Adult

Intravenous Pyelogram (IVP /
Nephrotomogram)
Diagnostic Radiology (Outpatient)
Welcome: We would like to welcome you to OSF St Joseph Medical Center Diagnostic Radiology Department. You have been scheduled to have an Intravenous Pyelogram or a Nephrotomogram. This is a diagnostic test using fluoroscopy (a form of x-ray). This test is also called a Nephro or an I.V.P. The information contained in this pamphlet will help you understand the test that has been scheduled. When to Come, Where to Park, and Where to Go: Please arrive 30 minutes before the time of your scheduled test. Check in through the admitting department located in the front lobby of the hospital. Admitting will then direct you to the Radiology department. Prep: Your doctor has requested a test, which requires your large intestine (colon) to be as empty as possible. Ages 12 and up: take one of the following laxatives between 2pm-6pm the eve - 10 oz. Magnesium Citrate You should have a light, low residue dinner and then only liquids after the evening meal. Nothing to eat or drink after midnight. Jewelry: Please remove all jewelry from your neck, chest, and belly before your test. PREGNANCY TESTING POLICY It is the policy of OSF St Joseph Medical Center to conduct pregnancy tests on all female patients having a CT, MRI, Nuclear Medicine, Angiography, or X-ray exams over the uterine area. This policy is to avoid potential harm to an unborn baby as a result of the radiation or medications given during the exam. A pregnancy test is required prior to the procedures listed above and should be ordered by your physician if you are a female between the ages of 10 and 60 and if you have not had a hysterectomy or bilateral oophorectomy. If you know that you are pregnant please notify your physician. Medications: If you are taking glucophage, glucovance, avandamet, metaglip, and metaformin you must stop taking these medications for 48 hours after the exam. You should have a creatine level drawn 48 hours after the test. Follow up with your ordering doctor is needed to start taking glucophage or glucovance. You may take all other medication as prescribed. Allergies: You may receive contrast as part of the test. Contrast is something given to let a part of the body is seen on an X-ray. The contrast in this test is called Isovue. If you have any known allergies to iodine or X-ray contrast, please contact your ordering doctor. You may need to take special medications before having this test. Test Instructions: You will be asked to wear a hospital gown for the test. A registered X-ray technologist will be doing your test under direct supervision of a Radiologist. A registered x-ray technologist will go over your history and have you sign consents for the procedure. The test will take about 60 minutes. You will lie on an x-ray table for the entire test. A registered nurse or registered technologist will look at your arms for a vein. The area will be cleaned and a venous catheter will be placed into your vein. Contrast material will be injected thru the catheter by a registered technologist. Contrast allows your urinary tract, including the kidneys and bladder to be seen on x-ray. After the injection of the contrast material, you may feel a warm flush over your body, a metal taste in your mouth, or feel like you may have wet your pants. These feelings go away very quickly. If you have any sneezing, itching, or tightness of your throat or chest, these are signs you may be having an allergic reaction to the contrast. If any of these things happen, please let the technologist know as soon as possible. After your injection, x-rays will be taken at certain times by the technologist under the direct supervision of the Radiologist. Post Procedure Instructions: You should drink extra fluids for 1 to 2 days after your test. Test Results: Your test will be read by a Radiologist (doctor specializing in medical imaging). Results will be available to your physician’s office within 24 hours BUT may take some time for your physician to review your results. You can make plans with your ordering doctor on how to receive your test results (such as follow-up doctor appointment, calling the doctor’s office, ect.).

Source: http://m.osfstjoseph.org/services/diagnostics/pdf/IVP-adult.pdf