Dx exams Flashcards
what are the different dx exams used for GI diseases?
abdominal utz
Upper GI study
Lower GI study
CT scan with contrast
MRI
endoscopy
colonoscopy
nursing considerations for ABDOMINAL UTZ
- fast 8-12 hrs
- gallbladder and fat free evening meal
- moderate sedations sometimes
if you administered sedations, what will you assess to the patient?
LOC
ambulation
orientation
nursing considerations for UPPER GI STUDY ( barium swallow)
- NPO 6-8 hrs
- high fowlers/ upright
- POST: chalk like stool (normal)
- increase OFI
- laxatives
Upper GI study assesses what?
esophagus, stomach, duodenum
UPPER GI STUDY IS?
BARIUM SWALLOW
Lower GI study is?
barium enema
nursing considerations for barium enema
- NPO 6-8 hrs
- left side lying/ sims position
- same post interventions to barium swallow
- low residue diest for 1-2 days before
- clear liquid plus laxative evening before the test
nursing considerations for CT scan with contrast
- check for iodine or shellfish allergy
- check for BUN and CREA
nursing considerations for MRI
remove jewelleries and metals
nursing considerations for ENDOSCOPY
- NPO 8 hrs
- local anesthetic
- midazolam
- atropine
- left lateral
signs of perforation
pain
bleeding
dusphagia
rapid increase of temp
a sedative that provides moderate sedation and relieves anxiety during the procedure
midazolam
may be administered to reduce secretions, and glucagon may be administered to relax smooth
muscle.
• Atropine
hold __ until gag reflex returns
fluids
