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rad 117 ch.8-11,13,14
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Undergraduate 1
03/25/2011

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Term
diaphoresis
Definition
profuse sweating
Term
anaphylaxis
Definition
allergic reaction
Term
Glasgow Coma Scale
Definition
eyes, motor, verbal response
Term
LOC
Definition
level of consciousness
1. ask name, date, address, reason for coming
2. ability to follow directions. painful movement, behavior alterations
3. vital signs. changes
Term
shock
Definition
reaction 2 illness, trauma,severe physiologic/stress
Term
shock (compensatory stage)
Definition
1. skin cold& clammy
2. urine decrease
3. respiration increase
4. bowel sounds hyperactive
5. blood pressure normal
6. anxiety increase, patient uncooperative
Term
shock (progressive stage)
Definition
1. blook pressure fall
2. respiration rapid & shallow
3. respiration distress
4. tachycardia
5. chest pain
6. mental change
7. renal,hepatic,gastrointestinal,hematologic prob
Term
shock (irreversible stage)
Definition
1. blood pressure low
2. renal& liver fail
3. release necrotic tissue toxin& lactic acidosis
Term
hypovolemic shock
Definition
fluid loss
- <3 rate <100
-supine w/legs @40 degrees
-respiration >40 per min
Term
cardiogenic shock
Definition
<3 fail
-decrease blook pressure
-chest pain
Term
rad response (cardiogenic&hypovolemic)
Definition
call code
notify physician
semi-Fowler's position
assist w/O2, intravenous fluid, med admin. control chest pain
no leave alone
pulse, respiration,blood pressure every 5 min til emergency team arrive
no fluid
CPR
Term
distributive shock
Definition
neurogenic
septic
Term
neurogenic shock
Definition
spinal cord injury
-bradycardia
Term
rad rasponse (neruogenic)
Definition
1. call code
2. notify physician
3. supine; legs elevated
4. emergencry cart
5. no move
6. stay w/
7. monitor pulse, respiration, blood pressure every 5 min
8. assist w/O2, med
Term
septic shock
Definition
least likely
bacteria
Term
septic shock (1st phase)
Definition
-fever
-increase <3 & respiratory rate
Term
2nd phase (septic shock)
Definition
pale
normal temp
Term
rad response (septic)
Definition
no get chilled
Term
anaphylactic shock
Definition
most common
contrast agents
patient history
Term
mild (anaphylactic shock)
Definition
tearing
itching @injection
Term
moderate (anaphylactic shock)
Definition
bronchospasm
dyspnea
Term
severe (anaphylactic shock)
Definition
bronchospasm
cyanosis
Term
rad response (anaphylactic shock)
Definition
1.no leave. stop injection¬ify radiologist
2. call code
3. semi-Fowler position/sit
4. monitor pulse, respiration, blood pressure every 5 min/til emergency team arrive
5. assist w/O2, intravenous fluid, med
6. CPR
Term
rad response (PE)
Definition
1.stop, call code
2. notify physician, emergency cart
3. vital sign
4. no leave
5. assist w/O2& med
Term
type 1 diabetes
Definition
autoimmune destroy insulin
Term
type 2 diabetes
Definition
decreased insulin
Term
hypoglycemia
Definition
excess insulin
Term
diabetic ketoacidosis
Definition
liver make mo'a glucose
Term
hyperglycemis hyperosmolar nonketotic syndrome
Definition
coma
Term
stroke
Definition
headache
numb
Term
cardiac arrest
Definition
bradycardia
-pupil dilation
Term
respiratory dysfunction
Definition
wheezing
anxiety
Term
respiratory arrest (rad response)
Definition
call CODE -> CPR
Term
defibrillation
Definition
survival decline 10% every min
Term
choke (response)
Definition
1. CPR
2.
3. reposition
4. thrust
Term
seizure
Definition
cry exhale
eyes wide
Term
seizure (response)
Definition
1. stay & secure
2. call assistance
3. nothing in mouth
4. remove dentures, no fingers in mouth
5. pillow under head
6. no restrain but protect
7. no move 2 floor;no let fall
8. observe time
9. privacy
10. pau -> Sims& drain
Term
syncope (rad response)
Definition
1. lie down
2. supine w/legs elevated
3. no standing, support
Term
intoxicated patient
Definition
simple,direct,non-judgemental
no argue
call help
no leave, prevent talls
no companion
no leave w/intoxicated person (notify police)
Term
contusion
Definition
no break skin;pain
Term
hemothorax
Definition
blood in pleural cavity
Term
hypovolemic
Definition
decrease fluid
Term
pneumothorax
Definition
air in pleural cavity, collapsed lung
Term
guidelines (trauma)
Definition
1. no remove dressings/splints
2. no move patient on stretcher/backboard til told
3. no move patient head/neck/remove cervical collar
4. request emergency room team wen like move, assistance
5. no disturb objects& support
6. no remove antishock garment
7. get O2, suction equipment, emesis basin
8. work quick, efficient,accurate(minimize repeat radiographs)
Term
basic rules (trauma)
Definition
-include joint nearest& farthest -protective apparel
Term
open injury(head)
Definition

