Zones safety Flashcards

1
Q

MRI Zones

A

4 zones

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2
Q

Zone 1

A

general public

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3
Q

Zone 2

A

Waiting room

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4
Q

Zone 3

A

screened patients

trained personel

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5
Q

Zone 4

A

exposed to magnetic field

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6
Q

training levels

A

level 1

level 2

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7
Q

level 1 training

A

minimal training

clerical

cleaning

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8
Q

level 2

A

extensive training

technologist

tech aid

RN

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9
Q

quench

A

release of helium

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10
Q

properties of helium

A

boil -451F/-269C

expands 8x

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11
Q

quench concerns

A

asphyxiation

pressure entrapment

ruptured ear drums

hypothermia

fire

induced voltages

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12
Q

Pregnant patients

A

no known harm

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13
Q

Contrast

A

gadolinium

heavy metal

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14
Q

Group 1 contrast

A

known nsf

omniscan

magnavist

optimark

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15
Q

group 2 contrast

A

no nsf

multihance

gadavist

doterem

prohance

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16
Q

Group 3

17
Q

contrast pregnant patient

A

no agents FDA approved

risk/benefit

informed consent

18
Q

chelation

A

binding of gadolinium

macrocyclic

linear

19
Q

macrocyclic binding

A

most stable

caged gadolinium

20
Q

linear binding

A

less stable

wrapped around gadolinium

21
Q

gadolinium retention

A

no known harm

brain

nsf

shown in patients with normal renal function

22
Q

acute contrast reactions

A

N/V

allergic

anaphylaxis

23
Q

chronic reactions

A

retention

NSF

24
Q

NSF

A

thickening/hardening renal tissue

no known cure

25
contrast on renal failure patients
risk vs benefit dialysis ASAP
26
contrast breast feeding
\<.04% secreted in milk still chelated abstain 12-24 hrs if concerned less than .0004% to infant
27
Gadolinium Associated Plaques GAP
sclerosis/hardening of skin roundness in appearance non location specific itching or asymptomatic contain collogen w or wo nsf 3-5 yrs to manifest
28
Anthropogenic Gad anomoly
gad being detected in water increase in last 20 yrs no related risks no detailed studies
29