IVP/Cystography Flashcards
Outside portion of the kidney
Cortex
What is the function of the kidneys?
- Remove waste materials from blood
- Maintaining fluid and electrolyte balance
- Secrete substances to help regulate blood pressure and other bodily functions
Inside portion of the kidney
Medullary
Which kidney is slightly longer and narrower?
Left kidney
When the body is rotated 30° for a LPO or RPO, how does the lower kidney lay in relation to the IR?
How does the upper kidney lay in relation to the IR?
Lower kidney - perpendicular
Upper kidney - parallel
Where do the ureters enter the bladder?
On the side
Situated on medial border of each kidney
Allows transmission of blood, lymphatics, nerves, & ureters
Hilum (region)
Cup shaped stems Inside the kidney
Calyces
Major calyces unite to form this expanded portion
Renal pelvis
“Collecting systems”
Calyces
Located posterior and superior to the pubic symphysis
Urinary bladder
Triangular area between the three orifices in the urinary bladder
Trigone
Urolithiasis
Kidney stone
Hydronephrosis
Fluid build up
What are two contradictions for IVP?
Renal failure
Allergic
Against normal flow
Retrograde
With normal flow
Antegrade
Which position for an IVP puts the ureters closer to the IR?
PA
For tomography, does the upper pole have lower #’s or higher #’s?
Lower pole?
Upper pole - lower #’s
Lower pole - higher #’s
What two blood levels have to be checked before and IVP can be done?
Creatinine(.05-1.2)
BUN(10-20)
Initial contrast “blush” of the kidney is termed this
Nephrogram phase
Which position helps to fill the ureters?
Prone position
What are the breathing instructions for ALL views?
Take picture at end of Expiration
Where should you center for an AP IVP?
Level of iliac crests
How many degrees do you rotate the patient for IVP obliques?
30°
What should you do if patient has a catheter bag?
Clamp it
For a cystogram, when does the patient void?
Either before or during
How much you rotate the patient for the Cystogram obliques?
40°-60°
What is the CR for a Cystogram oblique?
2” superior to pubic symphysis and 2” medial to the elevated ASIS
For a voiding cystogram, how much do you rotate the patient for obliques?
35°-40°
Where are retrograde urography’s done?
Surgical suite
