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W1

36問 • 11ヶ月前

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process of obtaining IV access for purpose of IV therapy or diagnosis

Venipuncture

In radiography, venipuncture is used to access vein for?

IV Contrast Media Injection

Blood vessel that is color dark red, no pulse, has valves, and is superficial and deep

Vein

Blood vessel that is color bright red, has pulse, has no valves, and is deep and surrounded by muscle

Arteries

Imperative for radiographer to be knowledgeable in this

Medication

5 things Radiographers must be knowledgeable of medications administered in department including? NDICA

- Name - Dosage - Indications - Contraindications - Adverse Reactions

For patient education, it is important to explain 3 things: PEL

- Procedural steps - Expected duration - Limitations and restrictions with procedure

can cause vasoconstriction, making venipuncture more painful

Anxiety

can ease patient’s fear and reduce discomfort

Information

In patient education, we must only provide: HH

- Honest, Factual, & Appropriate Information - Honest info about pain

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

2 Things to consider in Patient Assessment HC

- History of Allergies - Current medications

Does medication for diabetes interact adversely with contrast?

Yes

9 Venipuncture Supplies/Equipment NSTITGGCN

- Needles - Syringes - Tourniquet - Iodine, Phisohex, or Alcohol - Tape/Tegaderm - Gauze 2x2 or 4x4 - Gloves - Contrast - Normal Saline

All are single-use only, disposed of properly after one use

Needles

Minimum Sodium Chloride in Normal Saline for Irrigation CC used for Retdem

- 0.9 NaCl - 5 CC

3 Parts of Needles HCB

- Hub - Cannula/Shaft - Bevel

- length of needle - slanted portion at tip - part of needle that attaches to syringe

- Cannula/Shaft - Bevel - Hub

diameter of needle bore

Gauge

3 Types of Needles HBA

- Hypodermic - Butterfly sets - Angiocatheters

Needles usually used by radiographers for IV administration BA

- Butterfly sets - Angiocatheters

Needle type depends on PIT

- Patient assessment - Institutional policy - Technologist's preference

3 Parts of Syringe TBP

- Tip - Barrel - Plunger

- 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

cannot be retrieved and contrast effects are almost instant.

IV administration

2 Safety Precautions in IV Administration, Verify what? PC

- Verify Patient Identity - Verify Correct Contrast 3 Times

3 moments when correct contrast should be verified

- Before preparation - During preparation - Before administration

- vials that must be cleaned before drawing into syringe - vials that do not require prep before withdrawal

- Multiple dose vials - Single dose vials

Air _________ to amount of contrast needed injected into vial above fluid level > This Reduces air bubbles in contrast

Equal

4 Orders of Procedure SSVA

- Site selection - Site preparation - Venipuncture - Administration

4 PRIME FACTORS to consider in SITE SELECTION SCPD

- Suitability of location - Condition of vein - Purpose of infusion - Duration of therapy

During site selection and anatomy, we must began as proximal as we can? True or False

False. Distal

Anything distal to insertion site is unusable for __ hours

hole or a small passage which moves fluids

Shunt

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

Veins often used for IV injection APRA

> Anterior forearm > Posterior hand > Radial aspect of wrist > Antecubital space of elbow

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