Shared Flashcard Set

Details

Patient Care
Contrast Media, Special Radiographic Techniques, & Exam prep for GI Ch. 17,19
45
Medical
Undergraduate 2
12/03/2015

Additional Medical Flashcards

 


 

Cards

Term
What refers to the number of particles in solution per kilogram of water?
Definition
Osmolatlity
Term
Risk is ___ when osmoality is lowered.
Definition
reduced
Term
Blood is ___ mOsm/kg; contrast media ranges from __-___mOsm/kg
Definition
300; 600-1000
Term
Air and gas are ___ contrast agents; they cause affected structures to be darker than surrounding structures.
Definition
negative
Term
CO2 is best for air contrast media because it is ___ & ___.
Definition
nontoxic; not absorbed too rapidly
Term
Iodinated media are ___ agents.
Definition
positive
Term
Iodine compounds are ___ and ___ radiation to a greater degree than blood or soft tissue.
Definition
heavier; absorb
Term
What is the most frequently used contrast agents other than barium & have specific or multi-application purposes?
Definition
iodinated media
Term
Iodinated media can be injected intra-___ & intra-___, or directly in the structure to be visualized.
Definition
venously; arterially
Term
When ionic compounds disassociate int two charged particles in solution, increasing osmolality, what is it called?
Definition
ionization
Term
When nonionic particles do not break down into charged particles ___ total volume is needed because each molecule has a ___ # of iodine atoms.
Definition
less; higher
Term
The ability or inability of a fluid solution to flow easily is called:
Definition
viscosity
Term
Viscosity is determined by 3 things:
Definition
1) # of particles in a solution
2) size of particles
3) the attraction among the particles
Term
The ___ the iodine concentration, the ___ viscous the contrast.
Definition
higher; viscous
Term
Viscosity may be reduced somewhat by ___ the medium to body temp before injection.
Definition
warming
Term
Contrast media toxicity is determined by 5 things:
Definition
1) chemical configuration of molecules
2) iodine concentration
3) osmolality
4) ionization characteristics
5) rate of admin. & dosage
Term
Common reactions to ionic contrast are:
Definition
1) feeling of warmth
2) light-headedness
3) nausea and vomiting
Term
Severe reactions to ionic contrast are:
Definition
1) seizures
2) cardiac dysfunction
3) anaphylaxis
Term
___ osmolality contrast media causes _____ of blood cells and surrounding tissue.
Definition
High; dehydration
Term
The release of ____, which causes an allergic response, is ___the result of antigens in the blood.
Definition
histamine; not
Term
What can have adverse affects on pulmonary artery pressure, blood volume, and cardiac output?
Definition
hemodynamics
Term
BUN (blood urea nitrogen) is important to check to ____ adverse reactions during procedure.
Definition
minimize
Term
BUN levels:
Definition
6-20 mg/dl
Term
Creatinine levels:
Definition
.6-1.5 mg/dl
Term
If patient has history of diabetes, what do you check for?
Definition
metformin medication
Term
If patient has history of kidney disease or failure, what do you check for?
Definition
BUN & creatinine levels
Term
If patient has history of heart disease or hypotension, what do you check for?
Definition
current blood pressure
Term
Examples of diabetic medications that must be withheld day of and 48 hours after contrast administration:
Definition
Glucophage
Glucovance
Metaglip
Avandament
Term
Patients at risk for reaction are premeditated with:
Definition
antihistamine and/or corticosteroids
Term
When administering contrast, begin injection with a ___ amount and wait to check signs or symptoms of allergic reaction.
Definition
small
Term
Study that provides contrast imaging of the internal contours of the urinary bladder, filling the bladder by retrograde injection of water-soluble iodine through urinary catheter:
Definition
Cystography
Term
catheters are inserted into ureters and water-soluble iodine compound is injected into the kidney pelves:
Definition
retrograde urography
Term
Contrast radiographic exam of the gallbladder:
Definition
oral cholecystography
Term
Fiberoptic exam of the common bile duct performed with an endoscope:
Definition
ERCP
Term
Contrast exam of the internal surfaces of the spinal canal:
Definition
myelography
Term
Contrast exam of synovial joint structures:
Definition
Arthrography
Term
During a GI exam, barium is ___; it absorbs water from surrounding tissues and can dehydrate the patient or solidify.
Definition
hygroscopic
Term
2 types of water-soluble iodinated solutions used for GI exams:
Definition
1)gastrografin
2)oral hypaque
Term
A double-contrast barium enema may be used because it provides better visualization of:
Definition
the mucosal lining
Term
A procedure for the evaluation of patients with defecational dysfunction:
Definition
defecography (evacuation proctrography or dynamic rectal examination)
Term
A fluoroscopic and radiographic exam of the esophagus, stomach, and duodenum:
Definition
Upper Gastrointestinal Study (UGI)
Term
A fluoroscopic exam of the colon:
Definition
Barium Enema
Term
Useful for the detection of lesions in the duodenum distal to the duodenal bulb and for the diagnosis of pancreatic disease:
Definition
Hypotonic Duodenography
Term
Injection of nutrient or medicinal liquid into the small bowel:
Definition
enteroclysis
Term
A series of timed radiographs are obtained during this procedure; most common; patient drinks barium:
Definition
small-bowel studies
Supporting users have an ad free experience!