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32 Cards in this Set
- Front
- Back
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Cystogram is a functional or non-functional exam?
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Non-Functional
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Method of administration of contrast for a Cystogram
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Via Foley catheter and strict aseptic technique
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What contrast is used with a Cystogram?
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Cysto-conray or Cysto-grafin
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Indications for doing Cystography?
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Cesicoureteral reflux
Recurrent UTIs Bladder Trauma Fistulas Neurogenic bladder |
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Is the female Voiding Cystourethrogram a functional or non-functional exam?
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Functional
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Method of administering contrast for a Voiding Cystouretherogram
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Via Foley catheter
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What contrast is used for a VCUG?
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Cysto-conray
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Indications for doing a VCUG
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Tumors
Abscesses-infection Diverticula-outpouchings of the bladder wall Dilation of urethra Strictures in the urethra-reduces flow Stess incontinence Trauma |
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Adult Male
Retrograde urethrogram - functional or non-functional? |
Non-functional
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What contrast and how much is used for the adult male retrograde urethrogram?
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60 cc of renografin-60
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How is the contrast administered in the adult male retrograde urethrogram?
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Retrograde administration of contrast into the urethral opening via a syringe/adaptor
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Indications for performing an adult male retrograde urethrogram
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Dilation of the urethra (enlargement)
Urethral stricture (narrowing) Trauma to penis or bladder area Fistulas |
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Is the Pediatric VCUG a functional or non-functional study?
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Functional
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The Pediatric VCUG is a functional study of ????
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Bladder
Distal ureters urethra |
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What contrast is used for the Pediatric VCUG?
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Cysto-conray
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What is the method of administering contrast for the Pediatric VCUG?
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Via foley catheter
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Indications for performing a Pediatric VCUG
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Chronic UTIs
Vesicoureteral reflux |
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Is the retrograde pyelogram a functional or non-functional study?
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Non-functional
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How is the patient positioned for the Retrograd Pyelogram?
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Modified lithotomy
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What is the procedure for the retrograde pyelogram?
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In the OR the Physician uses a ureterocystoscope and catheter to introduce contrast into the renal pelvis and ureters
Scout KUB - shows placement of catheter Contrast - renografin 60 Pyelogram - KUB showing filling of the renal pelvis Ureterogram - KUB showing ureters |
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Indications for performing a Retrograde Pyelogram
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Evaluation of the collecting system after removel of stones (Lythrotripsie)
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Is the Percutaneous Renal Puncture a functional or non-functional study?
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Non-functional
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Minor ADR symptoms
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Nausea
Vomiting Urticaria (scattered hives) Itching Sneezing, coughing, hoarseness |
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Treatment for Minor ADR symptoms
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Calmly reassure your patient
Call the nurse Emesis basin with cool cloth for N/V Elevate legs Diphenhydramine - Benadryl (antihistamine) Tagamet - blocks secretions (nasal and GI) |
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Intermediate ADR symptoms
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Urticaria (generalized) clumps of hives
Nausea/Vomiting (sever and prolonged) Bronchospasm (wheezing) Facial/laryngeal edema Chest pain |
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Treatment for intermediate ADR symptoms
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Call nurse and alert radiologist
Requires close, careful observation and often treatment Tagamet - blocks secretions Diphenhydramine - antihistamine Oxygen - Increses in O2 in the blood IV Fluids - sodium chloride Epinephrine - adrenaline to reduce bronchospasm Inhaler - open bronchi (asthma) |
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Severe ADR symptoms
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Hypotension with tachycardia
Severe dyspnea - difficulty breathing Cyanosis Loss of consciousness Cardiac Arrest |
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Treatment for severe ADR symptoms
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Call nurse and radiologist
Call code blue Get crash cart Oxygen (ambu bag) Epinephrine Benadryl Tagamet |
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Diphenhydramin
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Bendryl - Antihistamine - blocks the production of histamines in the body; hives, rash, itching, sneezing
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Tagamet
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Cimetidine - blocks scretions (GI tract, respiratory tract)
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Epinephrine
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Adrenalin - relaxes smooth muscle contractions; reduces bronchospasm and laryngospasm
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What is needed on the tray to inject contrast for IVP?
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(2) 50ml bottles of Isovue
(2) 60 cc syringes (2) 16-18 gauge 1 1/2" needles (2) 10ml bottles of Saline (1) 20-30cc syringe 1 1/2" needle Extension tubing Gloves for nurse Tourniquet Alcohol wipes Angiocaths (2 sizes) Tape Strips (on tube) Gauze Bandaid |
