Point of care testing and chest x-rays

Question 1

POC tests for acute care settings

Answer 1

12 lead 
blood glucose
FWT 
blood gas/lactate
troponin/CK/cardiac markers
INR
electrolytes/Hb

Question 2

Paramedic blood gas analysis

Answer 2

used by helicopter
Hb - blood transfusion
Co2 - ventilation
lactate - shock treatment
K - lower and raise levels

Question 3

x-rays are

Answer 3

when you shine a beam of xray at a person and put a film on the other side of them the shadow is produced of the inside of their body

Question 4

Steps of examining chest xrays

Answer 4

1. check quality of film
2. check the heart
3. check the costophrenic angles
4. check the hilar region
5. check the lung fields

Question 5

1. quality of film

Answer 5

determine if film is PA or AP - through the front
under full inspiration? 10 posterior ribs should be visible
over or under penetrated - under penetrated will not see thoracic vertebrae
check for rotation
right and left sides

Question 6

2. check the heart

Answer 6

size
shape
silouette margins should be sharp
diameter

Question 7

3. check the costophrenic angles

Answer 7

margins should be sharp

Question 8

4. check the hilar region

Answer 8

the hilar - the large blood vessels going to and from the lung at the root of each lung where it meets the heart
check for size and shape of aorta, nodes, enlarged vessels

Question 9

5. check the lung fields

Answer 9

infiltrates 
increased interstitial markings
masses
absence of normal margin 
air bronchograms 
increased vascularity