Diagnostics Flashcards
(51 cards)
Upper GI tract study (Barrium Swallow)
Description
examintation of the upper GI tract under fluoroscopy after client drinks barrium sulfate
Upper GI tract study (Barrium Swallow)
preprocedure
no food or drink 8 hours beforehand
Upper GI tract study (Barrium Swallow)
postprocdure
laxative maybe prescribed
increase oral intake
stools will be chaulky white for 24-72 hours
monitor for bowel obstruction
capsule endoscopy
description
wireless camera that client swallows that detects small bleeds or changes in SI
client wears a small receiver
capsule endoscopy
preprocedure
bowel prep prescribed - clear liquid diet night before
NPO for 3 hours before exam and after swallow
Gastric analysis
description
NG tube into stomach then contents are aspirated and analyzed for pH, appearance, volume
q15 min for 1 hour
Gastric analysis
procedure
q15 min for 1 hour
histamine or pentagastrin may be admin subQ to stim secretion
Gastric analysis
preprocedure
fasting for 12 hours before
no tobacco or gum chewing for 24 hours before
meds that stimulate gastric secretions are witheld for 24-48 hours
Gastric analysis
postprocedure
pt resumes normal activities
if samples not tested within 4 hours refrigerate
Upper GI endoscopy (esophago-gastro-duodeno-scopy)
description
scope from the esophagus to duodenum
viewing walls and can collect tissues
Upper GI endoscopy
Preprocedure
NPO 6-8 hours before
local anesthetic (spray or gargle) use
meds to reduce secretions and relax smooth muscle
pt on left side for saliva drainage and for scopy passage
airway patency and O2 monitored (keep emergency equipment on hand)
Upper GI endoscopy
postprocedure
monitor vitals
NPO until gag reflex returns 1-2 hours
monitor for signs of perforation (pain bleed elevated temp difficulty swallowing)
bed rest for sedated pts
treatments for sore throats
Fiberoptic colonoscopy
description
view lining of LI can take biopsies and polypectomies
cardiac and resp functions are monitored continuosly
pt on left side with knees to chest
Fiberoptic colonoscopy
preprocedure
adequate colon cleansing via clear liquid diet on the day before the test
NPO 4-6 hours before the test
moderate sedation IV
meds for smooth muscle relaxation
Fiberoptic colonoscopy
post procedure
monitor VS
bed rest until alert
monitor for signs of bowel perforations and peritonitis
passing gas, fullness, mild cramping is expected for several hours
report any bleeding to PCP
Laparoscopy
description
performed with fiberoptic Laparoscope allowing for direct visualiztion of organs and structures within abd
biopsies can be optained
endoscopic retrograde chol-angio-pancreato-graphy
description
examination of hepatobiliary system is performed via a flexibe endoscope inserted into the esophogaus to duodenum
if meds are used pt is monitoered for resp or CNS depresssion, hypotension (HoT), oversedation, and vomiting (V)
Are clients takign oral liquid bowel cleansing preperations or enemas at RF anything?
Yes
Fluid and electrolyte imbalances
signs of bowel perforations and peritonitis
abd guarding
elevated temp and chills
pallor
abd distention and pain
restlessness
TC and TP
endoscopic retrograde chol-angio-pancreato-graphy
preoperation
NPO 6-8 before
ask about contrast media allergies
moderate sedation used
endoscopic retrograde chol-angio-pancreato-graphy
post procedure
monitor VS, return of gag, perforation and peritonitis
Magnetic Resonance Cholangiopancreatonprahy (MRCP)
Description
used of magnetic fields to visualize the billiary and pancreatic ducts in a noninvasive way
Magnetic Resonance Cholangiopancreatonprahy (MRCP)
preoperation
same as ERCP
NPO for 6-8 before hand
ask about contrast media allergy
moderate sedation is used
Magnetic Resonance Cholangiopancreatonprahy (MRCP)
postprocedure
same as ERCP
monitor VS, return of gag reflex, pertonitis, perferation
