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Patient Care
ARRT Practice
| Question | Answer |
|---|---|
| A vasomotor effect experienced after injection of a contrast agent is characterized by all of the following symptoms except | hypotension |
| Demonstration of which anatomic structures requires ingestion of barium sulfate suspension? (duodenum, pylorus, ilium) | not ilium |
| Which drug is used to treat dysrhythmias? | Lidocaine |
| Examples of COPD include | bronchitis, pulmonary emphysema, and asthma |
| which of the following can be transmitted via infected blood? (HBV, AIDS, or TB) | Not TB!! |
| In which stage of infection do the infective microbes begin to multiply? | Incubation period |
| When performing cardiopulmonary resuscitation on an infant, it is recommended that the number of compressions per minute compared with that for an in adult do what? | increase |
| What is the first treatment for extravasation of contrast | apply pressure until bleeding stops |
| what is the normal diastolic range? | 60-80 |
| normal systolic range | 110-140 |
| Droplet precautions | private room, gowns, gloves, masks. rubella, mumps, flu |
| airborne precautions | private NEG-PRESSURE room, gloves, mask (on either pat. or tech.) TB, rubella, mumps, flu |
| contact precautions | private room, gowns, gloves, masks. C. diff, MRSA, conjunctivitis, Hep. A, varicella |
| Swan-Ganz catheter | IV cath advanced to pulmonary artery. measures pumping ability of heart, obtains pressure readings, and introduces medications & IV fluids |
| Salem-sump | NG gastric decompression tube. radiopaque double lumen tube. one lumen for gastric air compression, other for removal of fluids. |
| Levin | NG gastric decompression tube. single lumen tube used to prevent accumulation of intestinal liquids & gas during & following surgery |
| a catheter placed in a large vein is called a | central venous line. used to deliver frequent meds or nutrition or monitor cardiac pressure |
| port a cath | central venous line. totally implanted access port, permits long term iv treatment |
| PICC | central venous line. peripherally inserted central catheter, permits long term iv treatment |
| heparin lock | intermittent injection port. used for patients who will require frequent or regular injections. |
| respiratory symptoms with contrast | sneezing, hoarseness, wheezing, dyspnea, asthma attack, cyanosis. notify radiologist immediately |
| side effects of contrast | warm flushed feeling, metallic taste, nausea, headache, pain at injection site |
| adverse reactions to contrast | itching, anxiety, rash, hives, vomiting, sneezing, dyspnea, hypotension |
| cyanosis | bluish discoloration of the gums, nailbeds, earlobes, area around the mouth (NOT tongue) |
| best blood vessels for pulse | superficial arteries |
| another name for congenital clubfoot | talipes |
| order of examinations | endoscope, ivu/ivp, BE, UGI |
| congenital heart condition characterized by a hole in the interventricular septum that allows oxygenated and unoxygenated blood to mix. | ventricular septal defect |
| narrowing or constriction of the aorta | coarctation of the aorta |
| a small hole in the interatrial septum remnant of the fetal foramen ovale | atrial septal defect |
| short fetal blood vessel connecting the aorta and pulmonary artery that usually closes within 10 to 15 hours after birth | ductus arteriosus. a patent ductus arteriosus persists and requires surgical closure |
| the 4 components of the cycle of infection | a susceptible host, a reservoir of infection, a pathogenic organism, and a means of transmission |
| guidelines for cleaning contaminated objects or surfaces | clean from least to most contaminated areas, top down, |
| keep IV meds how many inches above the vein? | 18-20 |
| nitroglycerin and verapamil | vasodilator, decrease blood pressure, increase blood flow |
| epinephrine | bronchodilator for asthma or severe bronchospasm, vasopressor used to treat an anaphylactic reaction or cardiac arrest |
| hydrocortisone | a steroid that may be used to treat bronchial asthma, allergic reactions, and inflammatory reactions |
| digitoxin | used to treat cardiac fibrillation |
| average respiration rate | adults: (Saia 12-20) (Mosby & corectec 12-16) children: 20-30 |
| lidocaine | xylocaine. antiarrhythmic used to prevent or treat cardiac arrhythmias or dysrhythmia |
| direct contact | via contact from skin infections, boils, std's. via droplets from nasal or oral secretions |
| indirect contact | via airborne, fomites, vectors. |
| "after meals" | pc |
| "three times a day" | tid |
| "four times a day" | qid |
| "every hour" | qh |
| symptoms of shock | pallor and weakness, drop in blood pressure, increased pulse, apprehension and restlessness, cool clammy skin. Call physician immediately. |
| practice that retards the growth of pathogenic bacteria | antisepsis |
| the destruction of pathogenic microorganisms thru hydrogen peroxide, chlorine, boric acid | medical asepsis |
| the removal of all microorganisms and their spores | surgical asepsis |
| a small container holding several doses of medication | vial |
| a small container that usually holds a single dose of medication | ampoule |
| an amount of fluid to be injected | bolus |
| narrow-mouthed container, not likely to be used for medical purposes | carafe |
| what is the proper procedure for turning a disabled patient on an xray table | toward you |
| correct order for basic life support | circulation, airway, breathing |
| first response for CPR | Call for help |
| first response for allergic reaction | call for DR |
| CPR should be started within __-__ minutes to prevent brain damage | 1-3 min |
| what is an "explosive hazard"? | Anything that would contaminate the sterile field |
| first response for profuse bleeding | apply direct pressure |
| first response for swollen iv site | clamp off iv |
| written page or spoken word are which form of communication | channel |
| GFR stands for | glomerular filtration rate |
| BUN levels | avg adult:8-25 young adult:7-18 |
| usual iv flow rate | 20 drops/min (10-20 range) |
| wheelchair position to xray table | parallel |
| IV iodinated contrast is contraindicated with an eGFR of | 30mL/min/1.73m^2 |
| which position should a head injury patient be kept in? | semi-erect |
| another word for extravasation | infiltrated |
| what is necessary before entering the OR with a portable? | portable must be wiped w/disinfectant (no mask, gown, etc) |
| Dilantin | antiepileptic |
| most and least accurate temperature methods | most: rectal least: forehead |
| average pulse rate | adults:(mosby 60) (corectec 70-80) infants:115-130bpm |
| heparin | anticoagulant |
| demerol: anesthetic or analgesic? | analgesic |
| aminophylline | treats asthma |
| digoxin | treats heart failure |
| how mant chest compressions/min? | at least 100 |
| "whenever necessary" | prn |
| gauge | diameter size of NEEDLE, not opening size |
| reaction to contrast that requires treatment | laryngeal edema, dyspnea, bronchospasm (not nausea/vomiting) |
| goiter | enlarged thyroid |
| physical retardation bc of congenital thyroid deficiency | cretinism |