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HM2 Renal
Renal exams for HM2 lilk8tob
| Front | Back |
|---|---|
| Is dye used: KUB | no dye |
| Is dye used: IVP | Systemic dye is used |
| Is dye used: CT | Systemic dye is used |
| Is dye used: Cystography | Dye put in bladder w/ catheter |
| Is dye used: VCUG | Dye in bladder through cath |
| Is dye used: Renal arteriography | Dye injected into renal arteries (systemic) |
| Is dye used: Renal biopsy | No dye is used |
| Is dye used: Renography | Radionuclide injected by IV and absorbed into kidney (systemic) |
| Is dye used: Ultrasound | No dye used |
| Is dye used: Cytoscopy | No dye used, but sedation is used |
| Is dye used: Cytourethroscopy | No dye used, but sedation is used |
| Is dye used: Retrograde study | Dye is instilled into each ureter & renal pelvis (not systemic) |
| This is an X-ray of the kidney, ureter & bladder that shows gross anatomical features | KUB |
| Radiopaque dye used - x-rays show where dye went | IVP |
| With IVP, assess for: | history of asthma, DM, iodine allergy, or if on Glucophage; drink 1 L of fluid after |
| This is 3D info about kidneys, ureters & bladder | CT |
| With CT, must: | Ask about allergies & encourage extra hydration post-procedure |
| Dye is put in bladder w/ cath- shows bladder contour | Cystography |
| With Cystography, risk for: | Increased risk of infection from Cath. |
| Put dye in bladder w/ cath, client pees while X-ray taken | VCUG |
| Dye injected into renal artery to assess arterial blood supply. Will show arterial blockage or extravasation | Renal arteriography |
| For renal arteriography, review record for: | Heparin, warfarin, aspirin or dye allergy |
| After renal arteriography: | bedrest 4-6 hrs, creatinine checks for several days |
| Pt holds breath, needle inserted into renal cortex | Renal biopsy |
| Before renal biopsy: | Empty bladder, NPO, do baseline clotting studies |
| Post renal biopsy: | Strict bedrest 2-6 hrs, watch for hematuria |
| Post renal biopsy aching @ biopsy site that radiates to flank: | Sign of bleeding |
| This uses radionuclide injected by IV and absorbed into kidney to give general info on renal blood flow & GF. | Renography |
| Post Renography: | Lots of fluid, radioactive gone in 24 hours, if Capoten used, check BP |
| Apply soundwaves to see kidney size, tumors | Ultrasound |
| Before ultrasound: | drink lots of fluid to have full bladder |
| Operative procedure w/ camera and sedation | cytoscopy & cytourethroscopy |
| Post cytoscopy & cytourethroscopy: | check airway, pink urine is ok, no urine means clot, encourage fluids & deep breathing, leg cramps are comman and ok |
| Dye instilled into each ureter & renal pelvis and x-rays taken as dye is excreted- shows outline of structures | Retrograde |
| After pee, measure residual | Cystometrography |
| Insert cath w/ pressure-sensing abilities into the bladder- | urethral pressure profile (UPP) |
| Electrodes placed in urethra to measure muscle contraction and relaxation | Electromyography (EMG) |
| Client starts to pee, tell him to stop, see how long it takes to stop flow of urine | Urine stream test |
Created by:
lilk8tob
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