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Urinary System

structures of the urinary system kidneys, ureters, bladder, urethra
kidney location: halfway b/w xiphoid process and iliac crest
kidneys lie at an oblique angle ____ posteriorly from the coronal plane 30 degrees
Right kidney is slightly _______ than the left lower
Nephroptosis abnormal condition where kidney descends more than two vertebral bodies (>5cm) from supine to upright position
Kidney naturally drop in an _______ position upright
Renal capsule outer covering
Renal cortex outer layer of renal tissue
Renal medulla inner layer of renal tissue
Renal pyramids cone-shaped segments of collecting tubules
Renal columns extensions of cortex between renal pyramids
Nephron essential microscopic component of kidney; structural and functional unit
Renal calyces cup-shaped stems that enclose one or more papilla
________ calyces unite to form major calyces Minor
Major calyces unite to form renal pelvis
Renal pelvis lies within the hilum
Renal pelvis is continuous with the ureter
Per minute Approximately 1 Liter of blood is filtered __________
Approximately 1.5 Liters of urine is produced in a________ period 24 hours
primary function of the glomerulus? Filter for blood, allowing fine particles and water to pass into the capsule
Points of constriction in the ureters a. Ureteropelvic junction (UPJ) b. Pelvic brim c. Ureterovesical junction (UVJ
urinary bladder is located posterior and superior to the ___________. public symphysis
500 mL adult bladder can hold _____ of fluid when completely full
urge for urination 250 mL
the radiographer to be knowledgeable of all medications administered in the department to include: name, dosage, indications contraindications, adverse reactions
Radiographer assess and document before contrast is administered: history of allergies, current medications, surgical procedures, past and current disease processes, lab values for BUN and creatinine (eGFR)
48 hours afterward Metformin products must be withheld on the day contrast is administered and at least
indicators of normal kidney function BUN, creatinine, and GFR values
Normal adult creatinine level: 0.6-1.5mg/dL
Normal adult BUN levels: 8-25mg/100mL
Normal adult eGFR value: 60mL/min or greater
Contraindications for contrast administration: a. Hypersensitivity to iodinated contrast media b. Anuria c. Multiple myeloma d. Diabetes, diabetes mellitus e. Severe hepatic or renal disease f. Congestive heart failure g. Sickle cell anemia h. Renal failure, acute or chronic
Bolus injection contrast administered by force of syringe over short amount of time
Dip/gravity infusion contrast administered via gravity drip over longer period of time
Does not dissociate and remains near isotonic Nonionic contrast
Ionic contrast contains _______ cation
Increases blood osmolality and risk of adverse reactions Ionic contrast
Infiltration/Extravasation fluid has entered the tissues instead of the vein
Local reactions reactions that affect only a specific region of the body
Extravasation (local reactions) leakage of contrast into surrounding soft tissue
Phlebitis (local reactions) inflammation of a vein
Systemic reactions reactions that affect the entire body or a specific organ system
Metallic taste, warm flush sensation during injection Common side effects (systemic reactions)
Mild (systemic reactions) anxiety, light-headed, nausea, vomiting, mild erythema, itching, mild hives
Moderate (systemic reactions) moderate to severe hives, possible laryngeal swelling, bronchospasm, tachycardia (>100bpm), bradycardia(<60bpm), angioedema, hypotension
Severe (systemic reactions) hypotension (systolic pressure <80mmHg), Bradycardia (<50bpm), cardiac arrhythmias, laryngeal swelling, possible convulsions, loss of consciousness, cardiac arrest, respiratory arrest, no detectable pulse
Created by: npat00
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