Patient Care Fall 14/15 Flashcards
What’s the urinary meatus?
External urethral orifice, opening of urethra on body surface through which urine is discharged
How is the small intestine attached to the abdomen
Mesentary posterior wall
Slowness of the heartbeat as evidenced by slowing of the pulse rate to less that 60 bpm
Bradycardia
Profuse sweating
Diaphoresis
The normal pulse rate for resting adult
60-100 bpm
Normal pulse rate for a child under 10
70-120 bpm
Absence of gas from part or the whole lungs as a result of failure of expansion IR reabsorption of gas from alveoli
Atelectasis
Vital signs consist of?
Heart beat, blood pressure, body temperature, respiratory rate
How do you obtain tympanic temperature?
Place electronic thermometer in ear and wait three minutes
When is a pt said to be in tachypnea?
Greater than 20 breaths per minute
Oral body temperature ranges from?
97.7-99.5 F
or
36.5 to 37.5 C
Normal respirations in adult?
12-20
Normal respirations in children under 10
20-30
Normal respirations in infants
30-60
How to deal with substance abusers?
Asses capabilities, establish communication, wait to work until cooperative, restrain if necessary
Reduction of oxygen supply to tissue
Hypoxia
Average body temperature in fahrenheight and Celsius
98.6 F and 37C
What should a healthy adults blood pressure read?
120/80 mmHg
Exams that use oil based contrast
Bronchography, sialography, dacryocystography, lymphography
Viscosity is influenced by
Concentration and size of the molecule
What’s demonstrated on left lateral decubitus
Up lateral side of ascending colon and medial side of descending colon when colon is inflated with air
What is demonstrated on right lateral decubitus
Up medial side of ascending colon and lateral side of descending colon with colon inflated with air
What’s the CR for AP axial sigmoid
30-40 degrees cephalic MSP and 2 inches below ASIS
Ballooning of lower end of ureter into bladder
Ureterocele
Inflammation of bladder
Cystitis
CR for PA axial sigmoid
30-40 caudal MSP and ASIS
CR for nephrotogram
Centered to IR at level of angle of ribs
Abnormal concentration of mineral salts/stone
Calcuolous
Abnormal connection between 2 internal organs or between an organ and body structure
Fistula
Inflammation of kidney and renal pelvis
Pyelonephritis
Dissension of renal pelvis and calyces with urine
Hydronephrosis
What and where is the hilum? (Abdominal)
Blood vessels, lymphatic vessels, nerves, and ureters connect or attach to kidneys
-medial border
Level of kidneys and where each lies I’m different body habitus
Sthenic-T12-L3
asthenic- lower
Hypersthenic-higher
Kidney movement with respiration and from supine to upright
Respiration-about 1 inch
More Aprox 2” from supine to upright
CR for AP oblique projection
Perpendicular to crest and 1-2” lateral to midline of elevated side
CR for PA oblique projections
Perpendicular to crest and 2” lateral from MSP on elevated side
What are the primary mechanisms that maintain homeostasis?
Vital signs
What are the sacred seven?
Localization Chronology Quality Severity Onset Aggregating of alleviating factors Associated manifestations
CR right lateral UGI upright and recumbent
Recumbent-centered to IR level at L1-L2 (1-2 above lower rib margin)
Upright- centered to IR level of L3
Type of catheter used on enteroclysis exams
Bibaor or sellinktube stiff guide wire
PA Oblique RAO image demonstrates
Right colic flexure, ascending colon, sigmoid colon
Where IR is centered for AP UGI
Level midway between xiphoid and lower rib margin
The degree of rotation for PA oblique UGI
40-70
Supine and prone positions of the stomach demonstrate
Supine-barium filled stomach and visualization of retrogastric portions of duodenum and jejunum
Prone- compress abdominal contents
How each kidney is positioned when rotated 30 degrees
Lower kidney is perpendicular and upper kidney lies parallel to IR
What’s the purpose of the ARRT
Encourage study and evaluating the standards of Radiologic Technology. Examining and certifying. Eligible candidates and periodically publishing a listing of registrants
Diagnostic agents that are instilled into body offices or injected into the vascular system, joints, ducts to enhance subject contrast in anatomic areas where low contrast exist
Contrast media
Death ranking of nosocomial infections in the US
8th
Normal creatnine and bun levels
Creatine .6-1.5mg
Bun- 8-25 mg
Description of the character of symptoms
Color, quality and consistency of blood or other substances
Quality
When do you use contact precautions
When caring for patients infected with virolent pathogens that spread by direct contact with the patient or indirect contact with a contaminated object
Standard precautions incorporates
