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Intravenous Pyelography: Week 5

Intravenous pyelography (IVP) is a radiological procedure that uses contrast media injected into a vein to visualize the kidneys, ureters, and bladder. X-rays are taken periodically over 13 minutes as the contrast media travels through the urinary system, allowing abnormalities to be detected. The procedure gives a comprehensive view of the urinary anatomy and some information on renal functioning, and is used to diagnose conditions like kidney stones or cancer. Nurses are responsible for assessing the patient's history and obtaining consent, monitoring for adverse reactions after the procedure, and strictly tracking intake and output in the following 24 hours.

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Shaina Angelique Sali
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417 views2 pages

Intravenous Pyelography: Week 5

Intravenous pyelography (IVP) is a radiological procedure that uses contrast media injected into a vein to visualize the kidneys, ureters, and bladder. X-rays are taken periodically over 13 minutes as the contrast media travels through the urinary system, allowing abnormalities to be detected. The procedure gives a comprehensive view of the urinary anatomy and some information on renal functioning, and is used to diagnose conditions like kidney stones or cancer. Nurses are responsible for assessing the patient's history and obtaining consent, monitoring for adverse reactions after the procedure, and strictly tracking intake and output in the following 24 hours.

Uploaded by

Shaina Angelique Sali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Ateneo de Zamboanga University

College of Nursing
NURSING SKILLS OUTPUT (NSO)

INTRAVENOUS PYELOGRAPHY

I. DESCRIPTION

Also known as IVP, pyelography, intravenous urogram or IVU Is a


radiological procedure used to visualize abnormalities of the urinary system, including
the kidneys, ureters, and bladder. Gives a comprehensive view of the patients anatomy
and some information on the functioning of the renal system. Usually done to patient
with severe renal colic and a positive hematuria test. Used as a way to diagnose chronic
pyelonephritis, kidney stones, renal cell carcinoma or RCC, Trnasitional cell carcinoma
or TCC, Polycystic kidneys

II. MATERIALS/EQUIPMENTS

III. PROCEDURE
1. A cannula is inserted in the vein usually in the arm where in a contrast media is injected.
2. Using the X-ray, the contrast media is seen and termed as renal blush.
3. X ray shots are taken in intervals to capture the way it travels inside the urinary system.
4. After three (3) minutes of X-ray shots, the calices and renal pelvis can now be seen.
5. After 9 to 13 minutes it goes to the bladder.
6. The contrast is excreted or removed from the bloodstream via the kidneys.
7. A post micturition X-ray is then taken in order to compare the images for more evidence of
pathology.

IV. DIAGRAM/ ILLUSTRATION

WEEK 5
V. NURSING RESPONSIBILITIES
Before the Procedure:
1. Assess the history of allergy, medications currently taken and risk of pregnancy for
women.
2. Check if consent is properly signed.
3. Emphasize to the patient that nothing should be taken or ingested 12 hours before the
procedure.
After the Procedure:
1. Monitor the intake and output strictly especially the next 24 hours.
2. Assess for adverse reactions.
3. Assess the puncture site for active bleeding
4. Document the findings properly.

SOURCES:

1. https://www.radiologyinfo.org/en/info.cfm?pg=ivp
2. http://nursingcrib.com/medical-laboratory-diagnostic-test/intravenous-pyelography/

Shaina Angelique T. Sali MRS. DARWINA I. HALBI


BSN III-B Clinical Instructor

JULY 17, 2017

WEEK 5

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