– also known as Intravenous Urography
– a radiographic contrast study of the urinary system to determine renal function – includes the kidneys, the bladder, the ureters, and the urethra (urinary tract) – shows the size, shape, and position of the urinary tract, and it can evaluate the collecting system inside the kidneys.
Indications
- to identify diseases of the urinary tract, such as kidney stones, tumors, enlarged prostate or infection
- used to look for problems with the structure of the urinary tract that were present from birth (congenital).
Patient Preparations
- Fasting ( 6-8 hrs NPO, no breakfast)
- Laxatives (4 tablets dulcolax at bedtime, 1 suppository at early in the morning)
- 12 hours dehydration (adults), no fluid intake
Materials
- VF (PNSS, sterile water, 500cc)
- IV set
- Needle(butterfly) – gauge 19/venflon
- Syringe with needle
- Contrast media – iodinated compound
- Antihistamine ampule
- Plaster
Requirements:
- Ask for patient’s history of allergy, especially on medications and history of asthma
- Creatinine clearance – including blood examination to help assess kidney function
Procedure
- Scout film (KUB)
- Insertion of IV line
- IV/ID test of CM (30 min-1 hr, 1 cc)
- Check for signs of blushing, wheals or seizures
- Introduction of CM (50 ml)
Method Of CM Administration
- Fast drip
- Bolus
Exposures
- 5 min shot kidneys ——– 11×14 AP
- 15 min shot kidneys and uterus ——– 14×17 AP
- 30 min shot KUB ——– 14×17 AP
- Post voiding UB/KUB ——— 10×12/14×17 AP
Note:
- Lateral and oblique shots are taken during the 30 min shot prn
