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summer semester pt care > esophagus and stomach > Flashcards

esophagus and stomach Flashcards

1
Q

enteroclysis

A

injection of nutrient or medical liquid into bowel

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2
Q

right lateral UGI demonstrates

A

right retrogastric space, duodenal loop and duodinojejunal juction

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3
Q

structures shown on ap oblique UGI

A

fundus (barium filled)

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4
Q

structures shown on pa oblique ugi image

A

best image of pyloric canal and duodenal bulb deudenal loop

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5
Q

PA/AP small bowel projection demonstrates

A

small intestine progressively filling until barium reaches ileocecal valve

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6
Q

single UGI demonstrates

A

filling of stomach and visualization of rugae

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7
Q

what UGI exam evaluates

A

distal esophagus stomach some or all of small intestine

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8
Q

evaluation criteria for oblique esophagus projection

A

esophagus between vertebrae and heart

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9
Q

how is pt positioned when hiatal hernia is suspected

A

head of table lowered 25-30 degrees

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10
Q

degree of obliquity for esophagus

A

35-40

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11
Q

where is body of stomach located

A

midway between xiphoid and lower margin of ribs

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12
Q

why barium tablet is used

A

evaluate degree fo lumen narrowing w esophagus

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13
Q

2 general procedures routinely done to examine stomach

A

single contrast double contrast

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14
Q

2 positions pt is radiographed in for small bowel series

A

supine or prone

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15
Q

patient prep for barium swallow esophagus

A

no prep

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16
Q

difference between single contrast exam and double contrast exam

A

single-just barium double bairum and air

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17
Q

IR must be positioned to include

A

stomach

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18
Q

which oblique is preferred for barium swallow and why its preferred

A

RAO Shows esophagus without superimpositon

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19
Q

general position pt is in for esophagus radiographs

A

recumbent

20
Q

position used to demonstrate esophageal varices

A

upright

21
Q

pt postition for the lateral esophagus

A

arms out in front of them mcp centered to ir

22
Q

how barium is administered to pt for barium swallow

A

drank through straw

23
Q

how to demonstrate entire esophagus full fo barium on a radiograph

A

make exposure while swallowing

24
Q

what swallowing dysfunction study is done for (why)

A

ecaluvates swallowing of patient due to stroke, trauma

25
Q

why nicotine and gum are restricted when a pt is npo

A

stimulates gastric secretions

26
Q

when overhead radiographs should be obtained

A

stomach and duodenum

27
Q

advantages of double contrast ugi

A

small lesions less easily obscured and mucosal lining of stomach can be more clearly visualized

28
Q

why pt cant belch during during double contrast exam

A

optimal gas must remain for exam

29
Q

what might be given to patient to relax gi tract

A

glucagon intravenously or intramuscularly

30
Q

why immobilization bands are contraindicated for UGI

A

interferes with emptying or filling of duodenal bulb

31
Q

respiration for UGI images

A

suspend at end of expiration

32
Q

structures shown onpa UGI image

A

contour of barium filled stomach and duodenal bulb

33
Q

2 body positions for obliques of stomach

A

RAO LPO

34
Q

WHAT PT REQUIRES GREATER DEGREE OF ROTATION

A

HYPERSTHENIC

35
Q

placed under pt on ap oblique ugi projection UGI projection for immobilization of pt

A

sponge

36
Q

degree of obliquity for AP oblique UGI on average pt

A

45 degree average between (30-60)

37
Q

3 ways barium can be administered into small bowel

A

mouth
be
enterclysis

38
Q

common prep for exam of small intestine

A

low residue diet for 2 days before npo

39
Q

what must be included on all small intestine radiographs

A

time marker

40
Q

1st image is generally taken of small bowel series

A

15 min after pt drink has finished the barium

41
Q

how to check lateral ugi for true lateral

A

vertebrae

42
Q

time intervals of small bowel series images

A

15-30 min

43
Q

why coffee or tea is sometimes given to small bowe lpatient who are reaching 4 hour mark

A

helos stimulate peristalsis

44
Q

centering for prelim and delayed images of small bowel

A

prelime 2” above crest delayed at crest

45
Q

when is SBS over

A

when it reaches ileocecal valve and starts to enter large intestine

summer semester pt care (6 decks)

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