Med-Surg: GI, Hepatic, Pancreatic/1 Flashcards
gastric aspirate checks for and dx test for what
checks hydrochloric acid and pepsin; evaluates for zollinger-ellison syndrome
gastric aspirate procedure
5
- NPO 12 hours
- avoid alcohol, tobacco, meds that change gastric pH for 24 hours
- insert NG tube
- aspirate contents
- obtain pH
lab profiles that we check for hepatic or pancreatic disease
6
- albumin
- ammonia
- bilirubin
- cholesterol
- liver enzymes
- pancreatic enzymes
we check ammonia levels to determine what
the livers ability to break down protein by products
bilirubin is measured direclty in the
blood
what do we check in cholesterol
4
total
ldl
hdl
triglycerides
liver enzymes include
3
- alt/sgpt
- ast/sgot
- alp
pancreatic enzymes include
3
- amylase
- lipase
- prothrombin time
recommended annually to detect colon cancer
fecal occult blood test
fecal screening - instruct patient to do what
avoid red meat, aspirin, turnips, and horseradish at least 72 hours prior to avoid false positive; avoid vitamin C-rich foods to prevent false negative; NSAIDs and anticoagulants should be d/c 7 days prior to testing
hydrogen breath test
2
- evaluates carb absorption
2. aids in detection of bacterial overgrowth in intestine
urea breath test detects
h. pylori
urea breath test instructions - avoid
- one month
- one week
- 24 hours
antibiotics and bismuth subsalicylate 1 month before test; PPIs and sucralfate 1 week before; H2 inhibitors 24 hours before
allows direct visualization of tissues, cavities, and organs using a flexible fiber-optic tube
endoscopy
colonoscopy prep
4
- bowel prep 1-3 days before
- clear liquid diet 12-24 h before
- NPO except water 6-8 hours before
- IV sedation
