Cystogram PRINT
I. Equipment (May vary between sites)
a. Cystografin 3 x 300mL bottles (open as needed)
b. Chux & towels
c. Catheter tray & sterile towels
d. Sterile gloves
e. Hemostats
f. IV Pole
g. Urinal for male patients
h. Cystogram tubing
i. Blue Christmas tree connector
j. Footboard must be on the fluoro table
II. Personnel
a. Radiologist/RA
i. Verifies order
ii. Places catheter (most patients have catheter in place)
iii. Administers contrast
iv. Takes spot images
b. Hospital Technologist
i. Prints order and relevant notes for radiologist/RA review
ii. Documents patient history and pregnancy status prior to exam
iii. Assists the radiologist/RA during procedure
iv. Provides patient with aftercare instructions
III. Procedure
a. Catheter placed by RA using sterile technique
b. Scout KUB
c. Cystografin administered via gravity drip
d. Spot images taken periodically as the bladder fills with contrast
e. When the bladder is filled (pt. should feel ready to void), take additional spot images
IV. Required Images
a. Scout KUB
b. Spot images of bladder
i. Immediate fill
ii. Partial fill
iii. Complete fill
1. AP, Lateral and both Obliques
c. Post drain KUB
V. Special Considerations
a. Follow contrast allergy protocol