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Basic Medical Techniques and Patient Care in Imaging Technology,9780781731911

Basic Medical Techniques and Patient Care in Imaging Technology

by ; ;
Edition:
6th
ISBN13:

9780781731911

ISBN10:
0781731917
Format:
Paperback
Pub. Date:
2/28/2003
Publisher(s):
LIPPINCOTT WILLIAMS & WILKINS
List Price: $65.01

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This is the 6th edition with a publication date of 2/28/2003.
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Summary

Basic Medical Techniques and Patient Care in Imaging Technology prepares individuals to be safe, effective practitioners in every aspect of patient care. The subjects of professional ethics and the legal aspects of radiologic technology are addressed to enhance the understanding of the radiographer's obligation to his profession and to the law. This new edition features expanded information on ECG, bedside radiography, special procedures, adverse reactions, and pediatrics and geriatrics.

Author Biography

Andrea Guillen Dutton is Clinical Coordinator, Radiologic Technology Program; Professor, Chaffey College; School of Physical, Life and Health Sciences; Rancho Cucamonga, California.

Table of Contents

Professional Issues in Radiologic Technology
2(24)
Objectives
2(1)
Glossary
2(1)
The Criteria for a Profession
3(1)
Standards of Practice and Educational Requirements in Radiography
4(1)
The Evolution of Professional Organizations in Radiologic Technology
5(1)
The Health Care Team
6(1)
Specialty Areas in Radiography
7(1)
Professional Ethics
8(4)
Ethical Principles
8(4)
Ethical Issues in Radiography
12(1)
Legal Issues in Radiologic Technology
12(6)
Patient Rights
12(2)
Patient Responsibilities
14(1)
Legal Concerns
15(1)
Use of Immobilization Techniques
16(1)
Unusual Occurrence Reports
16(1)
Good Samaritan Laws
16(2)
Informed Consent
18(1)
Malpractice Insurance
18(1)
Medical Records and Documentation
18(2)
Computer Technology in Radiographic Imaging
19(1)
Health Care Delivery
20(1)
Levels of Health Care
20(1)
Summary
21(1)
Chapter 1 Test
22(4)
The Patient in Radiographic Imaging
26(20)
Objectives
26(1)
Glossary
26(1)
Basic Human Needs
27(1)
Critical Thinking
28(1)
Modes of Thinking
28(1)
Recall
28(1)
Habit
28(1)
Inquiry
28(1)
Creativity
29(1)
Knowing How You Think
29(1)
Patient Assessment (Problem Solving)
29(2)
Data Collection
29(1)
Data Analysis
30(1)
Planning and Implementation
30(1)
Evaluation
31(1)
Patient Expectations
31(1)
Communication
32(6)
Self-Concept and Self-Esteem
32(1)
Nonverbal Communication
33(1)
Cultural Variations
34(1)
Gender Factors
34(1)
Other Factors That Affect Communication
34(1)
Feedback
34(1)
Developing a Harmonious Working Relationship
34(1)
Establishing Communication Guidelines
35(1)
Reducing Distance
35(1)
Listening
35(1)
Using Therapeutic Silence
36(1)
Responding to the Underlying Message
36(1)
Restating the Main Idea
36(1)
Reflecting the Main Idea
36(1)
Seeking and Providing Clarification
36(1)
Making Observations
36(1)
Exploring
36(1)
Validating
37(1)
Blocks to Therapeutic Communication
37(1)
The Patient Interview
37(1)
Patient Education
38(2)
Loss and Grief
40(3)
Phase I: Denial
40(1)
Phase II: Anger
40(1)
Phase III: Bargaining
41(1)
Phase IV: Depression
41(1)
Phase V: Acceptance
41(1)
Patient Rights Related to Death, Dying, and Medical Treatment
41(2)
Summary
43(1)
Chapter 2 Test
43(3)
Infection Control
46(34)
Objectives
46(1)
Glossary
46(1)
Nosocomial Infections
47(1)
Factors That Increase the Patient's Potential for Nosocomial Infection
47(1)
Microorganisms
48(5)
Bacteria
49(1)
Fungi
50(1)
Parasites
51(1)
Protozoa
51(1)