-contusion

-basal fractures

-vary conscious

-subconjunctional hemorrhage

-hearing loss

 

Term
closed injury
Definition
brain tissue swell
-vary consciousness
-reflex loss
-change vital sign
-headache, visual distrubance,dizzy,giddy
-un= pupil dilation
-seizure,vomit
Term
rad response (head injury)
Definition
1.immobilize head&neck
2. elevate head 15-30 degrees
3. no remove sandbag,collar,dressing
4. no flex neck/turn
5. keep body temp normal
6. check pulse&respiration
7. observe 4 airway obstuction
8. sterile pressure dressing if blood, call assistance
9. observe 4 hypoxia& conscious change,notify physician
10. assist w/O2& emergency treatment
Term
facial injury
Definition
not serious, disfiguring
Term
spinal chord injury (rad response)
Definition
1. vital sign
2. maintain open airway
3. no move
4. no move head/neck
5. no remove sandbag, collar, antishock garment, backboard,support til dx confirm
6. observe shock
7. keep warm
8. assume spinal chord injury f unconscious
Term
rad response (fracture)
Definition
-immobilize
-movement directed by physician
-no remove supoprts
-support joint& limb above& below fracture
-use standard precaution
-observe 4 shock
Term
ab trauma (rad response)
Definition
1. no remove antishock garments
2. wear gloves
3. call assistance
5. use gurney
6. get emesis basin&tissue
7. no food/drink
8. observe 4 shock
Term
isolette
Definition
bed 4 newborn intensive care 2 keep warm&protect
Term
neonate
Definition
<1 month
Term
NICU
Definition
neonatal intensive care unit
Term
Alzheimer disease
Definition
dementia, disorientation; 55<
Term
arthroplasty
Definition
plastic repair of joint
Term
dementia
Definition
organic mental syndrome: loss of intellectual abilities
Term
geriatrics
Definition
branch of med 4 aging
Term
kyphosis
Definition
abnormal condition of vertebral column
Term
prosthesis
Definition
artificial sub 4 missing part
Term
change in head& neck
Definition
-color perception diminish
-tear production increased
-eyelid skin loosen
-sensory,neural,conductive changed in hearing
-hearing loss
Term
musculoskeletal system
Definition
-bone mass weaker
-muscle mass decrease
-intervertebral discs shrink&vertebrae collapse
-cartilage erode
-normal lower back curve flatten
-flexion& extension diminish

