Shared Flashcard Set

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Advanced Procedures
Advanced Procedures
45
Health Care
Undergraduate 4
11/09/2009

Additional Health Care Flashcards

 


 

Cards

Term
what does the lymphatic system produce?
Definition
white blood cells
Term
What is the lymphatic system a drainage system for?
Definition
interstitial fluid
Term
Indications for lymphogram
Definition

lymphedema: swelling of extremities

malignancy: lymphoma

metatastic disease

 

Term
contraindications for lymphogram
Definition

contrast allergy

respiratory insufficiency

tremors

Term
contrast for lymphogram
Definition

oil-based ethiodol

(5-10 ml)

Term
purpose of venogram
Definition
visualize vascular patterns
Term
veins below the knee
Definition

peroneal

posterior tibial

anterior tibial

Term

Veins:

knee

thigh

pelvis

abdomen

Definition

popliteal

femoral

iliac

IVC

Term
Indications for venogram
Definition
pain, swelling, or discoloration of extremity
Term
Contraindications to venogram
Definition

contrast allergy

phlebitis

renal insufficiency

Term
Contrast used for venogram
Definition

water-soluble contrast

(50-100cc)

Term
In a venogram, tourniquets are placed where?
Definition
Above the ankle, knee, and mid-thigh
Term
What degrees is the table placed at for a venogram?
Definition

60

45

30

Term
Complications of a venogram can be:
Definition

plebitis

thrombophlebitis

contrast reaction

pulmonary embolism

Term
Possible findings of a venogram
Definition

obstruction (blood clot)

phlebitis

varicosities

 

Term
Myelogram
Definition
Radiographic study of the spinal cord and its nerve root branches with a contrast medium
Term
Same procedure as myelo, except for only collecting CSF
Definition
lumbar puncture
Term
Indications of myelogram
Definition

herniated nucleus pulposus

tumor, cyst

bone fragment

pathologic process in spinal canal

pain in spine

muscle weakness

Term
Contraindication for myelogram
Definition

blood in CSF

arachnoiditis

increased intracranial pressure

recent LP

contrast allergy

Term
Possible complications for myelo
Definition

infection

contrast reaction

CSF leak

pain 

headache

seizure

death

Term
Contrast for myelo
Definition

water soluble non-ionic

Isovue M200 or M300

(intrathecal use only)

Term
Prep for myelogram
Definition

consent

blood pressure

blood thinners

NPO 4 hours before

gown

Term
Where does contrast go for a myelogram?
Definition

sub-arachnoid space

L3-L4 below conus medularis in cauda equina

C1-C2

Term

spinal cord ends at...

 

and is called...

Definition

L1-L2

 

conus medullaris

Term
How do we know we're in the right spot for a myelogram?
Definition
CSF will drip from needle
Term
subarachnoid space
Definition
space around cord and nerve roots
Term
How is patient positioned for a lumbar myelo?
Definition
prone with pillow under abdomen
Term
Post-care for myelo
Definition

head elevated 30 degrees

recovery 4 hours

drink caffeinated fluids

Term

The spinal cord extends from

______

to

_______

Definition

medulla oblongata

 

 

L1-L2

Term
What is the term used to identify the end of the spinal cord?
Definition
conus medularis
Term

The term used to identify the nerve roots that continue on after conus is….

Definition
cauda equina
Term
CSF is produced where?
Definition
ventricles of the brain
Term

Herniated Nucleus Polposus

(HNP)

Definition
herniation of an intervertebral disc
Term
ESI
Definition
Epidural Steroid injection
Term
ESI injects a steroid into what space?
Definition
epidural space
Term
How many pairs of nerve roots are there?
Definition
31
Term
Where do the nerve roots leave the cord?
Definition
the intervertebral foramen
Term
Indications of ESI
Definition

chronic lower back pain

failure to respond to conservative treatment

Term
Contraindication for ESI
Definition

infection

allergy to medications used

contrast allergy

Term
Possible complications of ESI
Definition

infection

Cushing's syndrome

nerve damage

bleeding

Term
the 3 approaches to an ESI are:
Definition

translaminar

transforaminal

caudal (sacral)

Term
Translaminar approach to ESI is where?
Definition
between 2 spinous processes
Term
Transforaminal is injection where?
Definition
around specific nerve root
Term
Where is the needle inserted in a caudally approached ESI?
Definition
sacral hiatus
Term
What is the steroid used for an ESI?
Definition
Depo-medrol
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