Features of both body fluid precautions and body substance isolation
Percent of patients that acquire nosocomial infections
5%
6 steps for establishment of infectious disease
Encounter Entry Spread Multiplication Damage Outcome
What is best demonstrated on AP oblique LPO
Right colic flexure, ascending colon, sigmoid
Best demonstrated on AP oblique RPO
Left colic flexure, descending colon
CR for AP oblique positions
Perpendicular to crest and 2 inches lateral to midline of elevated side
Stabilizing agents added to barium
Sodium carbonate
Sodium citrate
IVP CR for AP projection
Perpendicular at level of crests
IVP CR for separate bladder
2-3 above symphysis pubis
CR for left lateral rectum
Perpendicular to MCP and ASIS
Where IR is centered for left lateral rectum
At ASIS
CR for cross table lateral large intestine
Horizontal tube perpendicular to MCP and crest
CR for PA large intestine
Perpendicular to MSP and crest
IR centered for PA UGI projection
MSP center to IR
IR 1-2 above angle of ribs
Used as incubator for premature infants. Provides controlled temperature and humidity and an oxygen supply
Isolette
Resembling serum, having thin watery constitution; body fluids that are typically pale yellow, benign nature, that fill inside of body cavities
Serous
Resulting from activities of physician
Iatrogenic
Order of Maslow’s hierarchy of needs
Physiological Safety Belongingness and love Esteem Know and understand Aesthetic Self actualization Transcendence
Object that can harbor pathogenic micro organisms and transmit infection
Fomite
Alternate or passive host or carrier that harbors pathogenic organisms, without injury to self, and serves as source from which other individuals can be infected
Reservoir
Viral particle that starts infection
Virion
Measure of the total numbers of particles in solution per kilogram of water
Osmolality
What is demonstrated on AP large intestine
Entire colon with pt supine
Pt position for AP axial sigmoid
Supine
What is best demonstrated on AP axial sigmoid
Rectrosigmoid
How to make sure patient holds still on AP oblique projections
Use sponge
Where to center IR at for lateral decubitus image
Crest
IR placement for upright LI
Perpendicular to MSP and 1-2 in below crest
Why cross table LI is done last?
Tip needs to be removed to see rectum
What’s best demonstrated on a cross table lateral? Li
Up posterior portion of colon
Patient position of cross table lateral
Prone right or left side against the IR
Marker placement for decubitus
Top of IR
Function of air medium
Distend lumen of bowel
Describe 3 steps of 2 stage double contrast BE
Fill colon with barium. Pt evacuates barium and returns to table. Air is injected into colon and radiographs are obtained
Most important factor of BE exam
Colon must be clean
What must be done to include entire colon on AP/PA and how IR is placed
2 images crosswise
What type of barium is used and why this specific barium is used?
Hugh density barium sulfate. Absorb greater percentage of radiation similar to older thick barium products
Length of BE tubing
Approximately 6 feet
What PA demonstrates
Entire colon with patient in prone position
What is best demonstrated on PA axial sigmoid
Rectrosigmoid area
Degree of obliquity for oblique projections LI
35-45
What must be centered to grid or table on left lateral rectum
MCP centered to table
Purpose of flexing patients knees on left lateral rectum
Provides support
What is demonstrated on left lateral rectum
Rectum and distal portion of sigmoid
What portions of colon may not be included on left lateral rectum?
Superior portion
What contrast is used if perforation or leak is suspected?
Water soluble iodinated contrast
Patient Prep for LI
Dietary restrictions, bowel cleansing enema, laxatives, npo after light evening meal
Purpose of squeezable balloon inflater
Helps pt to hold catheter in place
What’s the enema bag capacity
3 quarts (3000ml)
Method used for filling large intestine
Retrograde filling
Warm BE temperature range
85-90 degrees
Success of be depends on
Pt cooperation
Purpose of relaxing abdominal muscles throughout the BE exam
Prevent intraabdominal pressure, cramping, and colon spasms
Purpose of deep oral breathing
Reduces incidence of spasms and cramping
Patient position for insertion of enema tip
Sims
Height enema bag is placed
No more than 24 inches above the anus
How to get air out of tubing
Run barium into the sink
What respiration phase tip should be inserted on and why
Expiration abdominal muscles and sphincter are mOre relaxed
How far tip should be inserted
No more than 4”
Respiration phase for BE images
Suspended
How lining is coated on double contrast be
Pt slowly rotates 360 degrees
2 methods of examining large intestine
Single contrast and double contrast