Asian Journal of Research in Medicine and Medical Science

Background and Objective: An intravenous pyelogram (IVP) is an x-ray examination of kidneys, ureters, and urinary bladder that uses iodinated contrast material injected into veins. IVP may not be safe for people with dehydration, significantly impaired kidney function, or diabetes. Our main objective is to determine mean change in temperature, blood pressure, heart rate, respiratory rate, and oxygen saturation with an intravenous pyelogram before and during the procedure and to evaluate the acute complications of an intravenous pyelogram.

Materials and Methods: A cross-sectional prospective study was conducted in the X-Ray department of radiology of a tertiary care hospital in Karachi in 6 months period from 03-08-2019 to 02-02-2020. The data was collected by evaluating patients during the IVP procedure over a specified period. A total of 262 patients were included. Vitals were recorded and complications were documented during and after the procedure. Descriptive statistics were calculated. Stratification was done and the post-stratification Chi-Square test was applied and a p-value ≤0.05 was considered as significant.

Results: After the IV pyelogram mean temperature, respiratory rate, systolic BP, diastolic BP, heart rate, and oxygen saturation were 98.97±0.76 0F, 14.93±1.79 breaths/min, 124.99±7.47 mmHg, 82.11±11.42 mmHg, 76.39±4.29 beats/min, and 99.09±0.68 respectively. Allergy was 14.1%, nausea was 17.2%, vomiting was 3.1%, itching was 7.3%, and dizziness was 18.3% during the procedure. After the procedure, allergy was 3.8%, nausea was 24%, vomiting was 3.4%, itching was 3.8%, and dizziness was 23.7%. These differences were also found significant.

Conclusion: Before and after the IV pyelogram, the mean difference for temperature, respiratory rate, systolic BP, diastolic BP, and oxygen saturation was significant and needs to be evaluated.