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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
Created by: npat00
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