a nurse is caring for a client who requires a chest x ray This is a topic that many people are looking for. voteyesons.org is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, voteyesons.org would like to introduce to you Reading a chest X-ray. Following along are instructions in the video below:
Can think of x rays. As photos made from high energy photons that penetrate the the body tissues so that we can see whats going on inside. Just like light.
X. Rays are less likely to penetrate denser materials. Conventional.
X. Rays. That show white bones on a black background are like photographic negatives.
The darkest parts of the film like the lungs are areas. Where more photons can penetrate the body in contrast. The sharp bright white areas are where the dense bone material.
Blocks photons from getting through lets go. Through. This.
Chest. X. Ray.
Using an easy to remember.
Checklist. Associated with the first seven letters of the alphabet abcdefg. A stands for assessment to avoid errors.
And wasted time you should always begin by assessing the patient and exam. Data you want to verify the patients data with the exam. Data or the medical record number date of the exam.
Etc to ensure that you are looking at the right study in patient you also need to assess image quality because this will impact the accuracy of the test in detecting pathology for example to ensure there is an excess rotation of the patient you should make sure that the medial ends of the spinous processes are equally distant from the border of the vertebral bodies rotation throws off the usual x. Ray anatomy and introduces unwanted variation next a good inspiration film should show at least the 10th or 11th posterior ribs. If the lungs are not fully expanded.
We might miss important diseases finally. We need to make sure that the exposure isnt too bright or too dark to check for this you can look for fine markings in the lung fields to make sure theyre visible. If the fine lung markings arent visible then the x ray may fail to detect some diseases.
A also reminds us to make sure. There is an air where it shouldnt be finding air. Where it should not be or more commonly ruling.
It out remains one of the most important uses of medical x. Rays diagnoses. Like pneumothorax pneumomediastinum.
Pneumoperitoneum and subcutaneous emphysema are all examples of air.
Where. It shouldnt be all of these are surgical emergencies and can be diagnosed by a simple chest. X.
Ray finally. If the major airways. Like the trachea are bent or deviated.
Another example of air. Where it shouldnt be it may signal an underlying mass b. Is for bones start by looking at both clavicles and all twelve pairs of ribs.
One at a time to make sure that there are no fractures deformities or missing bones. B. Is also for the body wall and soft tissues outside of the chest.
This is an easily overlooked part of the chest x. Ray. And it should be checked for swelling.
Masses and other things see is for cardiac silhouette and size this is the cardiac silhouette and theres an atrial appendage the right atrium and the left ventricle remember in chest x. Rays. We define features relative to the patient.
So the right atrium is on the left side of this x ray and the left ventricle is on the right side measuring across a normal heart is less than 50 of the greatest diameter of the ribcage measured from the inner portion of each rib any larger.
And there may be cardiac. Pathology d. Is for the diaphragms.
Which shouldnt be too flat. But appear fairly symmetric you can assess flatness on the lateral. View by estimating that the hemidiaphragm is 15.
Centimeters above the line connecting the costophrenic angle posteriorly and sterno phrenic angle. Anteriorly e. Is for equipment such as lines tubes and wires involved in life support.
Its important to note exactly where theyre located relative to other structures. And whether theyre in functional position for example. An endotracheal tube should be in the middle of the trachea and its tip should be more than 2 centimeters from the tracheal bifurcation or that a nasogastric tube should have its tip well within the stomach.
He is also a reminder to check for a pleural effusion. Which is a common. But subtle form of pathology that you can see on an x ray pleural effusions are fluid that collects at the costophrenic angle and causes blunting of the normally sharp costophrenic angle f is for lung fields.
Which should look symmetric there shouldnt be any haziness white dots or blotches. While looking at lung fields. Having a frontal and a lateral x.
Allows us to determine in which lobe of which lung and abnormality is located in this case. A nodular mass is visible in the inferior lateral and anterior left lung meaning. Its most likely within the and remedial.
Basal sub segment of the lower left lobe this can be confirmed with the chest ct lastly g. Is for great vessels which includes the superior vena cava inferior vena cava ascending aorta aortic arch pulmonary artery and descending aorta you want to make sure that all of these structures are in the right location. And is the right size on the left side of the heart.
The aortic arch should be the highest up followed by the pulmonary artery of note since the heart is three dimensional. The atrial appendage. Actually sits behind the central formation in frontal x.
Ray on the right side. The superior vena cava. Ascending aorta.
Right ventricle left ventricle and inferior vena cava. Should all be visible deviation may be the result of congenital abnormality or disease. Okay to recap using abcd efg.
A is for the assessment of data and quality as well as looking for air. Where it should not be b is for bones in the body wall c. Is for cardiac silhouette and size d.
Is for diaphragms e. Is for equipment. And diffusions f.
Is for lung fields and g. Is for great vessels you .
Thank you for watching all the articles on the topic Reading a chest X-ray. All shares of voteyesons.org are very good. We hope you are satisfied with the article. For any questions, please leave a comment below. Hopefully you guys support our website even more.