The acting of Nursing in Resonance Magnetic

Abstract

The Magnetic Resonance Imaging (MRI) service is a non-invasive diagnostic imaging test that uses a magnetic field to generate images of organs and tissues in the body. The nursing staff must know some basic notions in obtaining the diagnostic image through Magnetic Resonance, the specific preparation of each study, as well as the care during and after the performance of said test. They must be fully trained to report on the performance of the test and clarify doubts to the patient. Prior to accessing the MRI room, we must carry out a detailed interview with the patient where information is collected on whether the patient has a pacemaker (absolute contraindication for MRI), clips or surgical prostheses, presence of metallic foreign bodies in the body ... The answer is yes, we must check the compatibility with MRI. Next, the MRI team will be ready to position and center the patient, always ensuring patient comfort and correct handling of the resonance material. Risk prevention is one of the main nursing functions in order to ensure the integrity and safety of the patient during the diagnostic process. The contrast of choice in MRI is intravenous Gadolinium, there are two types of contrast media according to their chemical structure: linear and macrocyclic. Among its adverse effects is nephrogenic systemic fibrosis (NSF), this being the most serious effect, so it is important to know the glomerular filtration rate to ensure correct renal function of the patient prior to contrast. Contrast administration is the responsibility of the nursing staff who must channel a patent peripheral line and know the administration methods (bolus / injector).