endoscopy Flashcards
1
Q
endoscopy
A
- general term referring to inspection of internal body organs/ cavities
- use an instrument called endoscope
- generally requires anesthesia
2
Q
endoscopy allows for:
A
- direct observation
- biopsy of suspicious tissue
- removal of polyps
- injection of variceal blood vessels
- performance of surgical procedures
3
Q
types of endoscopes
A
- rigid- used in arthroscopy
- flexible- used in pulmonary and GI endoscopy
- also have accessory lumens for insertion of water, meds, or suctioning of debris
4
Q
during the procedure
A
- laparoscopy uses CO2 in peritoneal cavity, can cause gas pain
- cystoscopy uses water to distend bladder
5
Q
complications
A
- perforation of organ or cavity
- persistent bleeding
- respiratory depression d/t oversedation
- infection or transient bacteremia
- aspiration
- CV problems
6
Q
what can you administer to reverse respiratory depression d/t opioids
A
- naloxone (narcan)
7
Q
what can you administer to reverse respiratory depression d/t BZDs
A
flumazenil (Romazicon)
8
Q
arthroscopy indications
A
- pain (knee/ shoulder are common)
- locking
- swelling
- instability
- failed conservative tx
9
Q
C/I for arthroscopy
A
- pts with ankylosis
- local skin or wound infections
- recent arthrogram
10
Q
possible complications of arthroscopy
A
- infection
- hemarthrosis
- swelling
- thrombophlebitis
- joint injury
11
Q
indications for colonoscopy
A
- allows for direct visualization of rectum, colon, and small bowel
- dx pathologic conditions
- change in bowel habits
- obvious or occult blood in stool
- abdominal pain
- surveillance
12
Q
possible findings during colonoscopy
A
- benign and malignant neoplasms
- polyps
- mucosal inflammation
- ulceration
- sites of active hemorrhage
13
Q
C/I for colonoscopy
A
- uncooperative pts
- unstable pts
- pts bleeding profusely from rectum
- pts with suspected perforation of colon
- pts with toxic megacolon
- pts with recent colon anastomosis within 14-21 days
