Indications for cystogram (6)
Haematuria Dysuria Anuria Calculi Infection Bladder rupture
Patient prep (3)
Fasted 12-24hrs
Enema 4hrs prior
Abdominal x-rays prior to GA/sedation
- RL and VD
Equipment (8)
Sterile: - catheter - 3 way tap - syringes - lube - gloves Otoscope speculum Kidney dish Lidocaine/GA/sedation
Procedure (5)
External areas cleaned Insert lubed catheter aseptically Empty as much urine as possible Admin lidocaine into bladder Reposition LLR to admin gas/air - palpate during
Procedure for double cystography (2)
Slowly admin warmed iodine after gas
Roll patient 360 to coat mucosa
Important considerations (2)
Palpate bladder during admin to prevent over-distension or rupture
Patient in LLR to prevent air embolism during admin
Views to be taken (3)
LLR
VD
Oblique