Nursing interventions and complications

Question 1

Pre test nursing interventions for barium swallow test

Answer 1

1. fasting for 8-12 hrs before the test
2. Withhold nacrotics or anticholinergic medications for 24 hrs

Question 2

Post-test nursing interventions for barium swallow test

Answer 2

1. Ensure the patine eliminate the barium promptly by taking laxatives
2. Encourage fluids if no contraindications (eg failure, edema, etc.)
3. Inform patient stools may be light-colored for several days

Question 3

Pre-test nursing interventions for oesophageal aidity test and oesophageal manometry

Answer 3

1. Keep fasting for 8-12 hrs before the test
2. Avoid the below medications before the test
   - Antacids and H2 inhibitors (increase pH)
   - Alcohol and corticosteroids (worsen the gastroesophageal reflux)
   - Anticholinergics, adrenergic blockers (muscle strength weaken)
   - Cholinergics (increase contractility)

Question 4

Contraindications for magnetic resonance imaging of upper GI

Answer 4

1. Metal implant (Implanted metal in leg which had fracture)
2. Other metal fragment such as cardiac defibrillator or pacemaker

Question 5

Pre-test nursing interventions of MRI of upper GI

Answer 5

1. May keep fasting 6-8 grs before the procedure if contrast media needed
2. Ensure a patent intravenous access (for contrast media)
3. Remove dental appliances and other metallic objects, eg jewelry, hairpins, and watches
4. Reassure the patient that he is able to communicate with the technician at all times in case claustrophobic 幽閉恐懼症

Question 6

Post-test nursing interventions for MRI of upper GI

Answer 6

Monitor for any adverse reaction to the contrast medium (eg flushing, nausea, urticaria, etc.)

Question 7

Pre-test nursing interventions for oesophagastroduodenoscopy (OGD)

Answer 7

1. Remove dentures
2. Keep fasting for 6-8 hrs before the procedure

Question 8

Test phase nursing