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Gary D. Morrison, M.Ed., R.T.(R) Associate Professor, Radiologic Sciences Midwestern State University
What is it?
Any substance that renders an organ or structure more visible than is possible without its addition Allows visualization of structures that can not be seen well or at all under normal circumstances
Positive
Barium Iodine
Water-soluble
Non-injectible - Oral Injectible - Intravenous
Ionic Non-Ionic Low Osmolality
Generally hyperosmolal
Indirect
Intravenous Pyelogram (IVP) Oral Cholecystogram (OCG)
Precautions
Screening - Medical History Pre-Testing??? Special Considerations
General anesthesia Pregnancy Nursing mothers Small children
Treatment
Close observation Treat symptoms. Generally, drug therapy or hospitalization not required
Technologists Responsibilities
Medical History Familiar with Contrast Media Know Location of Emergency Supplies Know Emergency Procedures
When & how to call a Code CPR
Exam Sequencing
Intravenous Pyelography Oral Cholecystogram Barium Enema Barium Swallow, Upper GI, Small Bowel Series
Venipuncture
The puncturing of a vein for the removal of blood or for the administration of fluids &/or drugs.
Anatomic Considerations
Sites
Antecubital space
Cephalic vein Basilic vein Antecubital Vein
Supplies Required
Constricting band IV solution (if needed)
5% dextrose in water (D5W) 0.9% saline solution (Normal Saline NS)
IV tubing (if needed) Disposable gloves Antiseptic pads (Alcohol or Betadine) Tape
Supplies Required
Needle
Butterfly Angiocath
Performing Venipuncture
Gather supplies Wash hands Check pt. ID Explain Put on gloves Select site & clean Apply constricting band Stabilize vein Hold needle bevel up Insert needle - 15 angle Wait for flash Attach syringe (if injecting) or IV tubing* Remove constricting band & inject/infuse If injection, remove needle & dispose of properly Chart information
*Setting up IV
Remove administration set, straighten tubing, & close clamp Prepare solution
Bottles remove protective cap & clean rubber stopper with alcohol pad Bags remove protective cap
Remove protective cap from spike of administration set & insert spike into bottle/bag Pump drip chamber until full Open clamp, bleed all air from tubing & close clamp