click below
click below
Normal Size Small Size show me how
phlebo/ urinary
| Question | Answer |
|---|---|
| two types of adverse contrast reactions | local and systemic |
| this occurs when a vesicant medication escapes into surrounding tissue | extravasation |
| what should you do after you notice extravasation | elevate the area, cold compress, notify nurse/doc, docuemnt |
| which level of adverse reaction has anxiety, vomiting, itching, mild hives | Mild systemic reaction |
| which level of adverse reaction has possible laryngeal swelling, tachycardia or bradycardia, hypotension | moderate systemic reaction |
| which level of adverse reaction has laryngeal swelling, convulsions, cardiac arrest | severe systemic |
| premedication should be done over | period of 12 hrs or more |
| two most important lab values to evaluate kidney function | GFR and creatinine |
| universal precaution steps | PPE, decon, hand washing, waste disposal |
| angle of initial needle stick then angle to advance | 45/15 |
| Anaphylactoid vs anaphylaxis | oid- looks like anaphylaxis but is not as severe. not caused by immune memory reaction. occurs on first exposure to iodinated media. anaphylactoid is more common |
| true allergic reaction is ___ while a first exposure is ____. Treatment is ____ | anaphylaxis, anaphylactoid, the same |
| The 5 rights | right pt, dose, time, route, med |
| The ___ kidney is lower The ___ kidney is longer and narrower | right left |
| kidneys lie ___ anteriorly towards the ____ | 30 degrees; aorta |
| 3 primary functions of the urinary system | removing nitrogenous waste, regulating water levels, and acid-base/electrolyte levels |
| The hilum consists of | medial portion where renal pelvis, renal vein and renal artery are. |
| glomerulus--> | bowmans capsule, proximal convoluted tubule, loop of Henle, distal convoluted tubule, collecting duct, minor calyces, major calyces, renal pelvis, ureters, bladder, urethra |
| each kidney contains approx _____ nephrons | 1 million |
| the renal corpuscle consists of | the glomerulus and bowmans capsule |
| the renal tubule consists of | all the tubes: proximal and distal convoluted tubule, loop of henle, and collecting duct |
| afferent vs efferent arterioles | inside the glomerulus, afferent arterioles go into the capsule, efferent exit |
| how long are the ureters | 10-12 in |
| site where the ureters enter the bladder | ureterovesical junction |
| triangular area of bladder, between ureterovesical junctions and urethral orifice | trigone |
| adult bladder holds _____ml of fluid. when voiding, ___ ml is collected | 500; 250 |
| urethra is how long in females and males | females- 1 1/2 " males- 7-8 " |
| urine direction: ____ --> _____ --> renal pelvis | cortex --> medulla --> pelvis |
| parenchyma | normal functional tissue |
| antegrade vs retrograde | antegrade= with the flow. excretory and IV retrograde= against the flow. catheters |
| A ______ concentration is required for retrograde bladder scans due to the large amount required to fill the bladder | lower |
| A _____ concentration is required for excretory urography | higher |
| Nonionic media is preferred because | it is less likely to cause an adverse reaction |
| kidney excusion | the vertical movement during breathing |
| kidneys move about ____ during deep inspiration | 2-5cm |
| excretory urography is also called | IV urography |
| IV urography evaluates | kidneys, ureters, urinary bladder. - calculi, renal function, obstructions |
| for IVU, instruct the pt to ___ before the exam | void bladder |
| Most common radiographs for IVU examinations are AP projections at time intervals ranging from​ | 3 to 20 minutes |
| all exposures for urinary are taken on | expiration to move the diaphragm up |
| A postvoid bladder image may be taken after a, IVU to check for | small tumors or prostate issues |
| a scout KUB image's purpose is to | see baseline |
| Compression ___ detail | increases. decreased OID |
| Which phase of the IVU is best to see the ureters? | urographic phase (10-15min) |
| AP oblique urinary views- What degree of obliquity -kidney farther from the IR will be Kidney closer to the IR will be | RPO/LPO 30 -closer= perpendicular to IR -farther= parallel to the IR |