Renal Biopsy
CT Scan/MRI of the
Kidneys/Urinary Bladder
RENAL ARTERIOGRAM
A renal arteriogram is also commonly called
renal angiogram
An arteriogram is a x-ray image of the arteries
or blood vessels of the kidneys (renal).
A fluoroscopic image of the kidneys can also
be done to see the movement of the kidneys.
Indications/Purposes (RA)
To determine the
causative factor of
hypertension
To evaluate renal
circulation
Procedure (RA)
A consent form should be signed by the client or a
designated family member.
The client should be NPO for 8-12 hours before the
test. Antocoagulants (heparin) are usually
discontinued.
Record V/S. have client void before the test.
Dentures and metallic objects should be removed
before the test.
The access site should be shaved.
RENAL BIOPSY
Renal biopsy is the excision of a tissue sample from the
kidney for microscopic analysis to determine cell
morphology and the presence of tissue abnormalities.
The test assists in confirming a diagnosis of cancer
found on x-ray or ultrasound or to diagnose certain
inflammatory or immunologic conditions.
Biopsy specimen is usually obtained either
percutaneously or after surgical incision.
Indication (RB)
Confirming suspected renal malignancy
Cause of renal disease
Systemic lupus erythematosus or other immunologic
disorders
Monitor progression of nephrotic syndrome
Renal function after transplantation
Contraindication (RB)
Bleeding disorders
Advanced renal disease
Uncontrolled hypertension
Solitary kidney (except transplanted kidney)
Obesity
Severe spinal deformity
Nursing Implication
Obtain history of the pxs complaints or clinical sx, including
allergens, especially allergies or sensitivities to iodine, seafood,
or other contrast mediums
Obtain a history of results of previously performed diagnostic
procedures, & laboratory tests
Note any recent barium or other radiologic contrast procedures.
Record the date of the last menstrual period & determine the
posibility of pregnancy in permenopausal women
Obtain a list of the medications the px is taking
procedure
Explain that an IV line may be inserted to allow infusion of IV
Indication (MRI)
At risk of contrast nephropathy.
Allergy to contrast agents.
Renal cell carcinoma.
Women with chronic urinary tract infections
Contraindication (MRI)
Px w/ certain ferrous metal prostheses, valves, aneurysm
clips, inner ear prostheses, or other metallic objects
Px w/ metal in their body, such as ferrous metal in the eye
Px w/ intrauterine devices
Px w/ iron pigments tattoos
Px who is claustrophobic
Px who is pregnant