RAD 211~ INTERVENTIONAL RADIOLOGY STUDY GUIDE, Exams of Nursing

RAD 211~ INTERVENTIONAL RADIOLOGY STUDY GUIDE

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RAD 211~ INTERVENTIONAL RADIOLOGY STUDY
GUIDE
Interventional imaging procedures - Answers - Radiologic procedures that intervene in
a disease process, providing a therapeutic outcome.
- Less expensive than traditional methods and surgical methods
- Shorter hospital stays for the patient
- Shorter recovery time
- Alternatives for patients who are not candidates for surgery - Answers - Benefits of
the patient and the healthcare system:
deep vein thrombosis (DVT) - Answers - Clot that forms in a deep vein, usually in the
leg
- reduce or stop blood flow
- increase blood flow
- remove foreign bodies
- other
- TIPS - Answers - Four main divisions of Vascular interventional radiology:
Embolization - Answers - Procedure that uses an angiographic approach to create and
embolus in a vessel, restricting blood flow.
Uterine Fibroid Embolization - Answers - - Used to treat symptomatic fibroids. Small
microspheres or beads are injected into the uterine artery cutting off blood supply to the
fibroid.
- Can shrink fibroids and eliminate associated pain and bleeding, replacing the need for
a hysterectomy.
Chemoembolization - Answers - a palliative treatment for liver cancer
Embolization - Answers - - Stops blood flow to a site of pathology
- Reduce blood flow to a highly vascular structure and tumor before surgery
- Stop active bleeding at a site
- Deliver a chemotherapeutic agent
- three chemotherapy drugs are injected into the artery that supplies blood to the tumor
in the liver
- The artery is then blocked off (embolized) with a mixture of oil and tiny particles
- Survival rate is comparable to much more invasive surgeries.
- Exploring the opportunity to use it for other cancers (lung, breast, brain) - Answers -
What happens during chemoembolization?
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RAD 211~ INTERVENTIONAL RADIOLOGY STUDY

GUIDE

Interventional imaging procedures - Answers - Radiologic procedures that intervene in a disease process, providing a therapeutic outcome.

  • Less expensive than traditional methods and surgical methods
  • Shorter hospital stays for the patient
  • Shorter recovery time
  • Alternatives for patients who are not candidates for surgery - Answers - Benefits of the patient and the healthcare system: deep vein thrombosis (DVT) - Answers - Clot that forms in a deep vein, usually in the leg
  • reduce or stop blood flow
  • increase blood flow
  • remove foreign bodies
  • other
    • TIPS - Answers - Four main divisions of Vascular interventional radiology: Embolization - Answers - Procedure that uses an angiographic approach to create and embolus in a vessel, restricting blood flow. Uterine Fibroid Embolization - Answers - - Used to treat symptomatic fibroids. Small microspheres or beads are injected into the uterine artery cutting off blood supply to the fibroid.
  • Can shrink fibroids and eliminate associated pain and bleeding, replacing the need for a hysterectomy. Chemoembolization - Answers - a palliative treatment for liver cancer Embolization - Answers - - Stops blood flow to a site of pathology
  • Reduce blood flow to a highly vascular structure and tumor before surgery
  • Stop active bleeding at a site
  • Deliver a chemotherapeutic agent
  • three chemotherapy drugs are injected into the artery that supplies blood to the tumor in the liver
  • The artery is then blocked off (embolized) with a mixture of oil and tiny particles
  • Survival rate is comparable to much more invasive surgeries.
  • Exploring the opportunity to use it for other cancers (lung, breast, brain) - Answers - What happens during chemoembolization?

Fibroids - Answers - muscular tumors that grow in the wall of the uterus Percutaneous transluminal angioplasty - Answers - Uses an angiographic approach and specialized catheters to dilate a stenosed vessel.

