IVP Unit Flashcards
What word describes a kidney?
filter
What does a kidney filter?
blood
What is it called when something goes against normal flow?
retrograde
What does IVP stand for?
intravenous pyelogram
During an IVP, does the contrast flow with normal flow or against normal flow?
with
What is an x-ray of the bladder called?
cystogram
What is the tube called that drains urine from the kidney to the bladder?
ureter
If someone has a urinary tract infection, they have an infection of what?
any or all part(s) of the urinary system (kidney, bladder, ureters, urethra)
For an LPO position, which side of the body is elevated?
right side
How many degrees is the body rotated for an oblique view of the kidney?
30°
Which portion of the kidneys is located more posteriorly?
superior portion
Are the kidneys located inside the peritoneum?
no (they are retroperitoneal)
Which kidney is lower in the body?
right (because of liver)
What body part(s) are demonstrated on an IVP?
urinary system
Why might we do an IVP exam?
view structures or look for a stone
Why would we not go ahead with an IVP?
allergy to contrast
renal failure (BUN 8-25 or Creatinine 0.6-1.5)
What are the steps to performing an IVP?
Have pt. empty bladder
Ask pt. about kidney problems/allergies & check labs
Take scout
Start IV
Inject contrast
Take images per protocol
Tomography
Post Void image(s)
What are the steps to performing a cystogram in the x-ray department?
Have pt. empty bladder
Put sheets/towels on table/take supine scout
Have nurse insert catheter into bladder (maintain sterile environment)
Hook up contrast & run it through catheter
Take AP KUB after pt. complains of full bladder (CR is on MSP, 2” below ASIS @ level of the hip)
Any additional images use 10”x12” IR
How is a retrograde cystogram done in the OR?
Urologist inserts a cytoscope through urethra to help him/her catheterize the ureter.
What are standard views for an IVP?
Abdomen KUB
OBL Kidneys @ 30° (CR is 2” lateral from midline toward elevated side @ level of crests)
Bladder Shot (CR is 2” below ASIS on MSP)
What type of organs are kidneys?
glandular
What are 2 functions of the kidneys?
remove waste from blood
maintain fluid/electrolyte balance
secrete substances to regulate blood pressure
What is the “cortex” portion of a kidney?
the outside portion