Fluoroscopy

Definition

Fluoroscopy is a continuous X-ray imaging technique that produces real-time video-like images of internal structures. It is used to guide procedures such as cardiac catheterization, orthopedic surgery, angiography, barium swallow, and fluoro-guided injections.

Pre-Procedure Nursing Care

• Verify informed consent
• NPO status (procedure-dependent)
• Assess allergies (iodinated contrast, shellfish)
• Assess renal function (creatinine, GFR) before contrast
• Hold metformin per protocol (risk of lactic acidosis with contrast)
• Obtain IV access
• Remove metal objects

Post-Procedure Nursing Care

Monitor vital signs, assess catheter site for bleeding/hematoma, encourage hydration to flush contrast, monitor for delayed contrast reactions (rash, itching), monitor renal function.

Special Considerations

Shield lead apron for staff; extended procedures increase radiation exposure to patients and providers.

NCLEX Relevance

Contrast allergy and renal protection are key pre-procedure priorities.