Question

Nursing Skill/Concept: Diagnostic Study Pro Name: pr: Diagnostic Study Procedure Name: Intravenous Pyelogram Date: Indications (Symptoms Pt. may be displaying) Nursing Interventions Potential Complications Outcomes/Evaluations Patient Education

Answer 1

Ans) Indications:

- Kidney stones.
- Bladder stones.
- Enlarged prostate.
- Kidney cysts.
- Urinary tract tumors.
- Structural kidney disorders, such as medullary sponge kidney — a birth defect of the tiny tubes inside the kidneys.

Nursing Intervention:

- Instruct the patient to take a laxative or a cathartic, as ordered, on the evening before the examination; the bowel must be cleansed to achieve good visualization of the kidneys. Ensure that barium studies were performed more than 4 days before the IVP.

Potential complications:

- An intravenous pyelogram is generally safe, and complications are rare. As with any medical procedure, intravenous pyelogram does carry a risk of complications, including allergic reactions. In some people, the injection of X-ray dye can cause side effects such as: A feeling of warmth or flushing.

Outcomes/Evaluation:

- IVP shows the urinary tract in action as the kidney begins to empty into the ureters.

Patient Education:

- Before Your Procedure
Your colon must be empty to provide a clear view of your kidneys. Your doctor will order a bowel preparation for you to use starting the day before your exam. The instructions for its use will be provided.
Do not eat or drink after midnight the night before the IVP.
You may continue to take your medications with a sip of water.
If you are diabetic, please discuss with your doctor the use of your diabetic medications.
- During Your Procedure
X-ray dye is injected into a vein in your arm.
A picture will be taken minutes after the injection. It will be shown to the radiologist to determine if any extra images are needed.
Proper kidney function is necessary for the X-ray dye to be flushed from the body. The doctor may order a blood test to determine that your kidneys are functioning properly before the exam.
- After Your Procedure
You may resume your regular diet.
It is important for you to drink plenty of fluids after your exam (if you are not on a fluid restriction) to flush the dye through your system.
Your doctor will be contacted with the results of your test and will discuss the results with you.
Providing safe, quality patient care is our highest priority. To help ensure quality and safety, we ask that you do not bring young children with you to your appointments, as children are not allowed to accompany you during Imaging procedures. Staff is unable to monitor your child in your absence.