Which procedure involves the examination of the ureters and the renal pelvises

A renal/urinary tract ultrasound is used to assess your kidneys and bladder. Other pelvic structures may be assessed during this scan, such as the prostate in men.

Inhaltsverzeichnis Show

Before your Scan
Are you ready to make your Ultrasound appointment?
Indications (adsbygoogle = window.adsbygoogle || []).push({});
Interfering Factors
Potential Medical Diagnosis: Clinical Significance of Results
Nursing Implications
Before the Study: Planning and Implementation (adsbygoogle = window.adsbygoogle || []).push({});
After the Study: Potential Nursing Actions
Which procedure involves the injection of contrast medium into the ureters to record the internal structures of the ureters and renal pelvis?
Which test helps identify reproductive tract fibroid tumors and fistulas?
What does the renal pelvis connect to quizlet?
What is a sectional radiographic procedure of the kidney?

A renal ultrasound is used to investigate: causes of pain; kidney stones; hematuria; poor kidney function; trauma; urinary tract infections; incontinence; and other changes in bladder function. A device called a transducer is placed on your abdomen to get images of your internal organs and structures.

Procedure

Your examination will be performed by a sonographer who will introduce themselves, confirm your identity and the procedure you are having. First, a clear gel is applied to the skin on the area to be examined. The ultrasound probe is then moved over the skin surface to look at the structures below. During the ultrasound, you will be asked to hold your breath and move into certain positions to allow a clear view of your organs. Generally, your bladder is looked at first, and then you will be asked to empty it to make the remainder of examination comfortable.

The images are looked at by a radiologist who will provide a written report for your doctor. The radiologists may sometimes speak to you in person during your examination.

Before your Scan

It is necessary to have a full bladder for the ultrasound. Drink one litre of water finishing one hour before your appointment and do not empty your bladder (do not go to the toilet). Distension (expansion) of your bladder provides a clearer view of the bladder and surrounding structures. If you are feeling overly full and it is causing you pain or distress, please tell reception staff on arrival who will talk to you about your options.

Children or patients with issues of urinary retention (holding on) should tell our staff at the time of booking the appointment as your fluid intake may be reduced.

If possible, wear clothing that allows easy access to the abdomen, such as two-piece clothing (separate upper/lower garments).

Duration

Approximately 30 minutes.

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Synonym/Acronym:
Flat plate of the abdomen; kidney, urine, and bladder (KUB); plain film of the abdomen.

Rationale
To visualize and assess the abdominal organs for obstruction or abnormality related to mass, trauma, bleeding, stones, or congenital anomaly.

Patient Preparation
There are no food, fluid, activity, or medication restrictions unless by medical direction.

Normal Findings

Normal size and shape of kidneys
Normal bladder, absence of masses and renal calculi, and no abnormal accumulation of air or fluid.

Critical Findings and Potential Interventions

Bowel obstruction
Ischemic bowel
Visceral injury

Timely notification to the requesting health-care provider (HCP) of any critical findings and related symptoms is a role expectation of the professional nurse. A listing of these findings varies among facilities.

Overview

(Study type: X-ray, plain; related body system: Digestive and Urinary systems.) A KUB x-ray examination provides information regarding the structure, size, and position of the abdominal organs; it also indicates whether there is any obstruction or abnormality of the abdomen caused by disease or congenital malformation. Calcifications of the renal calyces, renal pelvis, and any radiopaque calculi present in the urinary tract or surrounding organs may be visualized in addition to normal air and gas patterns within the intestinal tract. Perforation of the intestinal tract or an intestinal obstruction can be visualized on erect KUB images. KUB x-rays are among the first examinations done to diagnose intra-abdominal diseases such as intestinal obstruction, masses, tumors, ruptured organs, abnormal gas accumulation, and ascites.

Indications (adsbygoogle = window.adsbygoogle || []).push({});

Determine the cause of acute abdominal pain or palpable mass.
Evaluate the effects of lower abdominal trauma, such as internal hemorrhage.
Evaluate known or suspected intestinal obstructions.
Evaluate the presence of renal, ureter, or other organ calculi.
Evaluate the size, shape, and position of the liver, kidneys, and spleen.
Evaluate suspected abnormal fluid, air, or metallic objects in the abdomen.

