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Ch. 48
Common diagnostic tests requiring contrast media
| Test/Purpose | Contrast Medium | Pt Prep | Procedure Discription |
|---|---|---|---|
| intravenous pyelogram (IVP)- exam of renal pelvis, ureters, and bladder to detect cysts, tumors, stones, or structures and provide info about structure and function | iodine | light evening meal, laxative intake night before, npo after midnight, before test drink fluids and empty bladder | dye is injected through iv , as kidneys excrete the dye multiple radiographs record |
| cholecystogram- radiograph of the gallbladder to record the movement of bile | iodine | low-fat evening meal, oral meds night before, npo after midnight | tech preforms x-rays, pt eats fatty meal, tech preforms second set of x-rays |
| angiogram-records size, shape, and location of heart and blood vessels to detect tumors and obstructions as well as lung, heart, and other organ problems | iodine | npo after midnight | pt receives a sedative, dye is injected into a vein using IV, tech takes a series of x-rays |
| Upper GI series- examination of esophagus, stomach, and upper small intestines to detect obstruction | barium sulfate | light evening meal, npo after midnight | pt is positioned with back against the film, pt drinks barium during exam |
| Lower GI series- exam of colon with contrast media to detect polyps, inflammation, diverticula, and other abnormalities | barium sulfate | low-residue diet for 2 days, no dairy, use of bowel prep kit, light evening meal and npo after midnight, enema and rectal suppositories morning of | pt is put in sims, physician inserts barium sulfate enema, ma helps with frequent side to side turning |