Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Radiology Nursing /

CT protocols



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,368 members! Join today to network with other nurses, laugh, share, and much more.

Apr 08, 2008 08:10 PM

CT protocols

by Altra

Hello Radiology nurses, hoping you can give me some insight.

1. Our facility protocols require 2 hours between oral contrast administration and a scan of abd/pelvis. The same applies when oral contrast is administered via g-tube or j-tube. I can't get anyone to explain why 2 hours is still needed. I would think that administering the contrast that much further along the GI tract would decrease the prep time. Any thoughts?

2. Do you have any problems using saline locks w/J-loops, extension sets, what-have-you for power injections of contrast, or do you require the lock to be capped with a luer lock only? What is the rationale? From my perspective, the tubing of the extension set is larger than the actual IV cannula, so I can't imagine why it would cause a problem.

Thanks in advance.


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
4 Comments
No. 1
Old Apr 13, 2008, 04:01 PM

Default Re: CT protocols
I asked the same question about extensions and our CT tech said the injector injects at 300pounds per square inch (psi). According to her that could rupture the extension. It would be best if you contacted the manufacturer of your extensions and ask them the psi it can handle.
Our facility does cardiac CT angios and rarely other diagnostic ct's so I don't have an answer about the oral contrast. It seems long. When I work the hospital I thought we have 1/2 bottle 1 hr before and the other 1/2 30min before and the dept gave a bit more when pt arrived. I hope that helps.
Top
 
No. 2
from jkeys100
Old Jun 16, 2008, 02:23 PM

Default Re: CT protocols
I don't work in radiology but when we prep the pt's for an abdomin/pelvis we give them 2 bottles of readi-cat or 2 glasses of gastrograhin mix one hour before the scan. Never 2 hours. Always 1 hour.

The patients have to have a 20 guage above the wrist and they all have J loops, we have to heplock the patients before they go down.
Top
 
No. 3
from wabrams
Old Oct 04, 2008, 12:54 AM

Default Re: CT protocols
Originally Posted by Altra View Post
Hello Radiology nurses, hoping you can give me some insight.

1. Our facility protocols require 2 hours between oral contrast administration and a scan of abd/pelvis. The same applies when oral contrast is administered via g-tube or j-tube. I can't get anyone to explain why 2 hours is still needed. I would think that administering the contrast that much further along the GI tract would decrease the prep time. Any thoughts?
The time varies from Radiology practice to radiology practice, but the reason behind the hour to 2 hour wait is to give the contrast time to fill the small bowel and enter the cecum.
Top
 
No. 4
Old Oct 07, 2008, 05:03 PM

Default Re: CT protocols
In our facility our protocol is 1 hour before for the oral contrast. If the Rad has a hard time seeing anything, sometimes (rarely) they are given another half bottle and then scanned again.

To the IV connecting tubing. The contrast is injected at a very high rate, this rate can be decreased if needed based on the patients condition. If you ever have a connector come off/ or the adapting tubing blow while you are injecting you will never forget it. The contrast is VERY sticky, turns white after it dries and can be found in every possible nook and cranny in the CT suite.
Top
 
Reply




Thread Tools


Who's Online
483 members
4,342 guests
4,825

2

Interesting article on ThedaCare's Collaborative Care Model

4

Possible breakthrough regarding MS

57

16th Philly area hospital to stop delivering babies: Mercy...

7

Really interesting article on Indian open hearts

5

High-Tech Pump Does What Her Heart Can't

3

Air Force RN Found Not Guilty

7

California Imposes Stricter Rules Regarding Drug Abuse In...

40

Are older nurses being forced out of the profession?

3

An outlook in California?

8

Australian surgeons successfully separate conjoined twins



1

Society Needs Care Too

12

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

15

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: