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Surgical Radiography
| In order to obtain true AP and lateral projections, the c-arm may be titled or arced to match the angle of the part. (T/F) | true |
| If the patient is positioned prone on the surgical table, the c-arm should be tilted | 15° caudad |
| Postoperative chest x-ray taken to ensure leads are properly positioned after pacemaker insertion. The patient should be positioned as ________ as possible. | upright |
| Leads for pacemaker are guided into right atrium and advanced into the | right ventricle |
| Wire (lead) for pacemaker inserted through | subclavian vein |
| Ilizarov | is a type of tibial external fixator |
| Indications for external fixators? | Severe open fractures, comminuted fractures, infected joints, major alignment deficits |
| Purpose of external fixators? | External stabilizing device permits bone healing without immediate requirement for internal fixation |
| Members of the surgical team | Surgeon, physician assistant(s), surgical technologist, anesthesia provider, scrub nurse, circulating nurse, various support staff |
| Sterile members of the surgical team | Surgeon, physician/surgical assistant(s), surgical technologist, scrub nurse |
| Nonsterile members of the surgical team | Anesthesia provider, circulating nurse, radiographer, other personnel (equipment reps, etc) |
| Pathogen | microorganism capable of causing disease |
| Reservoir | source of infection, any place pathogens can thrive in sufficient numbers to pose a threat |
| Portal of entry | respiratory, urinary, gastrointestinal; open wounds or breaks in skin; mucous membranes of eyes, nose, or mouth; bloodstream |
| Portal of exit | blood, bodily fluids, excretions or secretions |
| Susceptible host | patient or hospital worker who has a reduced natural resistance to infection |
| OR dance | maintaining sterile field during surgical procedures; if field is compromised immediate notification is made |
| Proper OR attire | Surgical scrubs (donned at beginning of each shift), Protective eyewear, Surgical masks, Shoe covers, Surgical caps, Gloves, Radiation badge, Proper ID |
| Certified surgical technologist | holds the sterile IR cover open toward the radiographer to retrieve the IR in the sterile field |
| After exposure, the CST hands to covered IR to the | radiographer |
| Enemies of the sterile field | a. Lengthy or complex procedures increase risk of sterile field contamination b. The floor is always considered contaminated |
| Examples of internal fixators | screws, pins, intramedullary rods, nails, wires |
| Purpose of internal fixators? | Applied to reduce and realign fractures during open reduction |
| Traction | process of putting a limb, bone, or group of muscles under tension with use of weights and pulleys to align or immobilize the part |
| TKR/TKA | total knee replacement, total knee appliance |
| THR/THA | Total hip replacement, total hip appliance |
| ORIF | Open reduction internal fixation |
| Open reduction | fracture site is exposed, severe displacement or fragmentation |
| Lithotripsy | crushing of calcification in the renal pelvis, ureter, or urinary bladder by mechanical force or sound waves (laser) |
| Kirschner wire | unthreaded (smooth) or threaded metallic wire used to reduce fractures of wrist, hands, feet. Not a permanent fixture and is typically removed after healing of bone |
| Intramedullary rod | flexible or rigid device placed within the medullary cavity to reduce a fracture or stabilize a long bone |
| Cystoscope | lighted tubular endoscope used for examination of the urinary bladder |
| Closed reduction | procedure in which fracture realigned by manipulation without surgical intervention, fracture site is not exposed |
| Cardiac pacemaker | an artificial regulator for cardiac rate and rhythm |
| Arthroplasty | creation of an artificial joint to correct ankylosis |
| Most effective radiation protection | Distance |
| Seldon used equipment should be cleaned | once a week and just before use |
| Cleaning the equipment should be done | after every case. |
| Mobile fluoroscopic units are often referred to as c-arms because of their ____ | shape |
| C-arm movements: | up/down,in/out, pan movement allows scanning evenly among long axis of body by moving the base, tilt allows for angled (axial) images, arc movement allows for oblique projections, pivot allows limited pan-type movement without moving the base |