Quiz 3 Flashcards

1
Q

Contrast reactions generally occur within the first ____ minutes of injection.

A

5-20

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2
Q

What are a few mild reaction signs and symptoms?

A

nausea, vomiting, cough, warm feeling, headache, dizziness, shaking, itching…

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3
Q

What are a few moderate reaction signs and symptoms?

A

tachycardia, bradycardia, hypotension, hypertension…

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4
Q

What are a few severe reaction signs and symptoms?

A

convulsions, profound hypotension, cardiac arrest

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5
Q

What are the 4 methods of introducing contrast media?

A

1) ingestion- Oral barium
2) retrograde- retrograde urography
3) intrathecal- myelogram, cystography
4) parenteral- intravenous

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6
Q

What are the five radiographic densities?

A

air(gas), fat, water, mineral, & metal

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7
Q

What is the purpose of contrast study?

A

to visualize anatomic structures that are not normally seen on a diagnostic medical image

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8
Q

What is the atomic number of barium?

A

56

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9
Q

What is the atomic number of Iodine?

A

53

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10
Q

What is the atomic number of air & gas?

A

8

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11
Q

What are contrast media used for?

A

to increase the atomic number of tissues in order to visualize them through increased subject contrast

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12
Q

What does photoelectric interaction result in?

A

the x-ray photon being totally absorbed and not striking the image receptor

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13
Q

What are the types of contrast media?

A

negative, positive & specialty

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14
Q

What is an example of a negative contrast media?

A

air/gas; composed of low-atomic number elements (appears radiolucent on image)

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15
Q

What is an example of a positive contrast media?

A

barium; composed of higher-atomic number elements (appears radiopaque on image)

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16
Q

Is gadolinium contrast?

17
Q

What color will a negative contrast appear on an image?

18
Q

What color will a positive contrast appear on an image?

19
Q

Why is air not used more often as a contrast media?

A

low persistence (no control over air

20
Q

What are some characteristics of a perfect contrast media?

A

-very-high contrast visualization
-extremely low toxicity to patient
-persistence in patient anatomy until imaging is completed
-low cost
-minimal or no side effects

21
Q

What are some key contrast characteristics?

A

-Ability of agents to mix with body fluids
-viscosity
-ionic strength
-persistence in the body
-iodine content
-osmolality
-potential for toxicity

22
Q

What are some popular contrast choices?

A

barium sulfate, air/gas, oil-based iodine contrast agents, water-soluble iodine contrast agents

23
Q

For barium studies of the GI tract, you would use what kind of contrast for suspected perforations?

A

water-soluble

24
Q

What are the two ions on Ionic contrast agents?

A

Anion and Cation

25
What is osmolality?
the measure of the total number of particles in solution per kilogram of water
26
Most adverse reactions to contrast result from?
the osmolality of the agent
27
Ionic contrast agents have higher or lower osmolarity than non-ionic contrast agents
higher
28
What are some advantages nonionic, LOCM?
-lower osmolality -no ionic breakdown and less toxic at cellular level -more water soluble in blood plasma -warmed to decrease viscosity -less likely to cause patient reaction -more tolerable by patients -high contrast effect resulting from number of iodine atoms per molecule -reduced injection volumes
29
What are some reactions of anaphylactoid reactions?
wheezing, throat swelling, nausea, vomiting, cardiac arrest
30
What are the three categories of patient reactions?
mild, moderate & severe
31
How much contrast is given to a child?
1/2 mL per pound; if over 100lb usually given full dose