OGD counselling Flashcards
focussed hx
abdo pain
indigestion
vomiting (haematemesis)
change in bowel habits (melaena)
weight loss
anorexia
structure of OGD counselling
what do you know
before
during
after
before
2wks - stop antacids
2 days - only eat plain food (no sauces etc eg plain chicken, clear soup)
1 day - drink the sachets provided, expect diarrhoea to empty your bowels dw
8hrs - no food
4hrs - NBM
during (time, anaesthetics, procedure)
takes 15 mins
midazolam sedative/lidocaine spray
air passed through tube - bloated
width of little finger
benefits & risks of OGD
visualise stomach +/- biopsies +/- treat
bleeding, infection, sore throat, perforation (<1/1000)
after
no driving/alcohol for 24hrs
keep someone with you for 24hrs