-posture change (men). women waddle
Term
arthroplastic surgery (rad response)
Definition
1. understand limits on weight& mobility
2. gurney
3. no adduct. keep pillow tween legs
4. no position w/weight on surgical site
5. no hyperflex
Term
neurologic system
Definition
-brain weight change
- short-term memory loss
-reaction time decrease
-time needed 2 per4m activity increase
-eye lens thicken
-sensitivity loss
-process slower
Term
colostomy
Definition
artificial opening in large intestine& brought 2 surface of ab
Term
stoma
Definition
bring loop of bowel 2 surface
Term
water-soluble iodinated contrast
Definition
pathological per4ation/ obstruction of upper GI tract& barium contraindicated
Term
gastrostomy
Definition
opening in stomach 2 provide food& liquid admin
Term
nasoenteric tube
Definition
in duodenum& small intestine
Term
soapsuds (ss) enema
Definition
cleanse bower; increase irritation, promote defecation
Term
NG Tubes
Definition
made of rubber/plastic
Term
place enema tip
Definition
30 in. above table
3-4 in. in2 body
Term
levin
Definition
gastric decompression
Term
sump
Definition
drain fluid from stomach
Term
nutriflex
Definition
feeding
Term
moss
Definition
duodenal feeding
Term
nasoenteric tube
Definition
made of same stuff as NG tube
Term
cantor
Definition
relieve obstruction in small intestine
Term
harris
Definition
gastric&intestinal decompression
Term
Miller-Abbott
Definition
decompression
Term
central venous catheter
Definition
parental nutrition, long-term admin
Term
TPN
Definition
total parental nutrition
use if can't tolerate food
Term
TPN
Definition
total parental nutrition
use if can't tolerate food
Term
CVP
Definition
central venous pressure
measure pressure
Term
SVC
Definition
superior vena cava
best location 4 CVP line
Term
PIC
Definition
go thru arm
Term
mecha ventilator
Definition
no knock ova
Term
endotracheal tube
Definition
make airway 5-7 cm upper tracheal bifurcation->chest radiograph
Term
Penrose Jackson
Definition
Pratt, Hemovac <- most common
Term
PIC catheter
Definition
med admin
Term
Levin & sump tube
Definition
NG tube; gastric decompression
drain fluid from stomach
Term
reason to use nasoenteric tube
Definition
cantor-relieve small intestine obstruction
harris- grastric& intestine decompression
Miller-Abbott
Term
mecha ventilator
Definition
support life
Term
chest tube for
Definition
dying, can't breath
Term
colostomy
Definition
opening from colon
Term
ileostomy
Definition
opening from ileum
Term
if get ostomy might go thru
Definition
grieving process
Term
common barium enema side effect
Definition
ab pain; increase fluid& fiber
Term
wen barium contraindicated?
Definition
water-soluble iodinated contrast;(coz obstruction of upper GI tract)
Term
safest type of enema
Definition
saline
Term
oil retention enema
Definition
relieve chronic constipation
Term
tap water retention enema
Definition
eliminate barium, oil, lubricate
Term
2x contrast lower GI study
Definition
combo of barium& air/CO2 2 dx
Term
- contrast agent
Definition
air, no have 2 use w/+ agent
Term
+ contrast agent
Definition
barium/iodine
Term
hip replacement complication
Definition
prothesis dislocation
Term
pigg-o-stat
Definition
immobilization device; (shield patient's gonads)
Term
best method of child transport
Definition
depend on size& illness
Term
immobilize child
Definition
sheet, pigg-o-stat, sandbag
Term
abrasion& contusion head injury
Definition
open
Term
trauma injury
Definition
fall, suicide, sports injury, motor vehicle
Term
emergency team member @trauma
Definition
surgeon
respiratory therapist
2 emergency registered nurse
pediatric nurse
rad technologist
phlebotomist
anesthesiologist
admitting clerk
house supervisor
emergency physician
attending physician
med student
Term
agitated/confused patient
Definition
ask wot can b done
Term
do after seizure?
Definition
prevent aspiration of vomit; Sim's position& put face downward
Term
rad response (cardiac& respiratory arrest)
Definition
1. call CODE
2. assess carotid pulse
3. CPR
Term
diabetes mellitus clinical manifestation
Definition
sweet breath
blurred/2x vision
extreme thirst
tachycardia
headache
Term
