Faculty of Science and Health, Charles Sturt University, Wagga Wagga, Australia.
J Med Radiat Sci. 2023 Mar;70(1):81-94. doi: 10.1002/jmrs.620. Epub 2022 Sep 23.
The scope of practice of the medical radiation practitioner demands knowledge and understanding of the indications, contraindications, warnings, precautions, proper use, drug interactions and adverse reactions of a variety of medications. The risk of patient deterioration or acute emergent event, particularly following contrast administration, makes the command of crash cart medications particularly important. This article explores the pharmacological principles of medications most likely to be required in a medical emergency in the medical radiation department and in particular by the computed tomography (CT) technologist. The article also outlines early warning signs to assist in identifying the emergent or deteriorating patient. The learning outlined is designed to equip medical radiation practitioners with the capacity to identify and respond to a medical emergency typical of the medical radiation department, and to respond to that situation with the appropriate use of emergency medications where appropriate. The ability of medical radiation practitioners to recognise and respond to (including the use of medicines) the deteriorating patient or circumstances of a medically urgent nature are key capabilities required to meet minimum standards for Medical Radiation Practice Board of Australia registration and National Safety and Quality Health Service standards.
医学放射技师的实践范围要求其掌握各种药物的适应证、禁忌证、警告、注意事项、正确使用方法、药物相互作用和不良反应等方面的知识和理解。由于患者病情恶化或出现急性紧急情况的风险，特别是在使用造影剂后，掌握急救车药物尤其重要。本文探讨了在医学放射科医疗紧急情况下最可能需要的药物的药理学原理，特别是计算机断层扫描（CT）技师。本文还概述了早期预警信号，以帮助识别紧急或恶化的患者。所概述的学习旨在使医学放射技师具备识别和应对医学放射科典型医疗紧急情况的能力，并在适当情况下适当使用急救药物来应对这种情况。医学放射技师识别和应对（包括使用药物）病情恶化的患者或具有医学紧迫性的情况的能力是满足澳大利亚医学放射实践委员会注册和国家安全与质量卫生服务标准的最低要求所需的关键能力。
