Today our topic of discussion is General Instruction of Renal Biopsy.
General Instruction of Renal Biopsy
General Instructions
- Maintain aseptic technique throughout the procedure to avoid entry of infection .
- Before renal biopsy, the patient should be investigated thoroughly.
- Prepare the part thoroughly
- Patient should be advised to take complete bed rest after the procedure.
- Keep the patient nil by mouth for 4 hours.
- Keep the patient in supine position for the next 24 hours .
- Encourage the patient to take plenty of oral fluids post-operatively to avoid clot formation .
- The biopsy is taken after the one week of menstruation, because during these days the cervix is least vascular.
Preliminary Assessment
- Check
- Doctor’s order for any specific instructions
- Written informed consent of the patients or the relatives
- General condition and diagnosis of the patient
- Mental status of the patient to follow instructions
- Articles available in the unit.
Preparation of the Patient and Environment
- Admit the patient, at least 24 hours prior to renal biopsy and he should remain in the hospital, at least 24 hours after the biopsy
- Renal function tests must be carried out, e.g. routine urine analysis, blood urea, serum creatinine, etc.
- Explain the procedure to the patient and his relatives thoroughly so that their fear and tension are relieved
- Get written consent from the patient or his relatives
- Observe vital signs and record the fact on the nurse’s record
- Give premedications according to physician’s order half an hour prior to the procedure and record it.
Equipment
- A sterile tray containing
- Sponge holder
- A 5 mL syringe (Fig. 28.16) with needle for local anesthesia
- Probe needle
- Specimen bottles with formalin 10%
- Gall pot with cleaning lotion
- Dressing towel
- Dissecting forceps
- Dressing material
- Gown, mask, gloves
- Cytoscope.
- An unsterile tray containing : Spirit, iodine, Tr. benzoin
- Lignocaine 2%
- Mackintosh and draw sheet
- Kidney tray
- Adhesive tape and scissors.
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