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