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drugs
| Question | Answer |
|---|---|
| Acetaminophen brand: | Tylenol |
| Acetaminophen use: | Pain / fever |
| Ibuprofen brand | Advil, Motrin |
| Ibuprofen use | Pain / anti-inflam. |
| Diphenhydramine brand | Benadryl |
| Diphenhydramine use | Allergy |
| Diazepam brand | Valium |
| Diazepam use | Sedation |
| Epinephrine brand | Adrenalin |
| Epinephrine use | anaphylaxis |
| Iohexol brand | Omnipaque |
| Iohexol use | CT contrast |
| iodinated | CT, angiography |
| Barium sulfate | fluoroscopy |
| Gadolinium | MRI |
| Atropine | bradycardia |
| Analgesics | Pain management pre/during procedure |
| midazolam | Sedation |
| Glucagon use | relaxes GI smooth muscle |
| cpr | 2 rounds of compression |
| Glucagon | fluoroscopy, CT, hypoglycemia reversal |
| Anticoagulants | Heparin in vascular procedures |
| Intravenous | IV |
| Oral | PO |
| Intravenous use | Contrast media, emergency drugs, hydration |
| Intravenous yield | high |
| oral use | Barium, oral contrast for CT, prep agents |
| oral yield | moderate |
| Rectal | PR |
| Intrathecal | IT |
| Intrathecal use | Myelography contrast (iodinated) |
| Intrathecal yield | high |
| Intra-articular | IA |
| Intra-articular use | Arthrography contrast |
| Intra-articular yield | moderate |
| physician only | Intrathecal, Intra-articular |
| Topical / Other | TOP |
| Topical / Other use | Skin prep agents, some antiseptics |
| IV complications | extravasation, phlebitis, thrombosis, and air embolism |
| solutions | fastest |
| enteric-coated | slowest |
| IV/IA | bypass absorption entirely |
| Absorption | How the drug enters the body |
| Distribution | How the drug travels through the body |
| Metabolism | How the drug is broken down. Primarily hepatic (liver). Affects duration of action |
| Excretion | How the drug leaves the body |
| Iodinated contrast excretion | renal |
| Barium excretion | GI |
| IV absorption | 100% bioavailability (no absorption phase) |
| oral absorption | varies |
| distribution types | Blood flow, protein binding, and tissue perfusion all matter. |
| Epinephrine results | Reverses airway swelling, low BP |
| Epinephrine IM | in thigh |
| Epinephrine IV | if severe |
| Diphenhydramine is a | Antihistamine |
| Diphenhydramine route | Oral or IV |
| Atropine result | Raises heart rate (vagal events) |
| Atropine route | IV push |
| Albuterol use | Bronchodilator for bronchospasm |
| Albuterol result | Relieves wheezing / asthma-like reaction |
| Albuterol route | Nebulized or inhaler |
| Oxygen use | Supportive in most reactions |
| Oxygen result | Treats hypoxia, shortness of breath |
| Oxygen route | Nasal cannula or mask |
| Nitroglycerin | Vasodilator for chest pain / angina |
| Nitroglycerin route | Given sublingually (under tongue) |
| Nitroglycerin tech role | Monitor blood pressure |
| emergency drug with high yeild | Nitroglycerin, Oxygen, Albuterol, Diphenhydramine, Atropine, Epinephrine |
| 7 components | drug name, route, patient identification, dose amount, dose form, time, prescriber signature |
| document | drug, dose, route, time, site, reaction, consent |
| legend | prescription only = Rx only |
| legend drug | Contrast agents |
| in scope 1 | administer contrast |
| in scope 2 | start IV access |
| in scope 3 | Flush IV lines |
| in scope 4 | Monitor the patient |
| in scope 5 | Recognize adverse reactions and initiate emergency response |
| in scope 6 | Document medication administration accurately |
| in scope 7 | Educate the patient about what to expect |
| outside scope 1 | Prescribe medications |
| outside scope 2 | Independently decide which contrast agent to use |
| outside scope 3 | Diagnose or treat adverse reactions independently |
| outside scope 4 | Override a physician's order based on personal judgment |
| outside scope 5 | Perform procedures outside institutional and state- defined scope |
| tech role | first responder |
| Radiologist role | orders treatment, may perform procedures |
| Nursing role | often involved in contrast administration and monitoring. |
| know location | Emergency cart location, O2 delivery, epinephrine, diphenhydramine, atropine |
| Vasovagal | a reflex involving the vagus nerve that causes the heart rate to slow and blood vessels to dilate |
| assess | allergies, renal function, cardiac history, medications, hydration status. |
| Intrathecal contrast (myelography) | physician only |
| Intrathecal contrast (myelography) Radiographer role | room prep and monitoring |
| IV is the _______ route in imaging | dominant |
| Know injection _______,_______, and ________ recognition. | parameters, extravasation, and complication |
| _________ is required before IV iodinated contrast. | Renal function assessment (creatinine/GFR) |
Created by:
katorn