Outline:
Crooke’s Tube

Radiation Principles

CXR

Radiation Absorbed Dose

Radiation

Collimators

Knowledge Check

Factors Contributing to High Doses of Radiation

Questions to Ponder

Isocenter

Radiation Protective Gear

Patient Placement in Relationship to X-ray Unit

Angulation

Rotation

How to Read Projections

Knowledge Check

Definition: Contrast Induced Nephropathy (CIN)

Incidence of CIN

Contrast Types

Osmolality

Dosage of Contrast Agents

Knowledge Check

Anatomy and Physiology of the Kidney

Functions of the Kidney

Kidney Nephron

Physiology of the Nephron and Medication Effects

Pathogenesis of CIN

Knowledge Check

Risk Factors for CIN

Pre-Cath Treatment

Acute Renal Failure

Treatment

Alternative Treatments

Kidney Damage During Primary PCI

Knowledge Check

Follow-up Care

Action Plan

Flow Sheet

Summary

Bernadette has been the Cardiology Nurse Consultant for the VAMC Patient Care Services since 2005. Her duties include site reviews and implementation of new Cath/EP programs within the VA network. She has been involved in establishing national standards for the policy and procedure manual and in quality assurance/performance improvement for the Cardiac Catheterization/Electrophysiology Laboratories. For the last 11 years Bernadette has been the Nurse Director of the Cardiology Department at Jesse Brown VAMC. Her responsibilities include the complete re-alignment of the Cath Lab services, developing policy and procedures manuals for both the University of Illinois and Northwestern University hospital systems, and continues to assist in performance of a variety of Cath Lab procedures. She has served on various committees including Chairman of the VHA Directive re-write on BLS/ACLS, as a member of the REDi-VA resuscitation committee to standardize crash carts and collect national data on cardiopulmonary arrests, and as a member of the National Faculty Advisory Committee (FAC) for Cardiology. Bernadette has presented numerous lectures at the Cath Lab National Meetings including Joint Commission Review, Staffing Allocation and Radial Catheterization. She served as the Co-Chairman of the JBVA/UIC Lecture Series for TransRadial Catheterization and Left Ventricular Support Devices and has trained over 250 staff from all over the US in the use of these updated programs. Disclosure: Bernadette Speiser, MSN , CCRN , RCIS has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Elizabeth Kellerman MSN, RN started in nursing in 2007 after graduating from Samuel Merritt University in Oakland, California. While working in a critical care unit at Sutter Mills-Peninsula Hospital she earned her CCRN and TNCC. Her experience and knowledge led her to nursing education where she taught at a community college while working to receive her Master's in Nurse Education at Western Carolina University. As a nursing instructor, she spent time in many types of care settings including medical-surgical inpatient and community living centers. Her passion for education and training has most recently led her to a position as subject matter expert and content writer for Relias. Disclosure: Elizabeth Kellerman, MSN, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.