Helminths
51(1)
Viruses
51(2)
Elements Needed to Transmit Infection
53(1)
The Body's Defense Against Disease
54(2)
The First Line of Defense
54(1)
The Second Line of Defense
54(1)
The Third Line of Defense
55(1)
The Process of Infection
56(1)
Hereditary Diseases
56(1)
Immune Deficiency
56(1)
HIV and AIDS
56(2)
Phases of HIV Infection
57(1)
Diagnosis and Treatment of HIV-Infected Persons
57(1)
Viral Hepatitis
58(1)
Tuberculosis
58(1)
Anthrax
59(1)
Agencies Controlling Institutional, Patient, and Workplace Safety
60(1)
Infection Control Practices in Health Care Settings
60(2)
Dress in the Workplace
60(1)
Hair
61(1)
Hand Washing
61(1)
Standard Precautions (Tier 1)
62(5)
Additional Infection Control Considerations
63(1)
Eye Protection
64(1)
Gloves
64(2)
Cleaning and Proper Waste Disposal
66(1)
Disinfection
67(1)
Transmission-Based Precautions (Tier 2)
67(8)
Airborne Precautions
68(1)
Droplet Precautions
69(1)
Contact Precautions
69(1)
Protective or Reverse Isolation
69(5)
Transferring the Patient with a Communicable Disease
74(1)
Summary
75(1)
Chapter 3 Test
76(4)
Basic Patient Care and Safety in Radiographic Imaging
80(32)
Objectives
80(1)
Glossary
80(1)
Care of Patient's Belongings
81(1)
Body Mechanics
82(1)
Moving and Transferring Patients
83(7)
Assessing the Patient's Mobility
84(1)
Methods of Moving Patients
85(1)
By Gurney
85(4)
By Wheelchair
89(1)
Using a Gait or Transfer Belt
90(1)
Use of Immobilizers
90(4)
Positioning the Patient for Diagnostic Imaging Examinations
94(1)
Assisting the Patient to Dress and Undress
94(4)
The Disabled Patient
96(1)
The Patient with an Intravenous Infusion
97(1)
Skin Care
98(1)
Preventing Decubitus Ulcers
98(1)
Cast Care and Traction
99(1)
Assisting the Patient with a Bedpan or Urinal
100(2)
The Bedpan
100(2)
The Male Urinal
102(1)
Departmental Safety
102(4)
Fire Safety
102(1)
Prevention of Falls
103(1)
Poisoning and Disposition of Hazardous Waste Materials
103(1)
Radiation Safety
104(2)
Summary
106(1)
Chapter 4 Test
107(5)
Surgical Asepsis and the Radiographer
112(26)
Objectives
112(1)
Glossary
112(1)
The Environment and Surgical Asepsis
113(2)
The Surgical Team
115(1)
Methods of Sterilization
115(1)
Disinfection
115(2)
Packing and Storing Sterile Supplies
117(1)
Rules for Surgical Asepsis
117(1)
Opening Sterile Packs
118(1)
Cloth-Wrapped Packs
119(1)
Commercial Packs
119(1)
Sterile Forceps
119(1)
The Surgical Scrub
119(6)
Sterile Gowning and Gloving
125(1)
Gowning
125(1)
Gloving
125(1)
Closed Gloving
125(1)
Taking Radiographic Films in the Operating Room
125(3)
Skin Preparation for Sterile Procedures
128(2)
Mechanical Methods of Skin Preparation
128(2)
Chemical Methods of Skin Preparation
130(1)
Draping for a Sterile Procedure
130(2)
Changing Dressings
132(2)
Summary
134(1)
Chapter 5 Test
134(4)
Vital Signs and Oxygen Administration
138(22)
Objectives
138(1)
Glossary
138(1)
Measuring Vital Signs
139(1)
Body Temperature
139(4)
Measuring Body Temperature
140(1)
The Tympanic Membrane Thermometer
140(1)
The Electronic Thermometer for Oral Temperature
140(1)
Oral Temperature, Glass Thermometer
140(2)
Taking an Axillary Temperature
142(1)
Taking a Rectal Temperature
143(1)
Other Instruments Used to Measure Body Temperature
143(1)
Pulse
143(3)
Assessment of the Pulse
145(1)
Apical Pulse
146(1)
Respiration
146(1)
Assessment of Respiration
147(1)
Blood Pressure
147(3)
Equipment Needed to Measure Blood Pressure
148(1)
Measuring Blood Pressure
149(1)
Oxygen Therapy
150(5)
Pulse Oximetry
151(1)
Hazard of Oxygen Administration
151(1)
Oxygen Delivery Systems
152(1)
Nasal Cannula
152(1)
Nasal Catheter
153(1)
Other Oxygen Delivery Systems
154(1)
Home Oxygen Delivery Systems
