Cystogram/Kidney Study/Pneumocystogram

Question 1

A cystogram is the study of what?

Answer 1

bladder

Question 2

What are the indications for performing a Cystogram?

Answer 2

Abnormal urine which does not respond to medical treatment, polyuria, dysuria, bladder size, shape, and location

Question 3

What are the 3 types of Cystograms that can be done?

Answer 3

positive, negative, double

Question 4

What contrast agent is used for positive Cystograms?

Answer 4

radiopaque iodine

Question 5

What contrast agent is used for negative Cystograms?

Answer 5

Air or CO2

Question 6

What contrast agent is used for double contrast studies?

Answer 6

Combination of negative and positive contrast agents

Question 7

What supplies are needed for Cystograms?

Answer 7

urethral catheter, lubricating jelly, sterile gloves, cleanser, paper towels, speculum and light, syringe and catheter adapter, 3-way valve, contrast agent

Question 8

Patient prep for a Cystogram includes what?

Answer 8

Off food 24 hours, enema at least 2 hours prior if indicated

Question 9

Why might tranquilization or general anesthesia be necessary for Cystogram patient prep?

Answer 9

to inflate bladder fully

Question 10

What views are taken for Cystograms?

Answer 10

VD and lateral views of abdomen including entire urinary tract

Question 11

What are the basic steps in performing a Cystogram?

Answer 11

Place urinary catheter, administer air, leave catheter in place while x-rays are taken

Question 12

How much air is administered for a Cystogram?

Answer 12

5ml/lb

Question 13

How much positive contrast is used for a Cystogram?

Answer 13

3-5ml/lb

Question 14

How much negative contrast is used for a Cystogram?

Answer 14

3-5ml/lb

Question 15

How much double contrast is used for a Cystogram?

Answer 15

3-10ml/lb

Question 16

What supplies are needed for a Pneumocystogram?

Answer 16

Urinary catheter, 3-way valve, Gauze or cotton, Sterile gloves, Cassettes, Markers, Large syringe, Kidney pan, Sterile saline solution, Acepromazine, Needle and syringe, Aprons, X-ray machine

Question 17

How long should a patient be fasted for a Pneumocystogram?

Answer 17

12 hours

Question 18

What positions are taken for survey radiographs for a Penumocystogram?

Answer 18

Abdomen-bladder, VD and Lateral

Question 19

What is the area of interest for a Pneumocystogram?

Answer 19

13th rib to pelvis, center on bladder

Question 20

What views are taken for Pneumocystogram?

Answer 20

Left and Right lateral, VD, Right and Left VD oblique

Question 21

What terms are used for contrast study of the kidneys?

Answer 21

Urography and Pyelography

Question 22

When performing a Pyelography, by what route is the contrast agent administered?

Answer 22

IV

Question 23

What is placed on the abdomen during a Pyelography?

Answer 23

Compression bands to compress the ureters

Question 24

When planning a Pyelography, if a urinalysis needs to be done, when should the urine be collected?

Answer 24

Before administering the agent

Question 25

What contrast agent is used for excretory urography?

Answer 25

water-soluble organic iodide

Question 26

What are the 5 indications for performing an intravenous Pyelogram?

Answer 26

size, shape, location and margination of kidneys and ureters

Question 27

What is the dosage to use for an intravenous Pyelogram study?

Answer 27

200-400mg/lb

Question 28

What equipment is needed for a kidney study?

Answer 28

IV catheter, kidney pan, antiseptic solutions, clippers, #40 blade, syringe w/ saline, contrast solution, compression band

Question 29

What patient prep is needed for an IVP?

Answer 29

GI tract free of ingest, fast 24 hour, no water for 12 hours, empty bladder, enema

Question 30

What views are taken for the survey radiographs for kidney study?

Answer 30

Lateral and VD

Question 31

How long should the patient be kept off food before an IVP?

Answer 31

24 hours

Question 32

What technique chart is used for a kidney study?

Answer 32

abdomen

Question 33

To avoid over penetration of the contrast agent, try to keep kVp settings for a kidney study below what?

Answer 33

70 kVp

Question 34

Why should a grid be used for an IVP?

Answer 34

for maximum differentiation

Question 35

For an IVP, where is the patient measured and then centered on the film?

Answer 35

from 10th rib to pelvis

Question 36

What positions are used for taking survey radiographs for Cystograms?

Answer 36

VD and lateral views of the abdomen