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Renal and Respiratory Procedures > Renal Procedures > Flashcards

Renal Procedures Flashcards

1
Q

Position during cystoscopy

A

Lithotomy

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2
Q

Desire to void during Cystoscopy? Normal or not?

A

Normal.

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3
Q

General Anesthesia for Cystoscopy: NPO for how many hours?

A

6-8 hrs

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4
Q

Nursing Intervention for patient taking Local Anesthesia

A

Advise the patient to Increase Fluid intake up to 3L or 3000ml

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5
Q

Provide adequate bed rest after cystoscopy to prevent?

A

To prevent Orthostatic Hypotension/Supine Hypotensive Syndrome

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6
Q

Why do patient need to Increase Fluid Intake when taking Local Anesthesia?

A

To prevent Ascending UTI

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7
Q

DOC for Sedation

A

Valium/Diazepam

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8
Q

↓ 30 mmHg from Systolic BP due to irritation of the mucus membrane in the urinary tract

A

Supine Hypotensive Syndrome

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9
Q

Is burning urination is expected a day or two after cystoscopy?

A

Yes, it is normal.

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10
Q

Normal color of urine after cystoscopy for 24-48h

A

Pink-tinged color urine

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11
Q

Signs of Infection

A
  • Fever
  • Chills
  • Abdominal/Flank pain

F, C, A/F P

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12
Q

Rationale behind providing Hot-Sitz Bath after Cystoscopy

A

To relieve pelvic/perineal discomfort.

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13
Q

Do we secure consent for cystoscopy? Why?

A

Yes. It is an invasive procedure.

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14
Q

Do we assess for Allergy before Intravenous Pyelogram? Why?

A

Yes, due to the use of contrast medium which may cause allergic reactions

contrast medium such as hypaque has iodine

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15
Q

If you’re assessing patient’s allergy in IV Pyelogram, what element will you ask for?

A

Iodine

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16
Q

Give an example of a Contrast Medium

A

Hypaque

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17
Q

Contrast Medium is administered via?

A

IV

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18
Q

What will you obtain after Contrast Medium?

A

Chest X-ray

19
Q

What should be at bedside during IV Pyelogram due to the contrast medium?

A

Epinephrine

prepare for any allergic reaction/anaphylactic shock

20
Q

When will you allow your patient to take food, if he/she is NPO for Intravenous Pyelogram?

A

If there’s a passage of flatus.

21
Q

Bowel Prep for Intravenous Pyelogram

A

Enema/Laxative

22
Q

Rationale behind the use of Enema/Laxative in diagnostic procedures

A

To evacuate the feces for better visualization.

23
Q

Signs of Delayed Allergic Reaction

A
  • Pruritus
  • Rashes
  • Shortness of Breathe
  • Dyspnea

P, R, SOB, Dys

24
Q

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

A

6-8 hours

25
Q

Normal Prothrombin Time

A

11-16 secs

26
Q

Therapeutic Range of PT

A

1.5 x 2 than the normal

27
Q

Position for Renal Biopsy

A

Prone

28
Q

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

A

2 weeks

29
Q

It is a painless procedure that has no special preperation.

A

KUB

30
Q

Signs of Infection

A

Fever, Chills, Abd tenderness & pain

31
Q

Do we increase fluid intake after using Contrast Medium?

A

Yes

32
Q

Rationale behind increasing fluid intake for Contrast Medium

A

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

33
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

34
Q

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

A

Anemia

35
Q

Patient’s position during renal biopsy

A

Prone

36
Q

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

A

Location of the kidney: retroperitoneal

37
Q

It is a painless procedure with no special preperation.

A

KUB

38
Q

Rationale behind sedation

A

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

39
Q

How many hours of bed rest after renal biopsy?

A

24 hrs

40
Q

Foods that are high in Iodine

A

Shellfish, Shrimp, Seafoods

41
Q

Low UO, bright bleeding/hematuria, abd or flank pain, chills/fever after Cystoscopy may indicate?

A

Bleeding & Infection

42
Q

Red/Dark/Smoky Color Urine is present in?

A

UTI

43
Q

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

A

3000ml

Renal and Respiratory Procedures (3 decks)

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