Tamparong, Vanneza Trixzy V.

BSN IV-F

August 18, 2021

Multiple Sclerosis

Diagnostic Exam

Magnetic Resonance Imaging- primary diagnostic tool for visualizing plaques, most useful test
for MS, MRI is sensitive to brain changes which are seen in MS. Documenting disease activity
and evaluating the effect of treatment.

Procedure

May ask the patient to change into a gown. As magnets are used, it is critical that no metal
objects are present in the scanner. Will ask the patient to remove any metal jewellery or
accessories that might interfere with the machine.

Once the patient has entered the scanning room, the doctor will help them onto the scanner table
to lie down. Staff will ensure that they are as comfortable as possible by providing blankets or
cushions.

During MRI scan

Once in the scanner, the MRI technician will communicate with the patient via the intercom to
make sure that they are comfortable. They will not start the scan until the patient is ready.

During the scan, it is vital to stay still. Any movement will disrupt the images, much like a
camera trying to take a picture of a moving object. Loud clanging noises will come from the
scanner. This is perfectly normal. Depending on the images, at times it may be necessary for the
person to hold their breath.

After an MRI scan

After the scan, the radiologist will examine the images to check whether any more are required.
If the radiologist is satisfied, the patient can go. Radiologist will prepare a report for the
requesting doctor. Patients are usually asked to make an appointment with their doctor to discuss
the results.
MRI can reveal telltale areas of damage called lesions, or plaques, on the brain or spinal cord. It
also be used to monitor disease activity and progression.

Nursing Responsibilities:

Before Procedure:

1. Patient may be asked not to eat or drink anything for 4 - 6 hours before the scan.
2. Asked patient if they are afraid of close spaces or claustrophobia and inform the doctor.
Patient may be given a medicine to help them feel sleepy and less anxious, or the doctor
may suggest an "open" MRI, in which the machine is not as close to the body.
3. Before the test, asked the patient if they have the following: Artificial heart valves, Brain
aneurysm clips, Heart defibrillator or pacemaker, Inner ear (cochlear) implants, Kidney
disease or dialysis (patient may not be able to receive contrast), Recently placed artificial
joints, Vascular stents, Worked with sheet metal in the past (patient may need tests to
check for metal pieces in their eyes)

During the procedure

1. Patient will be asked to remain perfectly still during the time the imaging takes place, but
between sequences some minor movement may be allowed. The MRI Technologist will
advise accordingly.
2. When MRI procedure begins, patient may breathe normally, however, for certain
examinations it may be necessary for you to hold your breath for a short period of time.
 3. Monitoring is indicated to patients who are great potential for change in physiologic
status (respiratory rate, oxygen saturation, temperature, heart rate and blood pressure)
during the procedure or whenever a patient requires observations of vital physiologic
parameters due to an underlying health problem.
4. Monitoring is imperative to patients who are using sedative or anesthesia to ensure
patient safety

After the procedure

There is no recovery time, unless you were given a medicine to relax. After an MRI scan, you
can resume your normal diet, activity, and medications.