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Radioaerosol Applications Assistance
In the event of a persistent concern that is not addressed by our "Helpful Hints", please complete the following form and click on "Submit" for technical assistance.
Contact
:
Title
:
Facility
:
Department
:
Address
:
City
:
State or Province
:
Zip Code
:
Country
:
e-mail
:
Phone
:
Fax
:
Please describe your current applications concern, then answer the questions that follow :
1.
Patient dosing location
:
Against camera
Away from camera
2.
Patient position while dosing
:
Upright
Supine
3.
Patient position while imaging
:
Upright
Supine
4.
The ventilation studies
:
Pre-perfusion
Post-perfusion
5.
Ventilation pharmaceutical used (type, dose, volume & activity)
:
6.
Length of dosing time
:
7.
Survey meter reading at lungs achieved with this dose
:
8.
Length of time between dosing and imaging)
:
9.
Gamma Camera used
:
10.
Collimator choice
:
11.
Collimator distance from patient
:
12.
Length of time for each image
:
13.
Gamma camera field of view count achieved for each image
:
14.
Patient Connection used
:
Mouthpiece and Noseclip
Mask
15.
Type and length of extension tubing used
:
16.
Oxygen / Air Regulator flow rate and pressure
:
17.
Describe the patients breathing technique during dosing:
18.
Additional Comments:
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