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Nipigon District Memorial Hospital


Intravenous Pyelogram (IVP)

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Instructions for Preparation

Your physician has requested that you have an IVP.  This is an x-ray examinatin of your kidneys, ureters (the tubes that pass from oyur kidneys to your bladder), and your bladder.  An IVP takes approximately 45minutes.


If you are a diabetic patient and take the medication METFORMIN, please notify the technologist prior to the examination as you will be required to stop taking your METFORMIN medication for 72 hours after the IVP and have Lab work completed at the 72 hours in order to determine if you can resume your METFORMIN.


In order to perform the examination, it is essential that you complete the following preparation which begins the day before the examination.

    1. At 2:00 pm the day before the examination, you must take one of the following laxatives -
          -  Castor oil, 2 ounces or 4 tablespoons
          -  X-Prep, 1 can in 1/3 glass of milk
          -  Citromag, take as per directions on the bottle
  2.    DO NOT eat or drink anything after 10:00 pm until the examination has been completed.
  3.    Medications may be taken with sips of water.
When you arrive at the Diagnostic Imaging Department, you will be asked to change into a hospital gown and use the washroom to empty your bladder.  The Technologist will review the procedure with you and you will be required to sign a consent before proceeding.
  1. You will lay on an x-ray table and an x-ray dye will be injected into a vein in your arm by a physician.  You may experience some symptoms that will go away after a few minutes.  These include feeling warm and flushed, a metallic or salty taste, or nausea.  Symptoms such as feeling itchy, difficulty breathing, chest tightness, or other unusual symptoms MUST be reported to the technologist immediately.
  2. Throughout the examination you may be asked to hold your breath.
  3. Before the final x-ray is taken, you may be asked to empty your bladder.  Delayed films may be required.  This means that you may be asked to return to the department for additional x-rays.  The technologist will arrange with you the time to return.
After the procedure,
  1. Return to your normal diet and activity.
  2. Drink enough fluids to replace those lost in preparation for the procedure.
  3. If you develop hives, skin rash, or swelling, contact the Emergency Department at 887-3026 Extension 251.

Please remember that this procedure is a schedule appointment time that has been set aside for you. If you are unable to make the appointment, please notify the department as soon as possible.

Please note that the technologist is not permitted to provide any interpretation of the examination or pictures of the examination.