areas to assess pulse and temperature
Definition
apical: over <3
radial: wrist
carotid: neck
femoral: groin
popliteal: behind knee
temporal: ear
doralis pedis: ft
posterior tibial: inner ankle
brachia: above elbow @antecubital fossa
~
rectal 99.6
oral 98.6
axillary 97.6
tympanic 97.6
Term
confidentiality
Definition
patient get right 2 have info confidential
Term
HIPPA
Definition
health insurance portability and acocuntability act
guarantee protections against misuse of health record
patient info confidential
Term
types of consent
Definition
in4med consent- need 4 invasive procedure
simple consent- patient's permission
express consent- patient no stop procedure
implied consent- emergency, patient unconscious
inadequate consent- patient not in4med adequately (injury)
Term
A
A
A
Definition
ASSERTIVENESS
ATTITUDE
ADAPTABILITY
Term
A.I.D.E.T.
Definition
Acknowledge
Introduce
Duration
Explain
Thank
Term
normal blood pressure
Definition
90-120 mm Hg systolic
50-70 mm Hg diastolic
Term
normal oral temp
Definition
98.6 degrees
Term
normal respiration
Definition
15-20 breaths/min
Term
supine
Definition
back
Term
lateral recumbent
Definition
side w/knees flexed
Term
prone
Definition
face down
Term
high Fowler
Definition
semi-sit w/head raised @45-90 degrees
Term
Sims
Definition
side w/4ward arm flexed& posterior arm extended behind body
Term
Trendelenburg
Definition
head lower than body
Term
vector
Definition
parasite (animal)
Term
fomite
Definition
object
Term
vehicle
Definition
contaminated items
Term
autoclave
Definition
sterilize equipment by steam pressure
Term
pulse oximetry
Definition
monitor oxygen
Term
intentional tort
Definition
immobilize against will
defamation of char
cause emo distress
Term
unintentional tort
Definition
improperly marking image
omit gonadal shield
imporper position
incorrect syringe
leave unconscious patient on gurney w/out secure safety belt
no provide proper protective attire
Term
members of health care team
Definition
occupational& physical therapist
pharmacist
resp therapist
physician
registered& vocational nurse
lab tech
social worker
Term
surgical team
Definition
surgeon
sugical assistant
anesthesiologist
nurse anesthetist
circulating nurse
scrub nurse/tech
Term
80% death in ppl ova 65
Definition
<3 disease, cancer, stroke
Term
precaution 4 fractured extremity
Definition
support both joints
Term
equipment& accessories needed 4 trauma& mobile rad& wot supplies need wen called 2 emergency room
Definition
mobile/Carm unit
lead apron&protective apparel
rad tection dosimeter
universal precaution supplies, impermeable image receptor
image receptor& grid
right& left marker
Term
patient w/head injury may also have
Definition
spinal chord injury
Term
function of tracheostomy& key points
Definition
opening in2 trachea 2 relieve respiratory distress
~
fearful
must not b removed& tapes no untied procedure explained 2 alleviate anxiety
Term
partially obstructed airway
Definition
noisy breathing, wheezing, anxiety, cyanosis of lips& nail
Term
anaphylactic shock;
how can prevent
Definition
allergy-> shock
from iodine injection
get thorough patient history
Term
stoma
Definition
opening in body made by bringing loop of bowel 2 skin surface
Term
ostomy
Definition
operation where opening is 4med
Term
patient faint;
syncope?
Definition
support w/knee behind knee& arm around waist
faint
Term
Diabetes mellitus complications
Definition
hypoglycemia
diabetic ketoacidosis
hyperglycemic hypersmolar nonketotic syndrome
~
metabolic disease from chronic disorder of carb metabolism
Term
tissue drain& care
Definition
drain excess fluid @site
no introduce bacteria, wash hands& use sterile gloves, 30-sec hand wash
Term
agitated patient
Definition
request assistance
leave door open& clear direct path
approach from side
no touch
Term
what tube can tech remove?
Definition
NG tube
not NE tube
Term
signs to suction patient
Definition
vomit& can't change position
rattle/gurgle sound
respiratory distress
Term
chest tube precautions
Definition
no empty chambers/raise
water seal must remain below patient's chest
no clamp chest tubes
Term
crash cart
Definition
med& equipment