155(1)
Oxygen Delivery Equipment for the Imaging Department
155(1)
Radiographic Examinations of the Chest
155(1)
Summary
156(1)
Chapter 6 Test
157(3)
Medical Emergencies in Diagnostic Imaging
160(26)
Objectives
160(1)
Glossary
160(1)
Assessment of Levels of Neurologic and Cognitive Functioning
161(1)
Shock
162(5)
The Shock Continuum
162(1)
Hypovolemic Shock
163(1)
Cardiogenic Shock
164(1)
Distributive Shock
164(1)
Neurogenic Shock
164(1)
Septic Shock
165(1)
Anaphylactic Shock
165(2)
Obstructive Shock
167(1)
Pulmonary Embolus
167(1)
Diabetic Emergencies
168(1)
Acute Complications of Diabetes Mellitus
169(1)
Hypoglycemia
169(1)
Diabetic Ketoacidosis
169(1)
Hypoglycemic Hyperosmolar Nonketotic Syndrome
170(1)
Cerebral Vascular Accident (Stroke)
170(1)
Cardiac and Respiratory Emergencies
171(5)
Cardiac Arrest
171(1)
Respiratory Dysfunction
171(1)
Respiratory Arrest
172(1)
Defibrillation
173(3)
Airway Obstruction
176(2)
Abdominal Thrust: Patient Standing or Sitting
176(1)
Abdominal Thrust: Patient in Supine Position
176(1)
Chest Thrust: Patient Sitting or Standing
176(1)
Chest Thrust: Patient Pregnant or Excessively Obstructed / Unconscious
177(1)
Finger Sweep
178(1)
Seizure
178(1)
Generalized Seizures
179(1)
Partial Seizures: Complex and Simple
179(1)
Syncope
179(1)
The Radiographer's Response to the Patient in Pain
180(2)
Summary
182(1)
Chapter 7 Test
183(3)
Trauma and Mobile Radiographic Considerations
186(14)
Objectives
186(1)
Glossary
186(1)
Traumatic Injuries
187(2)
General Guidelines
187(1)
Basic Rules in Trauma Radiography
188(1)
The Patient with a Head Injury
189(1)
The Patient with a Facial Injury
190(1)
The Patient with a Spinal Cord Injury
191(1)
Imaging Considerations for the Trauma or Mobile Patient
192(1)
The Patient with a Fracture
193(2)
The Patient with Abdominal Trauma or in Acute Abdominal Distress
195(1)
The Agitated or Confused Patient
196(1)
The Intoxicated Patient
197(1)
The Patient at Home
197(1)
Summary
197(1)
Chapter 8 Test
198(2)
Pediatric and Geriatric Radiographic Considerations
200(20)
Objectives
200(1)
Glossary
200(1)
The Pediatric Patient
201(9)
The High-Risk Newborn Infant
202(1)
The Adolescent or Older Child
202(2)
Transporting Infants and Children
204(1)
Immobilizing the Anxious Child
205(1)
Sheet Immobilizers
205(1)
Mummy-Style Sheet Immobilizers
206(1)
Commercial Immobilizers
206(1)
Child Abuse
206(2)
Administering Medication to the Pediatric Patient in Radiographic Imaging
208(2)
The Geriatric Patient
210(1)
Changes Associated with Aging
211(5)
Integumentary System
211(1)
Changes in the Head and Neck
212(1)
Pulmonary System
212(1)
The Cardiovascular System
212(1)
The Gastrointestinal System
213(1)
The Hepatic System
213(1)
The Genitourinary System
214(1)
The Musculoskeletal System
214(1)
The Patient Who Has Had Arthroplastic Surgery
214(1)
The Neurologic System
215(1)
Culture and Aging
216(1)
Elder Abuse
216(1)
Summary
216(1)
Chapter 9 Test
217(3)
Care of Patients During Imaging Examinations of the Gastrointestinal System
220(18)
Objectives
220(1)
Glossary
220(1)
Types of Contrast Media
221(1)
Negative Agents
221(1)
Positive Agents
221(1)
Barium Sulfate
222(1)
Barium Studies of the Lower Gastrointestinal Tract
222(1)
The Cleansing Enema
223(4)
Saline Enemas
223(1)
Hypertonic Enemas
223(1)
Oil-Retention Enemas
223(1)
Tap Water Enemas
224(1)
Soap Suds Enemas
224(3)
The Self-Administered Cleansing Enema
227(1)
Barium Enema
227(2)
Patient Care Considerations During Examinations of the Lower Gastrointestinal Tract
229(1)
Instructions After Barium Studies of the Lower Gastrointestinal Tract
230(1)
The Patient with an Intestinal Stoma
230(3)
