EL Housseiny Fatmé, Staff development coordinator

Objectives:
 By the end of this lecture the participant
will be able to:
 Recognize the required preparation for

common radiological procedures

Define the precautions to be taken into

consideration before during and afterward.

Outlines:
 General rules
 Abdominal echo/ CT
 Pelvis echography
 Retrograde cystography
 MRI
 CT
 Barium enema
 Procedures with contrast
General rules:
 Before any procedure make sure that
females is not pregnant by asking about
LMP.
 If LMP is suspicious, report it to the
physician.
 Patients who will undergo X-Ray (not
echo) should be prepared by releasing
all metal object from the radio site .
List of procedures
 Echo Abdomen and Pelvis
 CT
 MRI
 Retrograde Cystography
 UGI
 Barium enema/ IVP
 FNA
Abdominal Echo / CT:
 The patient must be NPO for at least
8hours.
 For pediatric patients : NPO for 6hours.
 For neonates or babies<1year:NPO for
3hours.
Pelvic echography (echo pelvis):
 The patient must have full bladder before
the procedure:
Conscious patients should drink at least 1.5L
of fluids and feel full bladder.
Unconscious patients could have a physician’s
order of running IV with palpation of full
bladder (globe vesicale).
If patient has an indwelling catheter (Foley
cath.) The catheter must be clamped 1.5hour
simultaneously with the increase of fluid intake.
Retrograde cystography:
 The patient must have a Foley catheter
inserted 30minutes before the procedure
MRI:
 The patient should be free of the following:
Pace maker
Stent for < 6month
Credit card
Jewelry
Metals
Batteries
Screws
Bottle oxygen
CT:
 No need to keep patient NPO before CT
except for CT abdomen.
Barium enema & IVP:
 The patient must have empty colon.
 (Fleet enema at bed time, another one in
the morning/ fluid diet or low residue diet in
the day before the procedure+ fleet enema
in the morning/ SS enema in the night
before the procedure….
Procedures with contrast, (CT,
MRI, IVP, Barium enema) :
 Large gauge IV canula, no additives in the
IV fluid.
 Patient NPO >12hours .
 Creatinine level taken and within normal
value.
 Diabetic patients should withhold
biguanides for 48 hrs after any procedure
with contrast.
 Ask about previous allergies.
THANK YOU