RENAL BIOPSY, UTI, KUB Flashcards

1
Q
A
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2
Q

How many hours do we obtain CBC before & after renal biopsy?

A

6-8 hours

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3
Q

What is the normal range for Prothrombin Time (PT) in a patient scheduled for a Renal Biopsy?

a. 9-12 seconds
b. 11-16 seconds
c. 18-22 seconds
d. 25-30 seconds

A

Answer: b. 11-16 seconds

Rationale:
For a patient scheduled for a Renal Biopsy, the normal range for Prothrombin Time (PT) is typically 11-16 seconds. PT is a measure of the extrinsic pathway of the coagulation cascade, and assessing it helps ensure that the patient has an appropriate clotting profile before undergoing a procedure that involves the potential risk of bleeding

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4
Q

Normal Prothrombin Time

A

11-16 secs

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5
Q

Therapeutic Range of PT

A

1.5 x 2 than the normal

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6
Q

Position for Renal Biopsy

A

Prone

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7
Q

After renal biopsy, avoid streneous activities for how many weeks?

A

2 weeks

This precaution is implemented to reduce the risk of bleeding or injury to the kidney site where the biopsy was performed.

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8
Q
A
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9
Q

Signs of Infection

A

Fever, Chills, Abdominal tenderness & pain

These symptoms suggest an inflammatory response and potential infection at the surgical site.

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10
Q

It is a painless procedure that has no special preperation.

A

KUB

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11
Q

Do we increase fluid intake after using Contrast Medium?

A

Yes

Adequate hydration helps facilitate the elimination of the contrast medium from the body.

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12
Q

What conditions are being prevented behind increasing fluid intake for Contrast Medium

A

To prevent kidney damage which may lead to renal failure; contrast medium is nephrotoxic

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13
Q

Why do we instruct our patient to undergo NPO for 6-8 hrs when using General Anesthesia?

A

To prevent aspiration; general anesthesia stops peristaltic movements temporarily

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14
Q
A
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15
Q

We check PTT, hgb, and hct before renal biopsy to determine the presence of?

A

Answer: c. Anemia

Rationale:
Before a Renal Biopsy, the assessment of laboratory tests such as Partial Thromboplastin Time (PTT), Hemoglobin (Hgb), and Hematocrit (Hct) aims to identify the potential presence of anemia.

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16
Q

Patient’s position during renal biopsy

A

Prone

17
Q

Why “prone” is the recommended position for Renal Biopsy?

A

Location of the kidney: retroperitoneal

18
Q

Rationale behind sedation

A

To calm/relax the patient during the procedure; Prevent anxiety

19
Q

How many hours of bed rest after renal biopsy?

A

24 hrs

20
Q

Foods that are high in Iodine

A

Shellfish, Shrimp, Seafoods

21
Q

What clinical manifestations, including low urine output, bright bleeding/hematuria, abdominal or flank pain, and chills/fever, after a Cystoscopy may suggest potential complications?

a. Dehydration
b. Respiratory distress
c. Bleeding and infection
d. Gastrointestinal upset

A

Answer: c. Bleeding and infection

Rationale:
Clinical manifestations such as low urine output, bright bleeding/hematuria, abdominal or flank pain, and chills/fever after a Cystoscopy and/or renal biopsy may indicate potential complications, specifically bleeding and infection.

22
Q

Signs of Bleeding & Infection

A

-low urine output,
-bright bleeding/hematuria,
-abdominal or flank pain,
-chills/fever

23
Q

Red/Dark/Smoky Color Urine is present in?

A

UTI

24
Q

How many ml of fluids will you instruct the patient to take after Local Anesthesia?

A

3000ml