  • Catheter with a deflated balloon is advanced to the vessel of interest, then inflated.
    • Pressure is monitored before, during, after inflation to prevent rupture
    • May need to be inflated more than once, but time is limited as the vessel is blocked off during inflation - Answers - What happens during a Percutaneous Transluminal Angioplasty? Stent placement - Answers - Cage like metal device that is placed in the lumen of a vessel to provide support Self expanding - Answers - Automatically expands when the stent cover is removed from the vessel Balloon expanding - Answers - placed during the balloon inflation phase of the angioplasty Pharmacologic agent - Answers - Most stents contain a _____________ _______ that inhibits the regrowth of vascular tissue within the artery, preventing restenosis stent-graft placement - Answers - combination of interventional stents and surgical grafts aortic aneurysms and traumatic vascular injuries - Answers - Primary indications for a stent-graft placement include: leakage around the stent, migration of the stent, and rupture of the vessel - Answers - Complications of a stent-graft include: Catheter is advanced, stent-graft self expands once in place, and adheres to the vessel wall. - Answers - What happens during a stent-graft placement? are not surgical candidates, or for patients who want a lower risk option compared to surgery - Answers - A stent-graft placement is an option for patients who:
  • Peripherally Inserted Central Catheter (PICC line)
  • Central Line
  • Subcutaneous Ports - Answers - Types of venous access devices: Peripherally Inserted Central Catheter (PICC line) - Answers - Proximal tip is positioned near the right atrium, distal end remains exposed (usually on an upper extremity)

To trap any emboli that originate in the lower limbs - Answers - Why is a filter placed in the IVC? femoral or jugular vein - Answers - used to gain access to the IVC inferior - Answers - An IVC filter must be placed _______ to the renal vein to prevent renal vein thrombosis Thrombolysis - Answers - Uses minimally invasive procedure or medication (known as thrombolytic agents) to break apart a thrombus Thrombectomy - Answers - Surgical removal of a clot shock wave lithotripsy - Answers - uses sound waves to break the stone into smaller pieces Nephrostomy tube - Answers - Tube that lets urine drain from the kidney through an opening in the skin percutaneous nephrolithotomy - Answers - surgical stone removal Gastrostomy tube placement - Answers - Usually for patients who cannot eat - stroke patients, palliative care Percutaneous Biliary Drainage - Answers - usually palliative for unresectable malignant disease Angiojet - Answers - - Special catheter designed so that multiple jets of saline spray back into the catheter

  • Vacuum that pulls the thrombus into the jet stream where it is broken into microscopic fragments and propelled out of the patient's body Vertebroplasty - Answers - Injection of orthopedic concreate which stabilizes a fractured vertebrae, usually resulting in pain relief for the patient. Kyphoplasty - Answers - Similar to a vertebroplasty, but a balloon is inserted into the vertebrae first, then inflated in order to restore the collapsed portion of the vertebrae. Kyphoplasty - Answers - safer due to the fact that less concrete is used, and is injected in a more controlled fashion Vertebroplasty - Answers - Has a greater risk of concrete leaking into adjacent structures and small risk of pulmonary embolism the production of urine and its elimination from the body - Answers - Primary function of the urinary system:

uremia - Answers - build up of urea and creatinine in blood is known as urinary system - Answers - this system regulates water levels in the body uremia - Answers - an indication of renal dysfunction urinary system - Answers - this system regulates acid-base balance and electrolyte levels of the blood nephron - Answers - Structural and functional unit of the kidney Afferent arterioles - Answers - supply blood to the glomeruli Efferent arterioles - Answers - take blood away kidney stones - Answers - hard stones that form in the renal pelvis

  • Calcium based stones (80%)
  • Uric acid stones (radiolucent)
  • Struvite (Chemical produced by bacteria)
  • Cystine (disease) - Answers - Types of stones: Vesicoureteric junction - Answers - Junction between the ureter and bladder - most common site for a stone to get caught
  • Calcium supplements (too much calcium in the diet)
  • Hyperparathyroidism
  • Cancer
  • Chronic UTIs
  • Too much uric acid in the blood
    • Diets with too much purine, found in meats
    • Hereditary
    • Diabetes - Answers - Causes of kidney stones:
  • obstruction
  • infection - Answers - Key concerns of kidney stones: obstruction - Answers - stone causes an obstruction, so urine is unable to flow out of the kidney, causing pressure and affecting function infection - Answers - infected matter builds up in the kidney tissue
  • medications
  • lifestyle changes
  • Ureteroscopy