Interfering Factors

Contraindications

Patients who are pregnant or suspected of being pregnant when the examination site involves the abdomen, pelvis, or area where the fetus would be in the field of view, unless the potential benefits of a procedure using radiation far outweigh the risk of radiation exposure to the fetus and mother. The facility’s imaging polices should always be followed.

Factors that may alter the results of the study

Retained barium from a previous radiological procedure.
Metallic objects (e.g., jewelry, body rings) within the examination field, which may inhibit organ visualization and cause unclear images.
Inability of the patient to cooperate or remain still during the procedure, because movement can produce blurred or otherwise unclear images.

Potential Medical Diagnosis: Clinical Significance of Results

Abnormal Findings In:

Abnormal accumulation of bowel gas
Ascites
Bladder distention
Congenital renal anomaly
Foreign body
Hydronephrosis
Intestinal obstruction
Organomegaly
Renal calculi
Renal hematomas
Ruptured viscus
Soft tissue masses
Trauma to liver, spleen, kidneys, and bladder
Vascular calcification

Nursing Implications

Before the Study: Planning and Implementation (adsbygoogle = window.adsbygoogle || []).push({});

Teaching the Patient What to Expect

Inform the patient this procedure can assist in assessing the status of the abdomen.
Pregnancy is a general contraindication to procedures involving radiation; lower radiation emission technology allows for safe performance of many imaging procedures during pregnancy. In all cases, the benefits and risks should be discussed with the HCP before proceeding with the study.
Explain to the female patient that she may be asked the date of her last menstrual period. Pregnancy testing may be performed in accordance with the facility’s imaging policies.
Review the procedure with the patient.
Explain that little to no pain is expected during the test, but there may be moments of discomfort.
Explain that the procedure takes 5 to 15 minutes and is performed in the radiology department.
Facilitate removal of all metallic objects from the area to be examined.
Advise remaining still throughout the procedure as movement produces unreliable results.
Positioning for this procedure is on the table in a supine position with hands relaxed at the side.
Explain that the patient will be asked to inhale deeply, hold breath while the x-ray images are taken, and then to exhale after the images are taken.

After the Study: Potential Nursing Actions

Treatment Considerations

Pain is often associated with abdominal disease. Assess pain character, location, duration, intensity with an easily understood pain rating scale.
Facilitate placement in a position of comfort.
Administer ordered analgesics with consideration of alternative measures for pain management such as imagery, relaxation, music, etc. Evaluate response and readjust pain management strategies as needed.
Monitor and trend laboratory results; Hgb, Hct, electrolytes, uric acid, BUN, Cr.
Maintain ordered NPO status.
Insufficient fluid volume related to a specific disease process can be a concern.
Interventional strategies to address fluid volume concerns include monitor and trend vital signs, vigilant intake and output, observing urine output and color, encourage oral fluids, administer ordered parenteral fluids, and administer ordered antiemetics.

Followup Evaluation and Desired Outcomes

Understands that additional testing may be necessary to monitor disease progression and determine the need for a change in therapy.

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Which procedure involves the injection of contrast medium into the ureters to record the internal structures of the ureters and renal pelvis?

What is an intravenous pyelogram (IVP)? An IVP is an imaging test used to look at the kidneys and ureters. The ureters are the narrow tubes that carry urine from the kidneys to the bladder. During the test, the radiologist injects a contrast dye into one of your veins.

Which test helps identify reproductive tract fibroid tumors and fistulas?

Ultrasound has been shown to accurately identify fistulas so that patients can get a diagnosis and relief from their complications sooner.

What does the renal pelvis connect to quizlet?

What does the renal pelvis CONNECT to? The renal pelvis is a funnel shaped tube that CONNECTS to the ureter. Extensions of the pelvis called calyces collect urine which drains into the renal pelvis and then into the ureter.