Patient Care During Urologic Testing with Contrast Agents

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12 Questions

What is a common side effect that patients may experience when contrast agent is infused during a radiographic procedure?

Temporary feeling of warmth, flushing of the face, and an unusual flavor in the mouth

What is advised for patients prior to an MRI of the urinary system?

Continue taking usual medication except for iron supplements

What does a nuclear scan using technetium 99m provide information about?

Kidney function

What is encouraged for patients after a nuclear scan to promote excretion of the radioisotope by the kidneys?

Drink fluids

What type of contrast agent is used in IV urography?

Radiopaque contrast agent

What can an IVP show during an IV urography test?

Kidneys, ureter, and bladder via x-ray imaging

What emergency supplies should be available in case of an anaphylactic reaction to the contrast agent during urologic testing?

Epinephrine, corticosteroids, vasopressors, oxygen, and airway and suction equipment

Why should contrast agents be used with great caution in older patients and in those with renal impairment?

To prevent contrast-induced nephropathy

Which medications should be discontinued before contrast media administration to prevent adverse effects?

Nephrotoxic medications like vancomycin, amphotericin B, metformin, and NSAIDs

Why is it important to obtain the patient's allergy history with emphasis on iodine, shellfish, and seafood allergies before urologic testing with contrast agents?

To assess the risk of allergic reactions to the contrast agent

Why should patients at risk of contrast-induced nephropathy receive IV hydration prior to the procedure?

To maintain kidney function and reduce nephrotoxicity risk

Why is it essential to notify the primary provider and radiologist if a patient is allergic or suspected to be allergic to iodine before urologic testing?

To ensure appropriate emergency measures are in place

Learn about patient care considerations when using contrast agents during urologic testing. Topics include managing nephrotoxicity, allergenic reactions, emergency equipment, medications for anaphylactic reactions, and nursing actions for patient preparation.

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