Administering a Barium Enema to a Patient with an Ostomy
231(2)
Barium Studies of the Upper Gastrointestinal Tract and Small Bowel
233(1)
Instructions After Barium Studies of the Upper Gastrointestinal Tract
233(1)
Scheduling Diagnostic Imaging Examinations
233(1)
Summary
234(1)
Chapter 10 Test
235(3)
Caring for Patients Needing Alternative Medical Treatments
238(22)
Objectives
238(1)
Glossary
238(1)
Nasogastric and Nasoenteric Tubes
239(6)
Passage of Nasogastric and Nasoenteric Tubes
241(2)
Nasogastric Feeding Tubes
243(1)
Removing Gastric Tubes
243(2)
Transferring Patients with Nasogastric Suction
245(1)
The Patient with a Gastronomy Tube
245(2)
The Patient Who Is Receiving Parenteral Nutrition or Has a Central Venous Catheter
247(2)
Emergency Suctioning
249(2)
The Patient with a Tracheostomy
251(1)
The Patient on a Mechanical Ventilator
251(3)
Endotracheal Tubes
254(1)
The Patient with a Chest Tube and Water-Sealed Drainage
254(1)
Tissue Drains
255(1)
Summary
256(1)
Chapter 11 Test
257(3)
Pharmacology for Radiographers
260(44)
Objectives
260(1)
Glossary
260(1)
Drug Standards
261(1)
Drug Control
262(1)
Alternative Medications
262(1)
Controlled Substances
262(1)
Drug Sources, Names, and Actions
262(2)
Pharmacokinetics
264(3)
Drug Absorption
264(1)
First-Pass Effect
264(1)
Drug Distribution
265(1)
Biotransformation
265(1)
Drug Excretion
266(1)
Half-Life
266(1)
Pharmacodynamics
266(1)
Nonspecific Drug Interaction
267(1)
Adverse Drug Reactions
267(2)
Drug Incompatibility
269(1)
Age-Related Changes in Drug Administration
269(1)
Routes of Drug Administration
269(2)
Enteral Routes
269(1)
Parenteral Routes
270(1)
Topical Routes
271(1)
Drug Classification
271(22)
Drugs That Act on the Nervous System
272(1)
Drugs That Act on the Central Nervous System
273(1)
Opioids Analgesics and Antagonists
274(1)
Anxiolytic (Antianxiety) and Hypnotic Drugs
274(1)
Psychotherapeutic Drugs
275(1)
Antipsychotic Drugs
276(1)
Anticonvulsant Drugs
277(1)
Antiparkinsonian Drugs
277(1)
Anesthetic Drugs
277(1)
Drugs Used to Treat Alzheimer's Disease
278(1)
Central Nervous System Stimulants
278(1)
Miscellaneous Drugs Acting on the Central Nervous System
279(1)
Drugs Used to Treat Muscle Spasms
279(1)
Drugs That Act on the Peripheral Nervous System
279(1)
Adrenergic Drugs
280(1)
Antiadrenergic Drugs
281(1)
Beta-adrenergic Blocking Drugs
281(1)
Antimuscarinic Drugs
281(1)
Calcium Channel Blockers
282(1)
Vasodilators
282(1)
Cardiac Glycosides
282(1)
Organic Nitrates
282(1)
Antidysrhythmics
282(1)
Diuretics
283(1)
Analgesics, Antipyretics, and Anti-inflammatory Drugs
283(1)
Other Nonnarcotic Analgesics
284(1)
Drugs Affecting the Blood
284(1)
Anticoagulants
284(1)
Drugs Used to Treat Anemia
284(1)
Antihyperlipidemic Drugs
285(1)
Peripheral Vasodilators
285(1)
Drugs Affecting the Respiratory System
285(1)
Nasal Decongestants
286(1)
Antitussives, Expectorants
286(1)
Antihistamines
286(1)
Antiemetic Drugs
287(1)
Drugs That Act on the Gastrointestinal System
287(1)
Drugs Used to Treat Peptic Ulcer Disease
287(1)
Antacids
287(1)
Drugs Used to Treat Constipation
288(1)
Drugs Used to Treat Diarrhea
288(1)
Drugs Used to Treat Endocrine Disorders
288(1)
Drugs That Affect the Thyroid and Parathyroid Glands
288(1)
Adrenocorticosteroids
289(1)
Drugs Used to Treat Osteoporosis
289(1)
Insulin and Oral Hypoglycemic Drugs
290(1)
Oral Hypoglycemic Drugs
290(1)
Drugs Used to Treat Infections
290(1)
Antimicrobial Drugs
290(3)
Antifungal Drugs
293(1)
Antimycobacterial Drugs
293(1)
Antiviral Drugs
293(1)
Fluids, Electrolytes, and Nutrients
293(2)
Vitamins and Minerals
294(1)
Intravascular and Iodinated Contrast Media
295(4)
Ionic and Nonionic Contrast Agents
296(1)
