Treatment Outcomes For Lithotripsy & Laser Procedures
Treatment Outcomes
- 1.The most common site for kidney stones are:
- A.
Upper pole calyces
- B.
Middle calyces
- C.
Lower pole and pelvis
- 2.The technologist should examine the chart, the x-ray and/or ask the patient about all except:
- A.
Whether they have blood borne disease such as HIV
- B.
Having taken asprin, NSAIDs or blood thinners within the last 10 days
- C.
Which side the stone is on and compare with an x-ray or fluoroscopy
- D.
Is there evidence of urinary infection with fever
- 3.The purpose of strapping is:
- A.
To immobilize the patient
- B.
To compress the patient against the coupling membrane of the shockwave generator
- C.
To allow the patient to move freely on the table which is why they should be applied loosely
- 4.If treating bilateral kidney stones, it is suggested to stent one side
- A.
To prevent renal shut down in case of bilateral ureteral obstruction from stone fragments
- B.
To provide a marker for identification of the kidney stone
- C.
To help locate the kidney
- 5.Tight compression of the patient with straps against the shock head may cause:
- A.
GI symptoms from compression of the gut
- B.
Skin burns
- C.
Arthritic pain
- D.
All of the above
- E.
None of the above
- 6.Cardiac defibrillators and pacemakers require the lithotech's attention. Which of the following are true?
- A.
Patients with pacemakers implanted in the chest can usually be treated without problems.
- B.
Patients with defibrillators or pacemakers implanted in the abdomen should not receive lithotripsy
- C.
A cardiology consultant should be available to reprogram the pacemaker if its internal programming is altered by the shock waves
- D.
All of the statements are true
- E.
One of the statements, a, b, or c is false
- 7.At the completion of the case it is the tech's responsibility in all but one of the following:
- A.
To transport the patient to the recovery room
- B.
To complete all paperwork and data entry includig stone measurements
- C.
To record any adverse events, or irregulatities that took place in connection with the procedure
- 8.Lithotripsy of a kidney stoen should terminate when:
- A.
The targeted stone is pulverized
- B.
3000 shocks have been administered
- C.
Both A&B
- 9.Risk of post op bleeding following Renal stone lithotripsy is increased in all the following except one:
- A.
The patient has taken low dose asprin for cardiovascular support up to the day of lithotripsy
- B.
The patient has taken Advil for arthritis 5 days prior to the lithotripsy
- C.
Lithotrispy is started at maximum power because the patient is under anesthesia
- D.
The patient is obese and hard to target the stone
- 10.Patients with a known infected stone or staghorn calculus:
- A.
Should have a urine culture on the chart
- B.
Should be covered with an qppropriate antibiotic
- C.
Should not have a fever at the time of Lithotripsy
- D.
None of the above are relevant
- E.
All of the above
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