Diuretic Renal Imaging

Mer som dette

Renal Failure

Ved Loralie Rodrigues

IM3/Pre-Calculus Concept Map 2017 - KIARA WARD

Ved Kiara Ward

Content vs. Function

Ved Elizabeth O'Sullivan

URINARY SYSTEM

Ved fernanda arriaga

Diuretic Renal Imaging

ABNORMAL RESULTS

HETEROGENEOUS UPTAKE

ONE OR NO KIDNEY VISUAL

CLEARANCE HALF TIME OF <8 MIN OR >12 MIN

NORMAL RESULTS

BOTH KIDNEYS VISUAL

HOMOGENEOUS UPTAKE

CLEARANCE HALF TIME OF 8-12 MIN THUS SHOWING NORMAL RENOGRAM

IMAGING

IMAGE FOR AN ADDITIONAL 20 MIN AFTER FUROSEMIDE INJ.

POSTERIOR

STARTS IMMEDIATELY, 2 MIN FLOW FOLLOWED BY 18 MIN OF DYNAMICS (USUALLY)

FUROSEMIDE (LASIX)

USUALLY ADMINISTERED 15-20 MIN AFTER RPH INJECTION OR WHEN PELVIS IS DIALTED

1 mg/kg FOR CHILDREN

40 mg FOR ADULTS

INTERPRETATION

RENOGRAM

SHOWS TIME ACTIVITY CURVE

FINAL IMAGES

VISUAL UPTAKE

RADIOPHARMACEUTICALS

TC99m-DTPA (10-20 mCi)

TC99m-MAG3 (10-20 mCi)

INDICATIONS

EVALUTION OF RENAL FUNCTION AND URODYNAMICS

DISTINGUISH BETWEEN OBSTRUCTIVE HYDRONEPHROSIS AND NON-OBSTUCTIVE COLLECTING SYSTEM DIALATION

CONTRAINDICATIONS

MEDICATIONS THAT BLOCK TUBULAR SECRETION

RENAL ARTERIOGRAM USING IV IODINATED CONTRAST

PATIENT PREP

OFF ANY DIURETICS

WELL HYDRATED

OFF ACE INHIBITORS FOR 1 WEEK