作者:alyssa lopez 11 年以前
226
Diuretic Renal Imaging
Diuretic renal imaging is utilized to differentiate between obstructive hydronephrosis and non-obstructive collecting system dilation while also assessing renal function and urodynamics.
開啟
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