About Lifelong Learning - Contact Us - DonateFree-Ed.Net Home   Bookmark and Share

 

X-RAY THE RIBS

 

X-Ray Images the Ribs


You have a formal request for an X-ray examination of the ribs. You have the assistance of additional personnel if required. You will need a properly equipped X-ray exposure room with various sizes of film in cassettes, lead apron, letter markers, and various sponges.

1.  Select the required view(s) based on the request.

2.  Gather the necessary materials and supplies.

a.  Appropriate cassettes.

b.  Lead apron.

c.  Letter markers.

3.  Prepare the patient.

a.  Bring the patient into the X-ray room.

b.  Ensure the patient is properly dressed.

(1)  Ensure foreign objects are removed from the patient as necessary.

(2)  Ensure the patient's clothing is removed as required.

NOTE: Gown the patient as necessary.

c.  Explain the procedure if applicable.

d.  Stand the patient in front of the upright bucky or assist the patient onto the X-ray table.

NOTE: An X-ray examination of the ribs may be performed either supine or upright, depending on the condition of the patient.

4.  Measure the body part through the entry-exit site of the central ray.

5.  Set the control panel.

a.  Consult the technique chart.

b.  Set the appropriate mAs and kVp on the control panel.

6.  Select the proper size of film cassette.

NOTE: Use a 14" X 17" cassette for the all views.

7.  Place the cassette in the bucky according to the desired position.

a.  Lengthwise for the views above the diaphragm.

b.  Crosswise for the views below the diaphragm.

8.  Position the overhead tube.

a.  Set the tube angle perpendicular to the film.

b.  Set the source to image receptor distance (SID) to 40 inches (101 cm).

c.  Center the tube to the cassette.

d.  Adjust the conefield to full field coverage.

9.  Position the ribs.

a.  AP view (above).

(1)  Place the patient upright with the median plane perpendicular to and over the centerline of the table.

(2)  Place the back in contact with the table.

(3)  Rotate the arms internally with the palms of the hands facing outwards resting on the hips.

(4)  Place the acromion processes 3" below the upper edge of the cassette.

b.  Oblique view (above) (RPO, LPO, RAO, and LAO).

(1)  Place the patient upright.

(2)  Rotate the coronal plane to form a 45 degree angle with the table.

(3)  Move the arms away from the sides of the body.

(4)  Center the point between the midsagittal plane and the lateral surface of the affected side of the body to the cassette.

(5)  Place the acromion processes 3" below the upper edge of the cassette.

c.  AP view (below).

(1)  Place the patient upright with the median plane perpendicular to and over the centerline of the table.

(2)  Place the back in contact with the table.

(3)  Move the arms away from the side of the body.

(4)  Place the iliac crests 1" above the lower edge of the cassette.

d.  Oblique view (below) (RPO and LPO).

(1)  Place the patient upright.

(2)  Rotate the coronal plane to form a 45 degree angle with the table.

(3)  Center the trunk to the table.

(4)  Place the iliac crests 1" above the lower edge of the cassette.

10.  Place the appropriate identification marker on the cassette.

11.  Place the lead shield around the patient's waist.

12.  Provide breathing instructions.

a.  Above the diaphragm: "TAKE IN A FULL BREATH AND HOLD IT. DO NOT BREATHE OR MOVE."

b.  Below the diaphragm: "BLOW YOUR BREATH OUT AND HOLD IT. DO NOT BREATHE OR MOVE."

13.  Make the exposure.

14.  Tell the patient, "RELAX AND BREATHE NORMALLY."

15.  Develop the exposed cassette(s) with patient identification.

David L. Heiserman, Editor

Copyright   SweetHaven Publishing Services
All Rights Reserved

Revised: June 06, 2015