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Pharm Ch 7 Flashcards | StudBud
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Pharm Ch 7
Pharm Ch 7
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1
Patients at risk for?after intravascular ROCM admin include those w preexisting renal compromise, diabetesw renal dysf
cancer
acute renal failure (ARF)
diabetes
shock
2
Signs and symptoms of ______ include fever, tachycardia, diaphoresis, agitation, nervousness, and emotional instability.
renal dysfunction
thyroid storm
hormonal imbalance
covid
3
Even without immediate treatment, anaphylaxis is seldom fatal
True
False
4
Low-osmolality radiopaque contrast media can cause anti coagulation to occur.
False
True
5
ROCM are responsible for approx 10% of all ARF events and are the third most common cause of hospital-acquired
False
True
6
In oliguric ARF, urine output does not exceed what amount
400 ml/day
200ml/day
300 ml/day
100 ml/day
7
bc of the serious effects thatoccur by injection of intravascular ROCM, imaging tech should use what 2 screening methods
current renal function status
patient vitals
patient blood sugar
assessment of patient medical history
8
What is the term for a heart rhythm disturbance characterized by electrical impulses without cardiac contraction?
pulseless electrical activity
tachycardia
chelation
fibrillation
9
High osmolality ROCM can cause some anticoagulation which can result in bleeding and bruising.
True
False
10
Radiopaque contrast media are responsible for approximately what percentage of all acute renal failure (ARF) events?
50%
75%
5%
10%
11
Decompensated thyrotoxicosis is a condition in which the body becomes unable to tolerate thyroid hormones.
True
False
12
What is PEA?
Pulseless Electrical Activity
green vegetable
PALMITOYLETHANOLAMIDE
Private Employment Agency
13
A ________ Is a sensory nerve cell activated by chemical stimuli
anion
neuron
chemoreceptor
electron
14
ROCM can lead to sickling of red blood cells as a result of osmotic fluid shifts in patients who have
anticoagulation
leukemia
sickle cell anemia
coagulation
15
______________ are used to improve delivery of ROM to small arteries that may be inaccessible otherwise.
veniconstrictor
vasoldilator
arteriodilator
vasoconstrictor
16
Which of the following is not an agent used to protect the kidneys from ROCM-induced renal dysfunction?
fenoldopam
acetylctseine
sodium bicarbonate
phentolamine
17
An immediately lie threatening systemic hypersensitivity reaction is known as
shock
anaphylaxis
symptom
allergic reaction
18
Thyroid storm generally occurs in patients who have which of the following?
hypothyroidism
decompensated thyrotoxicosis
congestive heart failure
tachycardia
19
When vasovagal event occurs the patient becomes symptomatically hypertensive as a result of moderate-severe bradycardia
True
False
20
Intravascular administration of ROCM will cause a transient decrease in intravascular osmotic pressure.
False
True
21
Radiopaque contrast media do cross the placental barrier.
True
False
22
What is DSA?
Digital Subtraction Angiography
Digital Select Anatomy
Digital Subtraction Anatomically
23
ROCM cross __________ and should not be used in pregnant women unless benefits far exceed risks.
dermal barriier
blood brain barrier
placental barrier
venous barrier
24
Which of the following can result from large amounts of barium sulfate being aspirated?
granulomas of lung tissue and lymph nodes
death
all of the above
pneumonitis
25
When a patients assessed before introduction of a ROCM it is vitally important to evaluate the medical history and ....?
injection site
current renal functioning status
susequent diagnostic tests
mode of medium introduction
26
what is ARF?
Acute renal flutter
Anagelistic Renal Failure
Anatomically Rejected Failure
acute renal failure
27
What is DSA?
Digital Select Anatomy
Digital Subtraction Anatomy
Digital Subtraction Angiography
Direct Subtraction Angiography
28
Calcium chelation may be 1 pharmacodynamic mechanism which adverse heart rhythms, cardiac arrest, and sudden death occur
False
True
29
What is the term for an immediately life-threatening systemic hypersensitivity reaction?
anaphylaxis
tachycardia
hypotension
stridor
30
The pharmacodynamic mechanisms for ROCM-induced AF are theorized to include which of the following?
direct renal tubular toxicity
renal ischemia
all of the above
intratubular obstruction
31
To visualize vascular lumen with normal x-ray exposure, the blood iodine concentration must be within which range?
220 to 260 mg/ml
280 to 370 mg/ml
400 to 480 mg/ml
150 to 200mg/ml
32
new agent for treating hypertensive emergencies, but's been used for prophylaxis against ROCM-induced renal dysfunction.
ferumoxide
acetylcysteine
fenoldopam
sodium bicarbobate
33
Acetylcysteine is available as a ________ or __________ respiratory nebulization solution and as an intravenous form.
30% (300 mg/ml)
40% (400 mg/ml)
10% (100 mg/ml)
20% (200 mg/ml)
34
What is the percentage of ARF cases after ROCM angiography?
25%
1%
2%
10%
35
bc of possible direct toxicity from O2 radicals resulting from admin of ROCM, investigators begun using ? to prevent ARF
fenoldopam
manganese
sodium bicarbonate
acetylcysteine
36
Sometimes, ROCM do cause serious adverse effects.
True
False