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Stack #1047128

caseys quiz bowl questions

QuestionAnswer
The common rate for the delivery of nearly all medications during an IV infusion is about 16-20 drops per minute.
A rate above 16 to 20 drops per minute has the potential to infuse the fluids too fast, resulting in excessive spillage of fluids into the lungs called pulmonary edema.
A medication that decreases the amount of fluid retained by the urinary system is called a Diuretic.
BUN and creatinine are common tests for Kidney function.
Diazepam (Valium) and Midazolam (Versed) are among the most common agents used to relax patients prior to invasive procedures. Since both of these can alter the state of consciousness of the patient these patients need to be observed until the medications have worn off
In order to visualize the gall bladder through the use of a contrast media, the agent must first be removed from the blood stream by the Liver.
A 25 gauge hypothermic needle containing 1 cc of medication is injected at a 45 degree angle into the tissue beneath the skin. This represents a Subcutaneous administration.
In the elderly, cathartics may be ordered to prevent what following a GI series or BE? Constipation and possible fecal impaction.
The sensitivity of an individual to any drug or contrast agent is dependent upon the weight, age, sex and general state of health of the individual.
factors such as a previous history of allergies, anxiety and pervious reactions to a drug all of these can influence the potential effect of a medication.
The five rights of drugs administrations include 1) right drug 2) right time of administration 3) right patient 4) right dosage 5) right route of administration.
The vasovagal or vasomotor response is most often triggered by Fear or anxiety.
The vasovagal and/or vasomotor response that leads to hypertension and severe bradycardia are most often triggered by fear and anxiety and not the direct effects of the contrast agent.
The amount of time a contrast agent remains in the body is termed Persistence.
The normal salt concentration of the blood is about the same as that of seawater or about .9% NaCl. Any solution that contains this much salt is referred to as being isotonic.
Any type of drug administration which involves the delivery of medications or contrast agents into the tissue by way of an injection through the skin is termed Parenteral
Prior to the IV administration of an iodinated contrast media, it is important for a healthcare worker to determine if a patient has a history of Previous reactions to a medication AND severe renal disease.
Anaphylaxis is a complex allergic type reaction that is mediated by the release of histamine by the Immune System.
The use of sodium diatrizoate (Hypaque) is NOT considered safe for __________ injections. Intrathecal.
A contrast media that absorbs more radiation than the organ in which it is placed is termed Positive agent.
An allergic reaction to iodinated contrast media is more frequent in patients known to have Multiple myeloma, sickle cell disease, asthma, and thyroid disorders.
The signs of flushing, sneezing and urticaria from an iodine contrast media injection are some of the warning signs of Anaphylaxis.
An Intravenous urogram patient has an anaphylactic shock reaction. The drug that is most likely to be administered from the emergency tray is Epinephrine.
The introduction of a small dose of contrast media (sensitivity testing) before full dosage is given, has proven to be _________ in predicting reactions. Very unreliable.
The most commonly employed contrast media for intravenous cholangiography is Iodipamide meglumine.
What type of contrast agent is room air? Negative.
Barium sulfate suspensions are nearly totally safe if they remain within the GI tract. Their toxicity increases dramatically if spillage occurs into the Peritoneum or Circulatory system.
In infants with swallowing disorders and adults with suspected bronchoesophageal fistulas, it is often prudent to select what type of contrast agent? Oil based iodine contrast media.
Iopanoic acid, sodium tyropanoate, and sodium ipodate are among the most common agents used for Oral cholecystography.
Most common contrast media for arthrography? Ionic water based iodine contrast media
Most common contrast media for sialography? Oil based iodine contrast media
Most common contrast media for esophagraphy? Barium sulfate contrast media
Most common contrast media for cholangiography? Ionic water based iodine contrast media
Most common contrast media for urography? Ionic water based iodine contrast media
Most common contrast media for mammography? No contrast media
Most common contrast media for hysterosalpingography? Ionic water based iodine contrast media
Most common contrast media for cholecystography? Ionic water based iodine contrast media
Most common contrast media for venography? Ionic water based iodine contrast media
The principle advantage of a low osmolality non-ionic contrast agent is its decreased Toxicity.
A patient is to be scheduled for a BE, IVU, and a GI Series. The sequence for these exams is IVP, BE, GI.
As the concentration of an iodine contrast media is increased, an increase in ______ should be anticipated. Viscosity, Toxicity and Opacity.
There are two general classifications for getting materials into the blood stream Enteral administrations (the absorption of medications through the mucus membranes) Parenteral administrations are those that involve the placement of the agent into the tissues or into the blood stream (injections).
A patient is to be scheduled for a GI series, gallbladder, and an L-spine. What is the proper sequence? L-spine, gallbladder, GI Series.
