What is the first step a sonographer should take when preparing a patient for an echocardiogram?
It's crucial to explain the procedure and obtain informed consent from the patient before beginning the exam. This ensures the patient understands what to expect and agrees to the procedure.
During a transesophageal echocardiogram (TEE), what is the most critical safety concern?
TEE is an invasive procedure that carries a risk of esophageal injury or perforation. The sonographer and medical team must closely monitor the patient for any signs of complications.
What is an essential consideration when performing an echocardiogram on a patient with known pacemaker or defibrillator leads?
When imaging patients with pacemakers or defibrillator leads, it is important to use the lowest possible ultrasound intensity to reduce the risk of heating or damaging the leads.
How should a sonographer position a patient to reduce discomfort during a prolonged echocardiogram?
The left lateral decubitus position is standard for echocardiography as it provides optimal access to the heart. Proper support for the arm and shoulder helps reduce discomfort during the exam.
What should be done if a patient experiences shortness of breath during an echocardiogram?
If a patient experiences shortness of breath, the sonographer should pause the exam, assess the patient's condition, and provide oxygen or other interventions as needed to ensure patient safety.