Answers
Cardiogenic shock - ANSWER- with pulm emb, myocardial infarction: Heart not
pumping enough blood to organs
SS: chest pain, dizziness, change in consciousness, cool clammy, decr Bp, Irregular
pulse
What to do: place in semi fowlers, prepare for CPR
Distributive shock - ANSWER- Pooling of blood in peripheral vessels, decreased Bp
3 types: neurogenic, septic, anaphylactic
Neurogenic shock - ANSWER- diabetic shock- lack of glucose
adverse affect to anethesia
SS: low Bp, bradycardia, warm dry skin, cool extrem,
keep pt supine
Septic shock - ANSWER- SS: incre HR and breathing, nausea, seizure
keep warm
Anaphylactic shock - ANSWER- mild: congestion, swelling eyes, tight throat
mod: warm flush+ itch, dyspnea
severe: vomitting, decr Bp, cramping
Pulm embolism: Obstructive shock - ANSWER- occlusion of pulm art by thrombus
SS: rapid weak pulse- tacycardia, dyspnea, diaphoresis (sweating), syncope, low bp
Diabetic emergencies - ANSWER- Hypoglycemia: excess insulin from not eating
Ketoacidosis: insuff insulin causes liver to produce more glucose= hyperglycemic -
excess urination, sweet breath
SS: tacycardia,extreme thirst
Pt faints what to do - ANSWER- help to floor and elevate legs
Line focus principle - ANSWER- effective FS smaller then actual
Small anode angle - ANSWER- large heel affect
15% incr kV is equivalent to - ANSWER- doubling mAs but no dose increase
HVL is best method for measuring - ANSWER- xray quality
, coherent scatter happens with energies - ANSWER- lower then 10 keV
do no contribute to the image
Compton scatter - ANSWER- dominant at high energy (120kV)
outer shell
reduces xray energy, changes direction
reduces contrast
photoelectric absorption - ANSWER- inner shell
xray absorbed proportional to z contributes alot
to pt dose
mammo - ANSWER- 50-70cm SID
25-32kV
FS: 0.1-0.3 mm smaller for mag
40 years + for screening
FS blur - ANSWER- less on anode side more on cathode
Big pt attenuates - ANSWER- more xrays
most important influence on subject contrast - ANSWER- kVP
low kV: high SC, short grayscale
high kV - ANSWER- high scatter
Grid ratio - ANSWER- height/D(width) high grid ratios are more effective in reducing
scatter
Parallel grid - ANSWER- more common for cutoff with short SID
Focused (moving grid) - ANSWER- prevent grid lines
minimize cutoff
off focus (wrong SID) - ANSWER- cutoff towards edge
off center - ANSWER- grid cut off across image/ underexposed
Pleural effusion tech increase - ANSWER- incr mAs by 35%
Apical chest - ANSWER- 15-20 ceph
or stand 30 cm away
how many ribs are seen above the diaphragm with neonates - ANSWER- 8