Radiography and Interventional Procedures Quiz

Radiographer's Role

• During the procedure, a radiographer should ensure the patient's safety and comfort, and monitor the equipment and patient's response.
• A primary task for a radiographer before the procedure is to explain the procedure to the patient and obtain informed consent.

Preparation and Procedure

• General preparation before a procedure includes ensuring the patient's identity and consent, and preparing the equipment and room.
• Before a fluoroscopic examination, the patient should be prepared by removing any metal objects, and the radiographer should ensure the patient's privacy and dignity.
• A radiographer needs to ensure the patient's safety and comfort after the procedure, and provide aftercare instructions.

Percutaneous Drainage

• The primary objective of percutaneous drainage is to drain pus or fluid collection from the body.
• The recommended patient preparation for percutaneous drainage is to ensure the patient's fasting status, and to provide conscious sedation if necessary.
• Percutaneous drainage is usually performed using imaging guidance, such as fluoroscopy, CT, or ultrasound.
• If the pus or fluid collection needs to be drained for several days, a drainage catheter may be inserted and secured.
• Patients should be cautious about the risk of bleeding, infection, and catheter blockage after undergoing percutaneous drainage.
• During the aftercare following percutaneous drainage, the radiographer should monitor the patient's condition, and provide pain management and wound care.

Fluoroscopy Room

• The purpose of the stopper near the II in the fluoroscopy room is to prevent the patient from falling off the table.
• The Room Cabinet in the fluoroscopy room includes sterile gloves, needles, and syringes.
• A common material used as an accessory for sterile procedures in the fluoroscopy room is sterile drape.
• The fluoroscopy room is equipped with various accessories, but a pillow is not typically used for non-vascular IR procedures.

Interventions and Procedures

• Non-contrast CT Brain is applicable to procedures such as stroke, cerebral vasculature, and brain tumors.
• The common contraindication for performing FNAC and Tru Cut Core Biopsy is bleeding diathesis.
• Fine Needle Aspiration Cytology (FNAC) and Tru Cut Core Biopsy are considered minimal invasive procedures.
• The gold standard for cell differentiation in FNAC and Tru Cut Core Biopsy is a cytologist's interpretation.
• Common sites for FNAC or Biopsy include the thyroid, breast, and lymph nodes.
• Before performing FNAC and Tru Cut Core Biopsy, the patient's bleeding status and allergy history should be considered.
• Major complications associated with percutaneous drainage include bleeding, infection, and organ injury.

Patient Safety and Concerns

• US/CT/MRI/Endoscopy has replaced most of the fluoroscopic procedures in the current practice due to its increased safety and accuracy.
• Patients typically encountered in the Fluoroscopy room include those with gastrointestinal, genitourinary, or respiratory conditions.
• A patient safety concern highlighted in the text regarding examinations in limited sessions is the risk of radiation exposure.
• Difficult exams that might be encountered in the Fluoroscopy room include pediatric, geriatric, and wheelchair-bound patients.