Urinary System-rg13
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show | To demonstrate the renal parenchyma using contrast media followed by x-ray or CT imaging
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show | Antegrade—with the normal pathflow & Retrograde—against the normal pathflow
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show | Antegrade, function & structure, bloodstream
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The _____filling technique typically demonstrates _____ & is used to demonstrate ______. | show 🗑
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show | Urography
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show | True (it looks at how the renal system drains)
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show | Intravenous Urography (IVU) Pyelography (old=IVP) Nephrotomography (before CT due to obliquity) Nephrourography-images after contrast injected into veins
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Describe how a retrograde urograph is performed: | show 🗑
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show | The IVU--Intravenous Urography
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show | The renal pelvis & calyces
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show | Due to the large amount required to fill the bladder.
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show | NonIonic Iodinated Media
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show | Mild, moderate, & severe
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List Mild adverse reactions to Contrast | show 🗑
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List Moderate adverse reactions to Contrast | show 🗑
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show | Respiratory Edema, Anaphylactic reactions, cardiac/respiratory crisis
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What are 4 things we do to reduce chances of adverse reactions? | show 🗑
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What should be included in patient assessment before administering contrast? | show 🗑
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When should you verify IV Contrast? | show 🗑
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show | Reduce air bubbles in the syringe
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show | Give them a carbonated beverage to distend stomach. Pushes intestinal loops inferiorly, allows upper irinary tracts to be better visualized.
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show | The instestinal tract must be free of gas & fecal matter: low residue diet 1-2 days prior Lt. evening meal day prior non-gas laxative day before(as needed) NPO after midnight Need to be WELL HYDRATED (H2O)
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What types of patients have a higher risk of contrast induced renal failure if dehydrated? | show 🗑
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show | 5-21 range over 65
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show | 0.6-1.0 range over 1.6
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Is a full prep required for a lower urinary tract study? | show 🗑
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How much H20 should one drink a few hours prior to a retrograde exam? | show 🗑
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Why is compression used in excretory urography (IVU)? | show 🗑
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Where is Compression centered when used? | show 🗑
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show | 15 degree Trendelenburg
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show | urinary stones abdominal masses aortic aneurysm colostomy suprapubic catheter traumatic injury
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RadGirl13
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