Reactions to Contrast Agents and Treatment
296(2)
Precautions for Elderly and Pediatric Patients
298(1)
Patient Assessment and Care
298(1)
Summary
299(1)
Chapter 12 Test
300(4)
Drug Administration
304(24)
Objectives
304(1)
Glossary
304(2)
Systems of Drug Measurement
306(1)
The Medication Order and Documentation
306(2)
Medication Errors
308(1)
Equipment for Drug Administration
308(3)
Packaging of Parenteral Medications
310(1)
Vials
310(1)
Ampules
311(1)
Packaging of Fluids and Medications for Intravenous Use
311(1)
Methods of Drug Administration
311(12)
Oral Route
311(2)
Parenteral Drug Administration
313(1)
Intradermal Administration
313(1)
Subcutaneous Administration
314(1)
Intramuscular Administration
314(1)
Identifying Correct Sites for Intramuscular Injection
314(1)
Administering an Intramuscular Injection
315(2)
Peripheral Intravenous Drug Administration
317(1)
Site Selection and Preparation for Venipuncture
318(3)
Venipuncture
321(2)
Care of Patients with Intravenous Infusions in Place
323(2)
Discontinuing Intravenous Infusions
324(1)
Summary
325(1)
Chapter 13 Test
325(3)
Patient Care During Urologic Procedures
328(14)
Objectives
328(1)
Glossary
328(1)
Preparation for Catheterization
329(1)
Female Catheterization
329(4)
Male Catheterization
333(1)
Removing an Indwelling Catheter
334(1)
Catheter Care in the Radiographic Imaging Department
335(2)
Alternative Methods of Urinary Drainage
336(1)
Cystography
337(1)
Patient Education Prior to Cystography
337(1)
Care during Cystography
337(1)
Care Following Cystography
338(1)
Retrograde Pyelography
338(1)
Patient Education and Preparation
338(1)
The Procedure
338(1)
Ureteral Stents
339(1)
Summary
339(1)
Chapter 14 Test
340(2)
Basic Electrocardiogram Monitoring
342(14)
Objectives
342(1)
Glossary
342(1)
A Review of Cardiac Anatomy
343(1)
The Cardiac Conduction System
344(1)
Electrophysiology of the Cardiac Cycle
345(1)
Interpreting the ECG
346(1)
Lead Placement
346(1)
Reading ECGs
347(1)
Analyzing ECG Rhythm Strips and Assessing the Patient
348(5)
Sinus Bradycardia
349(1)
Sinus Tachycardia
350(1)
Atrial Flutter
350(1)
Atrial Fibrillation
350(1)
Ventricular Fibrillation
351(1)
Idioventricular Rhythm
351(1)
Third-degree AV Block
351(1)
Ventricular Asystole
352(1)
ECG Artifacts
353(1)
Summary
353(1)
Chapter 15 Test
354(2)
Care of Patients During Special Procedures
356(17)
Objectives
356(1)
Glossary
356(1)
Cardiac Catheterization and Coronary Angiography, Arteriography, and Nonsurgical Interventions
357(2)
Arteriography
358(1)
Patient Care Before and During Cardiac Catheterization, Angiography, or Arteriography
358(1)
Patient Care and Teaching After Cardiac Catheterization, Angiography, or Arteriography
359(1)
Computed Tomography
359(2)
Patient Care and Instruction Before Computed Tomography
359(1)
Computed Tomography of the Body
360(1)
Patient Care After Computed Tomography
360(1)
Ultrasonography
361(1)
Patient Care for Ultrasonography
361(1)
Magnetic Resonance Imaging
362(1)
Patient Care and Education for MRI
362(1)
Patient Care After MRI
363(1)
Positron Emission Tomography
363(7)
Patient Care for PET
364(1)
Radionuclide Imaging
364(1)
Bone Scan
365(1)
Radiation Therapy
365(1)
Patient Care for Radiation Therapy
366(1)
Proton Therapy
366(1)
Patient Care for Proton Therapy
367(1)
Mammography
367(1)
Arthrography
367(1)
Lithotripsy
368(1)
Myelography
368(1)
Patient Care and Education Preceding Myelography
369(1)
Intrathecal Drug Administration
369(1)
Patient Care and Education After Myelography
369(1)
Contrast Agents
370(1)
Summary
371(1)
Chapter 16 Test
371(2)
Bibliography 373(2)
Index 375


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