Medsurg 3 part 4 Flashcards
Upper gi series with barium- contraindicated in-
complete bowel obstruction and perforation
Upper gi series with barium- complications-
aspiration, constipation
Lower gi series with barium: diet
clear liq diet day before test
NPO starting at midnight
After endoscopy, you must be NPO until
gag reflex returns
Cat scan with or without contrast is contraindicated with
seafood allergy
pregnancy
Cat scan-with contrast: afterwards encourage the pt to
drink fluids to flush out the contrast
Consequences of malnutrition in the elderly: Pulmonary:
less able to clear secretions
how often do you flush a non-tunneled central line catheter
weekly
how often do you flush a PICC
daily
how often do you flush a port central line catheter
monthly
Clean central lines openings with alcohol w povidine iodine ___ or ___
tincture or chlorohexidine
____ ointments should not be applied to central line openings
Antibiotic
Between small bore and large bore feeding tubes, which has the greater risk for complication during insertion
small bore (could be misplaced easier)
After NG, check for
Observe for coughing, choking,or cyanosis
Have client speak
a narrowing or tightening of the esophagus that causes swallowing difficulties
Esophageal stricture
___ ___ tube is used to control ruptured esophageal varices
sengstaken-blakemore
if sudden respiratory distress from sengstaken-blakemore tube
cut the balloons with scissors
on the salem sump, never
tie off the vent (It prevents the tube from sticking to the gastric mucosa)
Columnar epithelium replaces squamous epithelium lining distal esophagus
Barrett’s esophagus
Barrett’s esophagus diagnosed with
Endoscopic biopsy to look for dysplasia
rare disorder that puts you at risk for esophagus cancer
achalasia
lye ingestion puts you at risk for
esophagus cancer
GERD involves a weakness in the
LES
Besides a weakened LES, GERD can be caused by ___ ___ or ____
Hiatal hernia
Scleroderma
