Cystogram/Kidney Study/Pneumocystogram Flashcards

1
Q

A cystogram is the study of what?

A

bladder

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2
Q

What are the indications for performing a Cystogram?

A

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

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3
Q

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

A

positive, negative, double

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4
Q

What contrast agent is used for positive Cystograms?

A

radiopaque iodine

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5
Q

What contrast agent is used for negative Cystograms?

A

Air or CO2

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6
Q

What contrast agent is used for double contrast studies?

A

Combination of negative and positive contrast agents

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7
Q

What supplies are needed for Cystograms?

A

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

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8
Q

Patient prep for a Cystogram includes what?

A

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

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9
Q

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

A

to inflate bladder fully

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10
Q

What views are taken for Cystograms?

A

VD and lateral views of abdomen including entire urinary tract

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11
Q

What are the basic steps in performing a Cystogram?

A

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

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12
Q

How much air is administered for a Cystogram?

A

5ml/lb

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13
Q

How much positive contrast is used for a Cystogram?

A

3-5ml/lb

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14
Q

How much negative contrast is used for a Cystogram?

A

3-5ml/lb

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15
Q

How much double contrast is used for a Cystogram?

A

3-10ml/lb

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16
Q

What supplies are needed for a Pneumocystogram?

A

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

17
Q

How long should a patient be fasted for a Pneumocystogram?

A

12 hours

18
Q

What positions are taken for survey radiographs for a Penumocystogram?

A

Abdomen-bladder, VD and Lateral

19
Q

What is the area of interest for a Pneumocystogram?

A

13th rib to pelvis, center on bladder

20
Q

What views are taken for Pneumocystogram?

A

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

21
Q

What terms are used for contrast study of the kidneys?

A

Urography and Pyelography

22
Q

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

A

IV

23
Q

What is placed on the abdomen during a Pyelography?

A

Compression bands to compress the ureters

24
Q

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

A

Before administering the agent

25
Q

What contrast agent is used for excretory urography?

A

water-soluble organic iodide

26
Q

What are the 5 indications for performing an intravenous Pyelogram?

A

size, shape, location and margination of kidneys and ureters

27
Q

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

A

200-400mg/lb

28
Q

What equipment is needed for a kidney study?

A

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

29
Q

What patient prep is needed for an IVP?

A

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

30
Q

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

A

Lateral and VD

31
Q

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

A

24 hours

32
Q

What technique chart is used for a kidney study?

A

abdomen

33
Q

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

A

70 kVp

34
Q

Why should a grid be used for an IVP?

A

for maximum differentiation

35
Q

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

A

from 10th rib to pelvis

36
Q

What positions are used for taking survey radiographs for Cystograms?

A

VD and lateral views of the abdomen