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phlebo/ urinary

QuestionAnswer
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
Created by: user-1989152
 

 



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