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01.09 Interventional Radiology

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Overview

  1. Interventional radiology
    1. Radiology imaging
    2. Medical procedure to treat disease or injury

Nursing Points

General

  1. Radiology imaging
    1. Interprets imaging
      1. Diagnose injury or disease
    2. Intervenes as needed
      1. Manipulates wires/needles
      2. Minimally invasive procedures
  2. Indications
    1. Blocked vessels
    2. Tumors
    3. Stone disease (kidney, gall)
    4. Biopsies
  3. Purpose
    1. Treat disease or injury
    2. Reduce need for traditional surgery

Assessment

  1. Before procedure
    1. Explain procedure
    2. Consent
    3. NPO before

Therapeutic Management

  1. During procedure
    1. IV sedative
    2. Vital signs
  2. After procedure
    1. Assess site (if biopsy done)
    2. Vital signs until stable
    3. Discuss results and procedure done

Nursing Concepts

  1. Clinical Judgement -> intervention based on diagnosis during imaging
  2. Patient-Centered Care -> assessment depends on treatment done

Patient Education

  1. Risks and possiblilities during procedure
  2. Will advance diet as tolerated

Reference Links

Video Transcript

Hey guys! Welcome to the lesson about interventional radiology!

So interventional radiology is where radiology imaging is used to view inside the body to diagnose and interpret so that the radiologist can intervene as needed. The radiologist is able to complete a minimally invasive procedure by manipulating wires or needles while viewing the picture. This can reduce the need for traditional surgery. Here is an image taken during a procedure where the physician was dilating the jugular vein with a balloon. Let’s look at the indications. 

Interventional radiology may be used in cases where the patient has blocked blood vessels, tumors, stone disease like kidney or gallstones, or for biopsies. Here’s a picture of a lung biopsy during a CT scan. Let’s talk about what to do before the procedure. 

So before the procedure, you will need to let the patient know what the procedure is and what to expect. Risks may be explained by you or the physician, and a consent will need to be signed by the patient. It is likely that the doctor will want them to avoid eating or drinking the day of the test. 

During the procedure, you may give a sedative to relax the patient. Vital signs will need to be taken to ensure that the patient is stable. 

After the radiologist is done with the procedure, you will want to assess the site for bleeding. Continue checking vital signs for at least an hour or until stable. Discuss the results with the patient when they wake up completely. Let the patient know that you will advance their diet as they are able to tolerate it without feeling sick. 

The priority nursing concepts for the patient with interventional radiology are patient-centered care and clinical judgement. 

Alright guys, let’s review the key points. Interventional radiology uses radiology imaging during the procedure so that the radiologist or physician may interpret the image and intervene as needed with a minimally invasive procedure. This may be indicated in the patient who needs a biopsy or has a tumor, blocked vessels, kidney stones, or gallstones. Before the procedure, explain what will happen and get a signed consent filled out. Keep the patient NPO the day of the procedure. During the procedure, you may give IV sedation and you will check vital signs. After, you will continue checking vitals for at least an hour or until stable, and explain the results to the patient when they are awake and alert. 

Okay guys, that’s it on interventional radiology! No go out and be your best self today, and as always, happy nursing!

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