Because of the possibility of residual contrast media, which of the following studies is normally performed last in a sequence of exams? Esophogram, BE, IVP, Gallbladder series? Esophogram.
The esophogram is performed last in a series because it may take up to? 2 days for the barium to be completely eliminated from the GI tract.
A 4 year old is brought down to the radiology department for an intravenous urogram. The radiologist orders 40% of the normal 50 cc adult dosage be used. The amount to be prepared is? 20 cc (multiply the adult dose by 40%)
A barium enema is to be performed on a patient suspected of having a perforated bowel. The contrast media preferred for this procedure would be a Water based iodine preparation.
A low osmolality contrast agent is able to deliver a relatively _______ concentration of iodine with _________ particles in solution than conventional ionic contrast agents. High, Fewer.
During radiographic exams requiring long intravenous infusions, a _________ is often performed over typical intravenous needles. Butterfly set.
Most of the new low osmolality contrast agents which are classified as multipurpose can be employed for angiography, urography, arthrography, and myelography
A commonly employed category of drugs that are used to promote defecation in patients are termed Cathartics.
The principle reason that iopamidol and iohexol are now beginning to replace meglumine salts as the primary agents for intravenous urography is their lower toxicity.
In order to prevent possibly damage to the rectum, the enema tip should never be inserted more than 4 inches.
What are two major compounds used in the formulation of a low osmolality (non-ionic) contrast agents? Iohexol and Iopamidol
A serious complication following the administration of an iodine contrast agent is development of a moving blood clot that obstructs the blood supply to the lung. This is called a Pulmonary embolus.
The contrast agent that does NOT dissociate into charged particles when placed in a solution is designated as a Non-ionic contrast agent.
The principle difference between ionic and non-ionic contrast media is related to the ability to form charged particles or ions. Non-ionics are chemically less reactive and therefore cause fewer harmful effects.
The cleansing of the bowel after a BE to avoid barium impactions can be accomplished by the use of Milk of Magnesia or Castor oil.
A common medication given for relief of bronchia spasm which occasionally accompanies iodine contrast injections is Diphenhydramine (Benadryl)
A male infant is brought to the department with a diagnosis of pyloric stenosis. The examination that will most likely confirm this condition is a GI series.
The types of contrast media that can be employed for use in the subarachnoid space of the spinal canal are Oil based iodides or non-ionic water based iodides.
Ionic water-based iodides should never be used in the subarachnoid space because they may cause meningitis.
Before a contrast media is injected, the patient should be questioned about his/her history of allergies.
Contrast sensitivity is dependent upon a number of patient factors including general health, age, weight, a previous history of allergies, and prior contrast reactions which may predispose an individual to an allergic reaction.
One of the major danger signs after administration of iodine contrast media is Dysphasia.
Among the more serious warning signs preceding a severe contrast reaction are dysphasia, laryngeal edema, and breathing difficulties.
When iodinated contrast media is employed, the maximum kilovoltage that should be used is 80 kVp.
The principle route of elimination of most aqueous iodine contrast agents is the Urinary tract.
The major property that determines the x-ray attenuation properties of the contrast media is its Atomic number.
The resistance of a fluid to change its form or position due to the molecular cohesion is termed Viscosity.
A severe allergic reaction to a chemical substance (contrast media) may result in Anaphylactic shock.
A serious drug reaction when water-based iodine contrast is administered intravenously occurs in Less than 1% of the patients.
Contrast reactions are reported in about 5% of all patients in which these agents are used. Serious or life threatening side effects occur in less than 1% of patients with one death occurring in about every 40,000 patients.
The type of positive (radiopaque) contrast media used most frequently in the gastrointestinal tract is a white insoluble powdered compound called barium sulfate. When mixed with water it forms a type of colloidal suspension.
When a low atomic number material is used to demonstrate the density difference between two structures, it is termed a _________ contrast media. Negative.
The type of contrast media most commonly employed for intravenous administration is Water based iodine solutions.
The type and severity of complications associated with contrast media is related to Route of administration, Amount used, and Patient’s sensitivity.
The extent to which a material is found to be poisonous is termed Toxicity.
The administration of iodinated contrast agents may cause a number of serious side effects including shock, coma, renal failure, respiratory failure, and cardiac irregularities.
Iodized oil, such as Pantopaque, is most often employed in structures that are extremely sensitive to Irritation.
Before the development of the less reactive non-ionic contrast agents, a major drawback of ionic media was the high degree of irritation they caused.
When imaging of sensitive organs or cavities was required, such as the lungs or subarachnoid space oil based mixtures were employed to overcome irritation.
Created by: hseratt