RENAL BIOPSY, UTI, KUB

Question 2

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

Answer 2

6-8 hours

Question 3

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

Answer 3

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

Question 4

Normal Prothrombin Time

Answer 4

11-16 secs

Question 5

Therapeutic Range of PT

Answer 5

1.5 x 2 than the normal

Question 6

Position for Renal Biopsy

Answer 6

Prone

Question 7

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

Answer 7

2 weeks

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

Question 9

Signs of Infection

Answer 9

Fever, Chills, Abdominal tenderness & pain

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

Question 10

It is a painless procedure that has no special preperation.

Answer 10

KUB

Question 11

Do we increase fluid intake after using Contrast Medium?

Answer 11

Yes

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

Question 12

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

Answer 12

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

Question 13

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

Answer 13

To prevent aspiration; general anesthesia stops peristaltic movements temporarily

Question 15

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

Answer 15

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.

Question 16

Patient’s position during renal biopsy

Answer 16

Prone

Question 17

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

Answer 17

Location of the kidney: retroperitoneal

Question 18

Rationale behind sedation

Answer 18

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

Question 19

How many hours of bed rest after renal biopsy?

Answer 19

24 hrs

Question 20

Foods that are high in Iodine

Answer 20

Shellfish, Shrimp, Seafoods

Question 21

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

Answer 21

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.

Question 22

Signs of Bleeding & Infection

Answer 22

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

Question 23

Red/Dark/Smoky Color Urine is present in?

Answer 23

UTI

Question 24

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

Answer 24

3000ml