucent, Transmit x-rays, Low Atomic Number (Z), Dark/Black)
non- absorbable, high atomic number,
relatively cheap, less irritating contrast media. It cannot be
dissolved in water (colloidal suspension) and is not applicable on
patients with suspected perforation
Barium Sulfate (BaSO4)
(75% C.M. + 25% WATER) - Esophagography
PASTE MIXTURE
(50% C.M. + 50% WATER) – Upper
Gastrointestinal Series (UGIS)/Small Intestinal Series (SIS)
THICK MIXTURE
(25% C.M. + 75% WATER) – Barium Enema
THIN MIXTURE
(2 tbsp. C.M. + 1 glass WATER
MILK MIXTURE
patient cannot tolerate c.m
Histamine imbalance
ADVERSE REACTION OF C.M.
1st degree (MILD)
2nd degree (MODERATE)
3rd degree (SEVERE)
4th degree (FATAL)
Process where in a few amount of contrast media is administered to the patient before administrating the whole amount. Reactions usually occur 10-15 mins after
SENSITIVITY TESTING
uses 2 kinds of C.M. in 2 different ways of introduction
DUAL
small amount of C.M. is used to coat the lining
membrane of the hollow organ
MUCOSAL PHASE STUDY
full dose of C.M. is used to fill the hollow organ
and to study the general outline, shape, size, position and anatomical
contour and morphological deformities of the organ
FILLING PHASE STUDY
C.M. is administered via tube passing
through the mouth or nose and into duodenum after administration of
glucagon. A positive and negative C.M. are used to detect lesions
HYPOTONIC DUODENOGRAPHY
intramuscular administration. (moderately severe reactions)
Ampoule Benadryl (Diphenhydramine HC)
relieves itching and irritation affecting the
eyes within 5-10 mins. After administration and will
last up to 2-6 hrs.
Antistine
relieve CM reaction in bronchodilator
Epinephrine
test abduction for vocal cords, take exposure before chest comes to rest
QUIET INSPIRATION
test adduction vocal cords, take a deep breath
then exhales slowly and phonate low pitch ‘ah’ or high pitch ‘eh’
NORMAL PHONATION (EXPIRATORY PHONATION)
demonstrate laryngeal
ventricle, exhale completely then slowly inhale to make a sound. (Powers, Holtz, Ogura)
INSPIRATORY PHONATION (REVERSE PHONATION/ASPIRANT MANEUVER)
complete closure of glottis, test elasticity and functional integrity of glottis. Take a
deep breath and while holding the breath in, bear down as though trying to move the bowels.
VALSALVA MANEUVER
test elasticity of the hypopharynx and piriform. Pinch off the nose,
close the mouth and tries to blow the nose. Like blowing out a balloon
MODIFIED VALSALVA MANEUVER
exhale then tries to inhale against the closed glottis.
MUELLER MANEUVER
(occurs during administration of c.m.) – systemic shock, Myocardial Infarction, Renal Shutdown, Hypertension, Urticaria
Hemodynamic
(mild transient effect if patients
are experiencing fatigue or anxiety)
Psychosomatic reaction