問題一覧
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process of obtaining IV access for purpose of IV therapy or diagnosis
Venipuncture
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In radiography, venipuncture is used to access vein for?
IV Contrast Media Injection
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Blood vessel that is color dark red, no pulse, has valves, and is superficial and deep
Vein
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Blood vessel that is color bright red, has pulse, has no valves, and is deep and surrounded by muscle
Arteries
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Imperative for radiographer to be knowledgeable in this
Medication
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5 things Radiographers must be knowledgeable of medications administered in department including? NDICA
- Name - Dosage - Indications - Contraindications - Adverse Reactions
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For patient education, it is important to explain 3 things: PEL
- Procedural steps - Expected duration - Limitations and restrictions with procedure
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can cause vasoconstriction, making venipuncture more painful
Anxiety
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can ease patient’s fear and reduce discomfort
Information
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In patient education, we must only provide: HH
- Honest, Factual, & Appropriate Information - Honest info about pain
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History taking of allergy include what allergies? F&M What is it used for?
- Food and Medication Allergies - to determine potential for adverse reaction to contrast
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2 Things to consider in Patient Assessment HC
- History of Allergies - Current medications
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Does medication for diabetes interact adversely with contrast?
Yes
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9 Venipuncture Supplies/Equipment NSTITGGCN
- Needles - Syringes - Tourniquet - Iodine, Phisohex, or Alcohol - Tape/Tegaderm - Gauze 2x2 or 4x4 - Gloves - Contrast - Normal Saline
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All are single-use only, disposed of properly after one use
Needles
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Minimum Sodium Chloride in Normal Saline for Irrigation CC used for Retdem
- 0.9 NaCl - 5 CC
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3 Parts of Needles HCB
- Hub - Cannula/Shaft - Bevel
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- length of needle - slanted portion at tip - part of needle that attaches to syringe
- Cannula/Shaft - Bevel - Hub
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diameter of needle bore
Gauge
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3 Types of Needles HBA
- Hypodermic - Butterfly sets - Angiocatheters
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Needles usually used by radiographers for IV administration BA
- Butterfly sets - Angiocatheters
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Needle type depends on PIT
- Patient assessment - Institutional policy - Technologist's preference
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3 Parts of Syringe TBP
- Tip - Barrel - Plunger
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- syringe part that has calibration markings and hold medications - syringe part that fits snugly inside barrel and allow user to instill medication - syringe part where needles attaches
- Barrel - Plunger - Tip
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cannot be retrieved and contrast effects are almost instant.
IV administration
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2 Safety Precautions in IV Administration, Verify what? PC
- Verify Patient Identity - Verify Correct Contrast 3 Times
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3 moments when correct contrast should be verified
- Before preparation - During preparation - Before administration
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- vials that must be cleaned before drawing into syringe - vials that do not require prep before withdrawal
- Multiple dose vials - Single dose vials
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Air _________ to amount of contrast needed injected into vial above fluid level > This Reduces air bubbles in contrast
Equal
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4 Orders of Procedure SSVA
- Site selection - Site preparation - Venipuncture - Administration
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4 PRIME FACTORS to consider in SITE SELECTION SCPD
- Suitability of location - Condition of vein - Purpose of infusion - Duration of therapy
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During site selection and anatomy, we must began as proximal as we can? True or False
False. Distal
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Anything distal to insertion site is unusable for __ hours
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hole or a small passage which moves fluids
Shunt
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Never use an arm with any of the following 5 FSDEO
- Fistula - Shunt (hole or a small passage which moves fluids) - Decreased sensation - Edema - On the side of a mastectomy
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Veins often used for IV injection APRA
> Anterior forearm > Posterior hand > Radial aspect of wrist > Antecubital space of elbow