Genitourinary and Chest Fluoroscopy for Pediatrics

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To schedule your patient for an appointment, including a same day appointment, or for questions, please contact Pediatric Radiology at (919) 684-7302, Monday thru Friday 8:00am – 5:00pm.


IVP*

0 – 6 Months NPO 2 hours
6 Mos – 2 Yrs NPO 4 hours
2 – 18 Years NPO 6 hours

NOTE: All IVPs need to be approved by a staff radiology physician


Voiding Cystourethrogram* (VCUG)

0 – 18 Years No special prep
Iodinated contrast is placed into the bladder

NOTE: A transurethral bladder catheter will be placed by the radiology technologist using standard sterile technique in radiology


T-Tube Cholangiogram*

0 – 18 Years There is no bowel preparation for this exam

NOTE: Antibiotics should be taken for this exam as prescribed by the ordering Physician


Chest Fluoroscopy* with Films (Line Injections)

0 – 18 Years There is no bowel preparation for this exam

NOTE: Any patient with a known iodinated contrast allergy who needs this exam to be performed should have an oral Prednisone and oral antihistamine preparation prior to any intravenous contrast study. These pre-medications are ordered by the referring clinician.

The regimen suggested for children by the American College of Radiology (ACR) in their 2013 Manual for Contrast Administration, page 53 is as follows:

Prednisone 0.5-0.7 mg/kg PO (up to 50 mg) at 13 hours, 7 hours and 1 hour prior to contrast injection
Diphenhydramine 1.25 mg/kg PO (up to 50 mg) 1 hour prior to contrast injection

Appropriate intravenous doses may be substituted for patients who cannot ingest PO medication

Port Injections: The port needs to be accessed by the clinical care team prior to transportgin the patient to radiology. This examination needs Radiologist approval when scheduling study.