CAMRT Radiography Practice Exam

During an IVP, what should you do if the patient has a DNR order and experiences a heart attack?

1. Begin CPR

2. Call a code

3. Call the radiologist that injected

4. Do nothing

The correct answer is: Call the radiologist that injected

In the context of an IVP (Intravenous Pyelogram) procedure, a Do Not Resuscitate (DNR) order indicates that the patient has decided, typically in consultation with healthcare providers, that they do not wish to receive CPR or resuscitation measures in the event of cardiac arrest. When a patient with a DNR experiences a heart attack, the most appropriate action would involve notifying the appropriate medical personnel, such as the radiologist who administered contrast or the primary care team. This is crucial because the radiologist may need to be aware of the patient's condition, especially if there are subsequent implications regarding treatment or responsibility for care. Calling for assistance can ensure that the situation is handled according to the hospital's policies and the specific wishes outlined in the DNR order. It provides an opportunity for the healthcare team to review the patient's advance directive and offer appropriate support while respecting the patient’s choices about end-of-life care. On the other hand, initiating CPR or calling a code would contradict the DNR order, and doing nothing could leave the patient without proper care in a critical situation. Thus, the best course of action is to communicate with the radiologist and ensure that the patient's wishes are honored while managing the crisis appropriately.