Clinical Experience I: Test 1

Front 1

5 Types of Negative Contrast Media

Back 1

1. Room Air
2. Sparkles
3. Baros
4. CO2 Crystals
5. All Gases

Front 2

2 Types of Positive Contrast Media

Back 2

1. Water Soluble
2. Barium Sulfate Suspensions

Front 3

9 Examples of Water Soluble Contrast Media

Back 3

1. Gastrographin
2. Reno 60
3. Isovue 300
4. Optiray
5. Omnipaque
6. Hypaque
7. Visipaque
8. MD 76
9.Hexabrix

Front 4

5 Examples of Barium Sulfate Suspensions

Back 4

1. EZ Paque
2. EZ HD
3. Maxi-Bar
4. Polibar Plus
5. EZ Paste

Front 5

Negative = _______ Atomic Number

Positive = _______ Atomic Number

Back 5

-LOW

-HIGH

Front 6

CONTRAST MEDIA

Back 6

-substance placed in the body to provide added subject contrast when subject contrast is low

Front 7

RADIOGRAPHIC DENSITY

Back 7

-the degree of darkening on an x-ray image

Front 8

RADIOGRAPHIC CONTRAST

Back 8

-visible differences between densities ON AN IMAGE

Front 9

SUBJECT DENSITY

Back 9

-increase or decrease in atomic number
-density of the actual body part

Front 10

SUBJECT CONTRAST

Back 10

-difference in the transmission of x-rays due to the tissues of the body part

-based on atomic number

Front 11

VISCOSITY

Back 11

-thickness, resistance to flow

Front 12

MISCIBILITY

Back 12

-ability of contrast to mix with bodily fluid

Front 13

CARRIER EFFICIENCY

Back 13

-the amount of inactive ingredients compared to the amount of active ingredients in a drug

Front 14

We want a _______ amount of carrier drug.

Back 14

-SMALL

Front 15

Ionic Vs. Non-Ionic Contrast Media

Back 15

-Ionic = Positive Charge

-Non-Ionic = Neutral Charge

-Non-Ionic is better for PT because it has no charge

Front 16

ANTEGRADE STUDIES (Def. & Ex.)

Back 16

Def.-with the normal flow

Ex.-Upper GI

Front 17

RETROGRADE STUDIES (Def. & Ex.)

Back 17

Def.-against the normal flow

Ex.-Colon

Front 18

If PT is allergic to contrast media?

Back 18

-PREMEDICATE

Front 19

Safest to ingest?

Safest positive contrast to ingest?

Back 19

-Negative Contrast

-Barium

Front 20

Side Effects Of Contrast Media Injections

Back 20

1. Hot flush
2. Metallic taste in mouth
3. Nausea
4. Slight vomiting

Front 21

Examples of:
Mild CM Reaction (2)
Moderate CM Reaction (3)
Severe CM Reaction (2)

Back 21

Mild - One hive, Itching

Moderate - Tachycardia, Excessive Urticaria, Minor chest pain

Severe - Cardiac Arrest, Respiratory Arrest

Front 22

What To Do During A Mild Reaction

Back 22

-monitor the PT closely

Front 23

What To Do During A Moderate Reaction

Back 23

1. Stop Procedure
2. Call for radiologist
3. Monitor PT for worsening conditions

Front 24

What To Do During A Severe Reaction

Back 24

1. Stop procedure
2. Call for help
3. Dial 3911 or 1911
4. Get crash cart
5. Initiate CPR if necessary
6. Assist doctors

Front 25

5 Risk Factors to Consider When Selecting Injectable Contrast

Back 25

1. Age & Weight
2. General Physical Conditions
3. Dehydration
4. Allergies
5. Current Medications

Front 26

What Happens during a vasovagal reaction

Back 26

1. BP decreases
2. Blood Vessel diameter increases
3. Heart Rate decreases
4. Amount of oxygenated blood to brain decreases
5. PT faints (syncope)

Front 27

How to Treat a Vasovagal Reaction

Back 27

1. Stop procedure
2. PT in Trendelenburg position
3. Monitor vitals
4. If severe, call for help

Front 28

CARBON DIOXIDE (Chart)

Back 28

1. Negative
2. Radiolucent
3. Decrease Subject Density
4. Increase Radiographic Density

Front 29

EZ PAQUE (Chart)

Back 29

1. Positive
2. Radiopaque
3. Increase Subject Density
4. Decrease Radiographic Density

Front 30

AIR (Chart)

Back 30

1. Negative
2. Radiolucent
3. Decrease Subject Density
4. Increase Radiographic Density

Front 31

EZ PASTE (Chart)

Back 31

1. Positive
2. Radiopaque
3. Increase Subject Density
4. Decrease Radiographic Density
5. Increase Organ Density

Front 32

POLIBAR PLUS (Chart)

Back 32

1. Positive
2. Radiopaque
3. Increase Subject Density
4. Decrease Radiographic Density
5. Increase Organ Density

Front 33

RADIOLUCENT (AKA, Atomic #, 2 Properties)

Back 33

AKA - Negative Contrast, Air
A# - LOW
1. Tissues that x-rays easily penetrate
2. Appear dark gray to black on image

Front 34

RADIOPAQUE (AKA, Atomic #, 2 Properties)

Back 34

AKA - Positive Contrast, Barium
A# - HIGH
1. Tissues that x-rays do NOT easily penetrate
2. Appear light gray to white on image

Front 35

Examples of:
Mild CM Reaction (2)
Moderate CM Reaction (3)
Severe CM Reaction (2)

Back 35

Mild - One hive, Itching

Moderate - Tachycardia, Excessive Urticaria, Minor chest pain

Severe - Cardiac Arrest, Respiratory Arrest

Front 36

What To Do During A Mild Reaction

Back 36

-monitor the PT closely

Front 37

What To Do During A Moderate Reaction

Back 37

1. Stop Procedure
2. Call for radiologist
3. Monitor PT for worsening conditions

Front 38

What To Do During A Severe Reaction

Back 38

1. Stop procedure
2. Call for help
3. Dial 3911 or 1911
4. Get crash cart
5. Initiate CPR if necessary
6. Assist doctors

Front 39

5 Risk Factors to Consider When Selecting Injectable Contrast

Back 39

1. Age & Weight
2. General Physical Conditions
3. Dehydration
4. Allergies
5. Current Medications

Front 40

What Happens during a vasovagal reaction

Back 40

1. BP decreases
2. Blood Vessel diameter increases
3. Heart Rate decreases
4. Amount of oxygenated blood to brain decreases
5. PT faints (syncope)

Front 41

How to Treat a Vasovagal Reaction

Back 41

1. Stop procedure
2. PT in Trendelenburg position
3. Monitor vitals
4. If severe, call for help

Front 42

CARBON DIOXIDE (Chart)

Back 42

1. Negative
2. Radiolucent
3. Decrease Subject Density
4. Increase Radiographic Density
5. Decrease Organ Density

Front 43

EZ PAQUE (Chart)

Back 43

1. Positive
2. Radiopaque
3. Increase Subject Density
4. Decrease Radiographic Density
5. Increase Organ Density

Front 44

AIR (Chart)

Back 44

1. Negative
2. Radiolucent
3. Decrease Subject Density
4. Increase Radiographic Density
5. Decrease Organ Density