Renal Procedures Flashcards
Position during cystoscopy
Lithotomy
Desire to void during Cystoscopy? Normal or not?
Normal.
General Anesthesia for Cystoscopy: NPO for how many hours?
6-8 hrs
Nursing Intervention for patient taking Local Anesthesia
Advise the patient to Increase Fluid intake up to 3L or 3000ml
Provide adequate bed rest after cystoscopy to prevent?
To prevent Orthostatic Hypotension/Supine Hypotensive Syndrome
Why do patient need to Increase Fluid Intake when taking Local Anesthesia?
To prevent Ascending UTI
DOC for Sedation
Valium/Diazepam
↓ 30 mmHg from Systolic BP due to irritation of the mucus membrane in the urinary tract
Supine Hypotensive Syndrome
Is burning urination is expected a day or two after cystoscopy?
Yes, it is normal.
Normal color of urine after cystoscopy for 24-48h
Pink-tinged color urine
Signs of Infection
- Fever
- Chills
- Abdominal/Flank pain
F, C, A/F P
Rationale behind providing Hot-Sitz Bath after Cystoscopy
To relieve pelvic/perineal discomfort.
Do we secure consent for cystoscopy? Why?
Yes. It is an invasive procedure.
Do we assess for Allergy before Intravenous Pyelogram? Why?
Yes, due to the use of contrast medium which may cause allergic reactions
contrast medium such as hypaque has iodine
If you’re assessing patient’s allergy in IV Pyelogram, what element will you ask for?
Iodine
Give an example of a Contrast Medium
Hypaque
Contrast Medium is administered via?
IV
What will you obtain after Contrast Medium?
Chest X-ray
What should be at bedside during IV Pyelogram due to the contrast medium?
Epinephrine
prepare for any allergic reaction/anaphylactic shock
When will you allow your patient to take food, if he/she is NPO for Intravenous Pyelogram?
If there’s a passage of flatus.
Bowel Prep for Intravenous Pyelogram
Enema/Laxative
Rationale behind the use of Enema/Laxative in diagnostic procedures
To evacuate the feces for better visualization.
Signs of Delayed Allergic Reaction
- Pruritus
- Rashes
- Shortness of Breathe
- Dyspnea
P, R, SOB, Dys
How many hours do we obtain CBC before & after renal biopsy?
6-8 hours
Normal Prothrombin Time
11-16 secs
Therapeutic Range of PT
1.5 x 2 than the normal
Position for Renal Biopsy
Prone
After renal biopsy, avoid streneous activities for how many weeks?
2 weeks
It is a painless procedure that has no special preperation.
KUB
Signs of Infection
Fever, Chills, Abd tenderness & pain
Do we increase fluid intake after using Contrast Medium?
Yes
Rationale behind increasing fluid intake for Contrast Medium
To prevent kidney damage which may lead to renal failure; contrast medium is nephrotoxic
Why do we instruct our patient to undergo NPO for 6-8 hrs when using General Anesthesia?
To prevent aspiration; general anesthesia stops peristaltic movements temporarily
We check PTT, hgb, and hct before renal biopsy to determine the presence of?
Anemia
Patient’s position during renal biopsy
Prone
Why “prone” is the recommended position for Renal Biopsy?
Location of the kidney: retroperitoneal
It is a painless procedure with no special preperation.
KUB
Rationale behind sedation
To calm/relax the patient during the procedure; Prevent anxiety
How many hours of bed rest after renal biopsy?
24 hrs
Foods that are high in Iodine
Shellfish, Shrimp, Seafoods
Low UO, bright bleeding/hematuria, abd or flank pain, chills/fever after Cystoscopy may indicate?
Bleeding & Infection
Red/Dark/Smoky Color Urine is present in?
UTI
How many ml of fluids will you instruct the patient to take after Local Anesthesia?
3000ml
