Practical possibilities Flashcards
How do you position a patient for T-spine
Feet first, supine, sponge under the knees, arms over head
What is the internal laser for T-Spine
2” above jugular notch (T1)
What is the start and end location for T-Spine
Just above T1 to just below T12 (UNLESS specific levels specified)
What should be included in the DFOV for T-Spine
Transverse and spinous processes
What is the patient position for L-Spine
Feet first, supine, sponge under knees for comfort, arms over head
What is the internal laser for L-Spine
Xiphoid (T9/T10)
What is the start and end location for L-spine
Just above L1 to mid sacrum just below the sacroiliac joint (UNLESS level is specified)
What is the patient position for C-Spine
Head first, supine, sponge under knees, using a head scoop.
Ask the patient to lower their shoulders as much as possible
What is the internal laser for C-spine
glabella
What is the coronal laser for C-spine
EAM
What is the start and end location for C-spine
Just above skull base to mid T1 (unless specified)
What is the patient position for Neck C+
Head first, supine, sponge under knees, lowered shoulders, extend the neck so that hard palate is perpendicular to table
What is the internal laser for neck C+
Glabella
What are the breathing instructions for neck C+
Hold breath and do not swallow
What are the start and end locations for neck C+
Mid orbit to clavicular heads (include soft tissue of neck)
What is the contrast media required for neck C+
SPLIT BOLUS
1: 50ml @ 2.0ml/s
2 min delay
2: 75ml @ 2.0ml/s
in total: 125ml @ 2.0ml
What gauge needle is required for 125ml @ 2.0ml/s
24 gauge or larger
What is the patient position for Head C+
Head first in scoop, supine, sponge under knees
What must you check regarding patient position before advancing into gantry for Head C+
The IPL is aligned
Where is the internal laser for head C+
Chin/Mentum
Where is the coronal laser for head C+
EAM
What must you angle parallel to the gantry for Head C+
SOML
What are the start and end locations for Head C+
Just below base of skull to just above vertex. Angle the box to avoid the lens of the eyes as much as possible
What is the contrast media for Head C+
100ml @ 1.0ml/s
scan delay 5 min
What is the patient position for Facial Bones
Head first in scoop, supine, sponge under knees, tuck patient chin down as much as possible
What must you check positioning wise before advancing the patient into the gantry for facial bones
IPL is aligned
What is the internal laser for facial bones
Just inferior to the chin
What is the coronal plane for Facial bones
EAM or midway between EAM and outer canthus
What are the start and end locations for the facial bones scan
Just below mandible to just above frontal sinus
What is the patient position for Sinuses
Head first, supine, sponge under knees
What must you check before advancing the patient into the gantry for sinuses
IPL aligned
What is the internal laser for Sinuses
Chin/Mentum (with OML parallel)
What is the coronal laser for sinuses
EAM
What is the start and end location for a facial bone helical scan (transverse plane)
Above the frontal sinus to below the hard palate
What is the start and end location for facial bone Axial scan (coronal plane) and how does the patient position differ
The patient will be head first prone
Mid sella turcica to through the frontal sinus