Term
cardiac/respiratory distress gets
Definition
CODE no cart
Term
kyphotic curvature associated with
Definition
change in head& neck
Term
response to hypovolemic shock
Definition
supine w/legs elevated 30 degrees
Term
hypovolemic shock
Definition
blood loss
Term
shock associated w/bacteria& virus
Definition
septic
Term
where shud endotracheal tube b ?
Definition
tracheal bifurcation/carina
Term
infusion pump function
Definition
control parental nutrition
Term
water enema
Definition
clean
Term
oil enema
Definition
relieve chronic constipation
Term
saline enema
Definition
safest
Term
PIC catheter& insertion
Definition
peripherally insert til in central vein
Term
2 types of seizures
Definition
complex& simple; position face downward
Term
long bone study
Definition
get both joints
Term
how many radiographs at 90 degree angles 2 1 anodda r taken?
Definition
2
Term
rad's response to pain
Definition
1. assess condition
2. ed
3. in4m if ne pain
4. stop & notify physician if sudden pain
5. get analgesic med b4
Term
alternate names for stroke& clinical manifestations
Definition
brain attack, cerebral vascular accident
~
1-sided muscle weakness,dizzy,difficult speech,numb
Term
pulmonary embolus
Definition
occlusion
Term
glasgow coma scale& LOC
Definition
measure consciousness
Term
shock
Definition
body's pathological reaction 2 illness,trauma,stress
Term
stages of shock
Definition
<3 fail, blood obstruction
compensatory->progressive->irreversible
Term
tissue drain used 4 hip surgery
Definition
hemovac
Term
wen shud gastrostomy tube b closed off?
Definition
after feeding w/clamp
Term
y +-pressure ventilators mo's commonly seen
Definition
inflate lung
Term
r daily radiogrpahs taken of endotracheal tubes? Y?
Definition
yes; no shift
Term
hemovac
Definition
drain blood&fluid
on breast,neck,kidney
Term
Levin and sump tube
Definition
NG tube
gastric decompression
drain fluid from stomach
Term
reason to use nasoenteric tube
Definition
cantor-relieve small intestine obstruction
harris- gastric& intestine decompression
miller Abbott- decompression
Term
common side effect of barium enema& wot shud do/
Definition
ab pain/constipation; increase fluid& fiber 4 several days
Term
difference tween lower GI series vs. upper GI series
Definition
upper shudn't feel constipated
diff prep
Term
wen barium contraindicated
y not use?
Definition
water-soluble iodinated contrast
~
pathological per4ation/obstruction of upper GI tract
Term
small bowel follow thru
Definition
increase fiber& fluid, no allow constipation
Term
greater risk in elderly patients on musculoskeletal
Definition
falling
Term
old man bladder capacity
Definition
900 mL
Term
geriatric skin change
Definition
lose pigment, thin& fragile
Term
child abuse behavior indicator
Definition
kid passive, compliant, fearful, aggressive
Term
b4 take radiograph of high-risk infant
Definition
protective gowns,glove,mask, eye protection, prevent infection, wipe machine w/disinfectant& wipe dust
consult nurse, prevent chilling/dislodging catheters, hand hygiene, surgical scrub
Term
acute ab distress cause& rad responsibility
Definition
ectopic pregnancy, pancreatitis, bower obstruction;
take image quickly& efficiantly w/least discom4t
Term
rad response 2 fracture
Definition
1. keep limb immobilized
2. movement must b directed by physician
3. in4m patient of intended moves& support
4. no remove splints/supportive device
5. support joint& limb
Term
y mobile chest image taken
Definition
Hickman
tracheotomy tube
swan-Ganz catheter
central venous pressure catheter
peripherally inserted central catheter
pacemaker
chest tube
Term
serious facial injury shud treat as if
Definition
get cranial/spinal chord injury
Term
team members present @trauma
Definition
general&specialty surgeon
resp therapist
phlebotomist
anesthesiologist
admitting clerk
house supervisor
emergency physician
attending physician
med student
Term
LOC assessed
Definition
1. ask state name, date, address, & reason 4 coming
2. note movement dat cause pain/ movement difficulty, behavior alteration/lack of response
3. assess vital signs
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