Interventional Radiology

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Outline

Overview

  1. Interventional radiology
    1. Radiology imaging
    2. Medical procedure to treat disease or injury

Nursing Points

General

  1. Radiology imaging
    1. Interprets imaging
      1. Diagnose injury or disease
    2. Intervenes as needed
      1. Manipulates wires/needles
      2. Minimally invasive procedures
  2. Indications
    1. Blocked vessels
    2. Tumors
    3. Stone disease (kidney, gall)
    4. Biopsies
  3. Purpose
    1. Treat disease or injury
    2. Reduce need for traditional surgery

Assessment

  1. Before procedure
    1. Explain procedure
    2. Consent
    3. NPO before

Therapeutic Management

  1. During procedure
    1. IV sedative
    2. Vital signs
  2. After procedure
    1. Assess site (if biopsy done)
    2. Vital signs until stable
    3. Discuss results and procedure done

Nursing Concepts

  1. Clinical Judgement -> intervention based on diagnosis during imaging
  2. Patient-Centered Care -> assessment depends on treatment done

Patient Education

  1. Risks and possiblilities during procedure
  2. Will advance diet as tolerated

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Transcript

Hey guys! Welcome to the lesson about interventional radiology!

So interventional radiology is where radiology imaging is used to view inside the body to diagnose and interpret so that the radiologist can intervene as needed. The radiologist is able to complete a minimally invasive procedure by manipulating wires or needles while viewing the picture. This can reduce the need for traditional surgery. Here is an image taken during a procedure where the physician was dilating the jugular vein with a balloon. Let’s look at the indications. 

Interventional radiology may be used in cases where the patient has blocked blood vessels, tumors, stone disease like kidney or gallstones, or for biopsies. Here’s a picture of a lung biopsy during a CT scan. Let’s talk about what to do before the procedure. 

So before the procedure, you will need to let the patient know what the procedure is and what to expect. Risks may be explained by you or the physician, and a consent will need to be signed by the patient. It is likely that the doctor will want them to avoid eating or drinking the day of the test. 

During the procedure, you may give a sedative to relax the patient. Vital signs will need to be taken to ensure that the patient is stable. 

After the radiologist is done with the procedure, you will want to assess the site for bleeding. Continue checking vital signs for at least an hour or until stable. Discuss the results with the patient when they wake up completely. Let the patient know that you will advance their diet as they are able to tolerate it without feeling sick. 

The priority nursing concepts for the patient with interventional radiology are patient-centered care and clinical judgement. 

Alright guys, let’s review the key points. Interventional radiology uses radiology imaging during the procedure so that the radiologist or physician may interpret the image and intervene as needed with a minimally invasive procedure. This may be indicated in the patient who needs a biopsy or has a tumor, blocked vessels, kidney stones, or gallstones. Before the procedure, explain what will happen and get a signed consent filled out. Keep the patient NPO the day of the procedure. During the procedure, you may give IV sedation and you will check vital signs. After, you will continue checking vitals for at least an hour or until stable, and explain the results to the patient when they are awake and alert. 

Okay guys, that’s it on interventional radiology! No go out and be your best self today, and as always, happy nursing!

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Adaptive Brain SIMCLEX 1 Study Plan

Concepts Covered:

  • Documentation and Communication
  • Legal and Ethical Issues
  • Perioperative Nursing Roles
  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient
  • Intraoperative Nursing
  • Microbiology
  • Communication
  • Fundamentals of Emergency Nursing
  • Preoperative Nursing
  • Basics of NCLEX
  • Medication Administration
  • Vascular Disorders
  • Upper GI Disorders
  • Urinary Disorders
  • Renal Disorders
  • Central Nervous System Disorders – Brain
  • Studying
  • Emergency Care of the Neurological Patient
  • Postpartum Complications
  • Liver & Gallbladder Disorders
  • Factors Influencing Community Health
  • Community Health Overview
  • Immunological Disorders
  • Integumentary Disorders
  • Male Reproductive Disorders
  • Pregnancy Risks
  • Prioritization
  • Childhood Growth and Development
  • Musculoskeletal Trauma
  • Terminology
  • Respiratory Disorders
  • Cognitive Disorders
  • Adulthood Growth and Development
  • EENT Disorders
  • Concepts of Population Health
  • Basic
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Tissues and Glands
  • Emergency Care of the Trauma Patient
  • Cardiovascular
  • Lower GI Disorders
  • Circulatory System

Study Plan Lessons

The Top 5 Things You Need To Know About Documentation 2 – Live Tutoring Archive
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)
Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient Confidentiality for Certified Perioperative Nurse (CNOR)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Patient Privacy and Dignity Maintenance for Certified Perioperative Nurse (CNOR)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Atenolol (Tenormin) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Atrial Fibrillation (A Fib)
Interventional Radiology
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Renal Calculi for Certified Emergency Nursing (CEN)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Assessment
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Meds for Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Restraints
Sexual Assault and Battery for Certified Emergency Nursing (CEN)
Forensic Nurse
Antimicrobial Vaccinations
Hb (Hepatitis) Vaccine
Sucralfate (Carafate) Nursing Considerations
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Gastrointestinal (GI) Bleed Concept Map
Oral Medications
Intubation in the OR
Access to Care
Community Health Nursing Theories
Health Promotion Model
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension for Certified Emergency Nursing (CEN)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
AIDS Case Study (45 min)
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Bed Bath
Nursing Care Plan for Testicular Torsion
Nursing Care and Pathophysiology for Testicular Torsion
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Protein (PROT) Lab Values
Magnesium Sulfate
Safety Checks
Legalities of Charting
Nursing Skills (Clinical) Safety Video
Prioritization
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Advance Directives
Mechanisms of Antimicrobial Agents
Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)
Cefdinir (Omnicef) Nursing Considerations
Growth & Development – Infants
Nursing Care Plan for Amputation
Amputation
Amputation for Certified Emergency Nursing (CEN)
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Urinary Retention for Certified Emergency Nursing (CEN)
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
Radiation Safety for Nurses
Legal Considerations
Fall and Injury Prevention
Diagnostics Terminology
Procedural Terminology
Diagnostic Testing Course Introduction
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Needle Safety
Nursing Care Plan (NCP) for Incompetent Cervix
Incompetent Cervix
Pediatric Bronchiolitis Labs
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Nursing Care and Pathophysiology for Cholecystitis
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Dementia
Dementia and Alzheimers
Pain Management for the Older Adult – Live Tutoring Archive
Growth & Development – Late Adulthood
Geriatric: IV Insertion
Cataracts
Communicable Diseases
CPR-BLS (Basic Life Support)
Brief CPR (Cardiopulmonary Resuscitation) Overview
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
The Customer Voice
Patient Education
Advocating For Your Patient
IV Infusions (Solutions)
Tips & Advice for Pediatric IV
Tattoos IV Insertion
Trauma Survey
Head Trauma & Traumatic Brain Injury
Nursing Case Study for Head Injury
Myocardial Infarction Nursing Mnemonic (MONATAS)
Streptokinase (Streptase) Nursing Considerations
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)
C. Difficile for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Urinary Tract Infection Case Study (45 min)
Phenazopyridine (Pyridium) Nursing Considerations
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Drawing Blood
Order of Lab Draws
Drawing Blood from the IV