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Radiologic Technology · ARRT

Radiologic Technology: Contrast Media and Patient Care

Contrast media types, adverse reaction recognition, and patient screening prior to a contrast study tested on radiologic technology certification exams.

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What is the most commonly used contrast medium for imaging the GI tract (e.g., barium swallow)?
Barium sulfate
Is barium sulfate classified as a positive or negative contrast agent?
Positive contrast agent
Give an example of a negative contrast agent used in radiography.
Room air or carbon dioxide
Why is barium sulfate contraindicated when a bowel perforation is suspected?
It can leak into the peritoneal cavity and cause chemical peritonitis
What type of contrast agent should be used instead of barium sulfate when perforation is suspected?
A water-soluble iodinated contrast agent
What are the two chemical categories of iodinated contrast media?
Ionic and nonionic
Which type of iodinated contrast media, ionic or nonionic, has a lower rate of adverse reactions?
Nonionic
What does the abbreviation LOCM stand for?
Low-osmolality contrast media
How does contrast media osmolality relate to the risk of an adverse reaction?
Higher osmolality is associated with a higher risk of reaction
What does the abbreviation HOCM stand for?
High-osmolality contrast media
What type of contrast agent is used for myelography?
A nonionic, water-soluble iodinated contrast agent
By what route is contrast typically introduced for a retrograde cystogram?
Through a urinary catheter directly into the bladder
What term describes a contrast reaction that produces allergy-like symptoms without being IgE-mediated?
An anaphylactoid (idiosyncratic) reaction
What are the three severity categories used to classify contrast media reactions?
Mild, moderate, and severe
Name two common symptoms of a mild contrast reaction.
Nausea and vomiting

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